Remote Clinical Compliance Auditor (RN) – Medicare & Coding

(PACS) Providence Administrative Consulting Services, Inc.; United States; Remote; USD 93,000 - 115,000; Full time

Benefits offered by this job

Health insurance

Paid time off (PTO)

Financial wellness: HSA/FSA

401(k) retirement plan

Employee Assistance Program (EAP)

Job summary

PACS Group, Inc. is seeking a Clinical Compliance Auditor II to conduct comprehensive audits of clinical documentation, regulatory compliance practices, and reimbursement processes in post‑acute care settings.

The role promotes a compliant culture and adherence to CMS requirements while supporting quality improvement and accurate billing. This remote position requires strong analytical skills, extensive auditing experience, and the ability to work independently with minimal supervision.

Qualifications

• Active RN/LPN/LVN license is required.
• Bachelor’s degree preferred; other nursing certificates or associates acceptable.
• 5+ years of progressive leadership in compliance for skilled nursing facilities and MDS/reimbursement.
• Strong knowledge of Medicare/Medicaid documentation, coding and regulations.
• Certificates in coding/auditing (CPC/CCS/CHC) preferred; RAC-CT preferred.

Responsibilities

• Perform internal audits related to billing, documentation, therapy utilization, and coding accuracy.
• Analyze audit findings, identify trends and root causes, and report results.
• Partner with operations to implement corrective action plans and ensure timely follow-up.
• Conduct and/or support compliance investigations with thorough documentation.
• Deliver live and virtual training sessions in collaboration with operations.

Skills

Active Nursing License

Regulatory compliance

Auditing

Leadership in compliance

Education

Nursing certificate/Associate degree

Bachelor’s degree preferred

Job description

PACS Group, Inc. is seeking a Clinical Compliance Auditor II to conduct comprehensive audits of clinical documentation, regulatory compliance practices, and reimbursement processes in post‑acute care settings.

The role promotes a compliant culture and adherence to CMS requirements while supporting quality improvement and accurate billing. This remote position requires strong analytical skills, extensive auditing experience, and the ability to work independently with minimal supervision.