Remote Therapy Compliance Auditor

PACS Group (United Kingdom); United States; Remote; USD 90,000 - 120,000; Full time

Benefits offered by this job

Health coverage

Job summary

PACS Group, Inc. seeks a Clinical Compliance Auditor I to conduct routine audits of clinical documentation and reimbursement processes in a remote role with limited travel. You will ensure adherence to CMS requirements and support quality improvement and accurate billing practices.

Responsibilities include auditing billing accuracy, analyzing findings, and coordinating corrective actions across operations. Effective communication and deep regulatory knowledge are essential for success in a

Qualifications

• Bachelor's degree required; Master's preferred.
• Active license in Physical Therapy (PT) or Occupational Therapy (OT).
• AAPC, AHIMA, HCCA coding/auditing certifications preferred; RAC-CT preferred.

Responsibilities

• Complete internal audits related to billing, documentation, therapy utilization and coding.
• Analyze audit findings; identify trends and root causes.
• Partner with operations to implement corrective action plans; ensure timely follow-up.
• Conduct or partner on compliance investigations; ensure timely, objective documentation.

Skills

Audit techniques

Regulatory knowledge

Attention to detail

Communication

Travel readiness

Healthcare compliance

Education

Bachelor's degree

Master's degree preferred

Job description

PACS Group, Inc. seeks a Clinical Compliance Auditor I to conduct routine audits of clinical documentation and reimbursement processes in a remote role with limited travel. You will ensure adherence to CMS requirements and support quality improvement and accurate billing practices.

Responsibilities include auditing billing accuracy, analyzing findings, and coordinating corrective actions across operations. Effective communication and deep regulatory knowledge are essential for success in a