Remote Clinical Compliance Auditor – Billing & Documentation

PACS; Salt Lake City (UT); Remoto; USD 70.000 - 100.000; Tempo integral

Benefícios oferecidos por esta vaga

Health coverage

PTO & holidays

HSA & FSA

401(k)

Employee Assistance Plan

Resumo da vaga

PACS Group, Inc. is a holding company delivering post-acute healthcare services.

The Clinical Compliance Auditor I conducts audits of clinical documentation and reimbursement processes to ensure CMS and local regulations compliance, supporting quality improvement initiatives. Reporting to the Senior Director of Clinical Compliance Investigations, the role emphasizes investigation collaboration, training delivery, and cross-functional alignment across healthcare sites.

Qualificações

• Active RN/LPN/LVN license required; bachelor's degree preferred.
• 3+ years in compliance or skilled nursing with oversight experience.
• Strong knowledge of Medicare/Medicaid documentation, coding and regulations.
• Experience with clinical auditing and internal investigations in healthcare.

Responsabilidades

• Conduct internal audits related to billing, reimbursement, documentation and coding.
• Analyze audit findings to identify trends and root causes.
• Partner with operations to implement corrective action plans and ensure follow-up.
• Conduct and/or partner on compliance investigations with timely, objective documentation.
• Deliver live and virtual training sessions in collaboration with operations.
• Collaborate across the organization with operations, finance, HR and IT.
• Provide regular updates and prepare audit/investigation reports.

Conhecimentos

Nursing license

Auditing

Compliance

Formação

Associate degree in nursing

Bachelor's degree preferred

Ferramentas

CMS regulations

Regulatory databases

Descrição da vaga

PACS Group, Inc. is a holding company delivering post-acute healthcare services.

The Clinical Compliance Auditor I conducts audits of clinical documentation and reimbursement processes to ensure CMS and local regulations compliance, supporting quality improvement initiatives. Reporting to the Senior Director of Clinical Compliance Investigations, the role emphasizes investigation collaboration, training delivery, and cross-functional alignment across healthcare sites.