Remote Clinical Compliance Auditor I – Skilled Nursing

PACS; United States; Remote; USD 65,000 - 75,000; Full time

Benefits offered by this job

Health Coverage

PTO & Vacation

HSA & FSA

401(k) Plan

Employee Assistance Program

Job summary

PACS Group seeks a Clinical Compliance Auditor I to conduct routine audits of clinical documentation and reimbursement processes at Skilled Nursing Facilities. You’ll ensure adherence to CMS and state requirements while supporting quality initiatives and accurate billing.

The role involves audits, investigations, and training sessions; you will collaborate with operations, finance, HR, and IT to implement corrective actions, reporting findings with clarity and accountability.

Qualifications

• Active Nursing License (RN/LPN/LVN) required.
• Bachelor’s degree preferred; may consider equivalent.
• 3+ years in compliance, preferably in skilled nursing facilities.
• Strong knowledge of Medicare/Medicaid documentation, coding, and regulations.
• Experience with clinical auditing and internal investigations.

Responsibilities

• Audit billing, documentation, therapy utilization, coding and clinical documentation.
• Analyze findings to identify trends and root causes.
• Collaborate with operations to implement corrective action plans and follow-up.
• Lead or assist on compliance investigations with timely, objective documentation.
• Deliver live and virtual training sessions with operations teams.
• Coordinate cross-functional work across finance, HR, IT, and clinical ops.
• Report findings and prepare regular audit/investigation updates.

Skills

Nursing License

Education

Certificate in Nursing

Associate’s Degree

Bachelor’s Degree (Preferred)

Job description

PACS Group seeks a Clinical Compliance Auditor I to conduct routine audits of clinical documentation and reimbursement processes at Skilled Nursing Facilities. You’ll ensure adherence to CMS and state requirements while supporting quality initiatives and accurate billing.

The role involves audits, investigations, and training sessions; you will collaborate with operations, finance, HR, and IT to implement corrective actions, reporting findings with clarity and accountability.