Remote Clinical Compliance Auditor – Therapy

PACS Group; 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

EAP

Job summary

PACS Group, Inc. is seeking a Clinical Compliance Auditor I to conduct routine audits of clinical documentation and reimbursement processes for Skilled Nursing Facilities. This role ensures adherence to CMS and state regulations, supports quality improvement, and promotes accurate billing practices.

Remote position with occasional travel (<25%). Preferred locations include Utah, Montana, North Dakota, South Dakota, New Mexico, Texas. Competitive benefits package and opportunities for professional growth are offered by PACS.

Qualifications

• Active PT or OT license.
• Bachelor’s degree required; Master’s preferred.
• 3+ years in compliance or skilled nursing facilities.
• Healthcare coding/audit certifications preferred (AAPC/AHIMA/HCCA).
• Experience with Medicare/Medicaid documentation and regulations.

Responsibilities

• Conduct internal audits on billing, documentation, therapy utilization, and coding.
• Analyze audit findings and identify trends/root causes.
• Collaborate with operations to implement corrective action plans.
• Lead or participate in compliance investigations with thorough documentation.
• Deliver training sessions with operations and clinical teams.
• Prepare reports and provide updates on audit results.

Skills

RAC-CT

Regulatory compliance

Auditing

Education

Bachelor's degree

Master's degree

Coding certification (AAPC/AHIMA/HCCA)

Tools

CPC/CCS/CCS-P/COC/CPMA/CHC (certifications)

Job description

PACS Group, Inc. is seeking a Clinical Compliance Auditor I to conduct routine audits of clinical documentation and reimbursement processes for Skilled Nursing Facilities. This role ensures adherence to CMS and state regulations, supports quality improvement, and promotes accurate billing practices.

Remote position with occasional travel (<25%). Preferred locations include Utah, Montana, North Dakota, South Dakota, New Mexico, Texas. Competitive benefits package and opportunities for professional growth are offered by PACS.