Remote Clinical Compliance Auditor I (Therapy)

PACS; United States; Remote; USD 65,000 - 90,000; Full time

Benefits offered by this job

Health coverage

PTO and holidays

401(k) with company contributions

Employee Assistance Program (EAP)

Job summary

PACS Group, Inc. is seeking a Clinical Compliance Auditor I to perform routine audits of clinical documentation and regulatory compliance across skilled nursing facilities.

You will help ensure CMS and state requirements are met and support continuous improvement in billing accuracy. The ideal candidate has an active PT or OT license, a bachelor’s degree, and 3+ years in healthcare compliance or audits, with strong analytical and communication skills to partner with operations and clinical teams

Qualifications

• Active License in Physical Therapy (PT) or Occupational Therapy (OT).
• Bachelor’s degree required; Master’s preferred.
• AAPC/AHIMA/HCCA certifications preferred; RAC-CT preferred.
• 3+ years in compliance or audits for skilled nursing facilities.
• Strong Medicare/Medicaid documentation and coding knowledge.
• Experience conducting audits or investigations in healthcare.
• Strong analytical and communication skills; detail oriented.

Responsibilities

• Complete internal audits related to billing, documentation integrity, and coding.
• Analyze audit findings to identify trends and root causes.
• Partner with operations to implement corrective action plans.
• Conduct and/or support compliance investigations with proper documentation.
• Deliver live and virtual training sessions with operations teams.
• Collaborate across finance, HR, IT, and clinical ops.
• Provide updates and reports on audit results and investigations.

Skills

Analytical skills

Communication skills

Auditing experience

Healthcare compliance knowledge

Education

Bachelor's degree

Master's degree preferred

PT/OT license

Tools

AAPC/CPC certification

AHIMA certification

HCCA certification

Job description

PACS Group, Inc. is seeking a Clinical Compliance Auditor I to perform routine audits of clinical documentation and regulatory compliance across skilled nursing facilities.

You will help ensure CMS and state requirements are met and support continuous improvement in billing accuracy. The ideal candidate has an active PT or OT license, a bachelor’s degree, and 3+ years in healthcare compliance or audits, with strong analytical and communication skills to partner with operations and clinical teams