Remote Nursing Compliance Auditor

PACS in; Salt Lake City (UT); Remote; USD 93,000 - 115,000; Full time

Benefits offered by this job

Health Coverage

Paid Time Off

HSA/FSA

401(k) with company contributions

Employee Assistance Plan

Job summary

PACS Group, Inc. is seeking a Clinical Compliance Auditor II to conduct comprehensive audits of clinical documentation, regulatory compliance, and reimbursement processes for post-acute care facilities. The role ensures adherence to CMS requirements and supports quality improvement while promoting a compliant culture.

Remote position with less than 25% travel. Minimum 5+ years in healthcare compliance with MDS and reimbursement; nursing licensure and relevant certifications preferred.

Qualifications

• Active nursing license (RN/LPN/LVN) is required.
• Certificate in nursing or associate degree is required; bachelor’s degree preferred.
• 5+ years of progressive leadership in compliance for skilled nursing facilities, with MDS and reimbursement.
• AAPC, AHIMA or HCCA auditing/coding certifications preferred (RAC-CT preferred).
• Understanding Medicare/Medicaid documentation, coding and regulations.

Responsibilities

• Complete internal audits related to billing, documentation, therapy utilization and coding.
• Analyze audit findings to identify trends and root causes.
• Partner with operations to implement corrective action plans and ensure timely follow-up.
• Conduct or partner on compliance investigations with timely, objective documentation.
• Deliver live and virtual training sessions with operations and clinical teams.
• Collaborate cross-functionally across the organization (operations, finance, HR, IT).
• Provide regular updates on investigations and audit results and prepare reports.

Skills

Nursing license

Analytical skills

Communication

Attention to detail

Education

Associate degree in nursing

Bachelor’s degree in nursing

nursing certificate

Job description

PACS Group, Inc. is seeking a Clinical Compliance Auditor II to conduct comprehensive audits of clinical documentation, regulatory compliance, and reimbursement processes for post-acute care facilities. The role ensures adherence to CMS requirements and supports quality improvement while promoting a compliant culture.

Remote position with less than 25% travel. Minimum 5+ years in healthcare compliance with MDS and reimbursement; nursing licensure and relevant certifications preferred.