Remote PDPM Clinical Compliance Audit Director

PACS in; Salt Lake City (UT); Remote; USD 130,000 - 145,000; Full time

Job summary

PACS Group, Inc. is a leading healthcare services organization enabling high-quality post-acute care. We seek a Director of Clinical Compliance Audits – PDPM to lead nationwide PDPM audit activities and strengthen Medicare documentation integrity across our skilled nursing facilities.

The role emphasizes oversight of MDS coding, Medicare reimbursement processes, and regulatory compliance, with remote work and limited travel to support multi-site operations.

Qualifications

• RN license required and active.
• 10+ years in clinical practice and healthcare auditing.
• Experience leading PDPM and multi-site audits.
• RAC-CT and RAC-CTA certification required.

Responsibilities

• Lead and coordinate PDPM audit activities across skilled nursing facilities to ensure accurate Medicare reimbursement, documentation integrity, coding accuracy, and regulatory compliance.
• Conduct routine and targeted audits related to billing and reimbursement practices, MDS coding, therapy utilization, clinical documentation, and quality outcomes.
• Support and participate in investigations involving clinical documentation, compliance concerns, and reimbursement-related processes.
• Analyze audit findings and trends to identify areas of risk and develop performance improvement initiatives that strengthen compliance and operational effectiveness.
• Partner with Clinical Operations, Risk Management, and facility leadership to implement corrective action plans and monitor ongoing compliance efforts.
• Provide guidance and subject matter expertise to audit team members and collaborate with operational and business support partners on education and compliance initiatives.

Skills

PDPM auditing

MDS coding

Regulatory compliance

Audit leadership

Education

Associate's or Bachelor's degree

Job description

PACS Group, Inc. is a leading healthcare services organization enabling high-quality post-acute care. We seek a Director of Clinical Compliance Audits – PDPM to lead nationwide PDPM audit activities and strengthen Medicare documentation integrity across our skilled nursing facilities.

The role emphasizes oversight of MDS coding, Medicare reimbursement processes, and regulatory compliance, with remote work and limited travel to support multi-site operations.