Remote Clinical Compliance Auditor (Therapy)

PACS; Salt Lake City (UT); Remote; USD 70,000 - 90,000; Full time

Benefits offered by this job

Health Coverage

Paid time off

HSA and FSA

401(k) plan with company contributions

Employee Assistance Program (EAP)

Job summary

PACS Group, Inc. is seeking a Clinical Compliance Auditor I to conduct routine audits of clinical documentation, regulatory compliance practices, and reimbursement processes in Skilled Nursing Facilities.

The role enforces CMS and state requirements, supports quality improvement, and promotes accurate coding and billing practices. Responsibilities include auditing, trend analysis, corrective action collaboration, investigations, and training.

Qualifications

• Active PT or OT license required.
• Bachelor's degree required; master's preferred.
• 3+ years in compliance and/or skilled nursing facilities with oversight.
• Solid Medicare/Medicaid documentation and coding knowledge.
• Experience auditing and/or internal investigations in healthcare.

Responsibilities

• Conduct internal audits of billing, documentation, coding, and reimbursement accuracy.
• Analyze findings, identify trends and root causes.
• Partner with operations to implement corrective action plans.
• Lead or participate in compliance investigations with timely, well-documented results.
• Deliver live and virtual training in collaboration with operations.
• Collaborate across departments and report results clearly.

Skills

Regulatory compliance

Auditing

Healthcare regulations

CMS requirements

Analytical thinking

Effective communication

Training delivery

Education

PT or OT license

Bachelor's degree

Master's degree preferred

AAPC/AHIMA/HCCA certification (preferred)

RAC-CT preferred

Job description

PACS Group, Inc. is seeking a Clinical Compliance Auditor I to conduct routine audits of clinical documentation, regulatory compliance practices, and reimbursement processes in Skilled Nursing Facilities.

The role enforces CMS and state requirements, supports quality improvement, and promotes accurate coding and billing practices. Responsibilities include auditing, trend analysis, corrective action collaboration, investigations, and training.