Remote Clinical Compliance Auditor II – Post-Acute

(PACS) Providence Administrative Consulting Services, Inc.; United States; Remote; USD 85,000 - 110,000; Full time

Benefits offered by this job

Health Coverage

Paid Time Off

Health Savings Account

401(k) plan

Employee Assistance Program

Job summary

PACS Group, Inc. is seeking a Clinical Compliance Auditor II to conduct comprehensive clinical audits of documentation, regulatory practices, and reimbursement processes for Skilled Nursing Facilities and post-acute settings.

The role supports quality improvement, ensures CMS compliance, and promotes accurate billing and documentation. Remote work with <25% travel, collaboration across operations, finance, HR and IT is expected.

Qualifications

• Active PT or OT license; bachelor’s degree required.
• Master’s degree preferred.
• 5+ years in compliance or skilled nursing facilities.
• Familiar with Medicare/Medicaid documentation and coding.
• Certifications: AAPC/AHIMA/HCCA preferred.

Responsibilities

• Perform internal audits of billing, documentation, and coding.
• Analyze findings to identify trends and root causes.
• Collaborate with operations to implement corrective actions.
• Lead or support compliance investigations with thorough documentation.
• Deliver live and virtual training with operations teams.
• Provide regular updates and reports on audits.

Skills

Analytical capabilities

Attention to detail

Communication skills

Time management

Confidentiality

Education

Bachelor's degree

Master's degree

Tools

AAPC

AHIMA

HCCA

CPC

CCS

CCS-P

COC

CPMA

CHC

RAC-CT

Job description

PACS Group, Inc. is seeking a Clinical Compliance Auditor II to conduct comprehensive clinical audits of documentation, regulatory practices, and reimbursement processes for Skilled Nursing Facilities and post-acute settings.

The role supports quality improvement, ensures CMS compliance, and promotes accurate billing and documentation. Remote work with <25% travel, collaboration across operations, finance, HR and IT is expected.