Remote Clinical Compliance Auditor I – Nursing Facilities

PACS Group; Salt Lake City (UT); A distancia; USD 65.000 - 90.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Health coverage

PTO & holidays

401(k) with company contributions

EAP

Descripción de la vacante

PACS Group, a leading post-acute healthcare platform, seeks a Clinical Compliance Auditor I to perform routine audits of clinical documentation, regulatory compliance, and reimbursement processes for Skilled Nursing Facilities. You will ensure CMS alignment and support quality improvement initiatives.

Responsibilities include auditing billing, coding, and documentation, identifying trends, and collaborating with operations to implement corrective actions.

Formación

• Active Nursing license (RN/LPN/LVN).
• A nursing certificate or associate degree is required; a bachelor’s degree is preferred.
• 3+ years of increasing responsibility in compliance and/or skilled nursing facilities.
• Deep understanding of Medicare/Medicaid documentation, coding and regulations.
• RAC-CT certification preferred.
• Strong analytical abilities, communication, attention to detail, and ability to work in a dynamic setting.

Responsabilidades

• Conduct internal audits related to billing, reimbursement accuracy, documentation integrity, therapy utilization and coding.
• Analyze audit findings to identify trends and root causes.
• Partner with operations to implement corrective action plans and follow up.
• Conduct/comamage compliance investigations with timely, objective documentation.
• Deliver live and virtual trainings with operations and clinical teams.
• Provide regular updates and reports on investigations and audits.

Educación

Nursing certificate/Associate degree

Descripción del empleo

PACS Group, a leading post-acute healthcare platform, seeks a Clinical Compliance Auditor I to perform routine audits of clinical documentation, regulatory compliance, and reimbursement processes for Skilled Nursing Facilities. You will ensure CMS alignment and support quality improvement initiatives.

Responsibilities include auditing billing, coding, and documentation, identifying trends, and collaborating with operations to implement corrective actions.