Remote Therapy Compliance Auditor I

PACS Group; Salt Lake City (UT); Remote; USD 65,000 - 90,000; Full time

Benefits offered by this job

Health Coverage

PTO and Vacation

Financial Wellness – HSA & FSA

Retirement Plan with company match

Employee Assistance Plan (EAP)

Job summary

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

The role ensures CMS, state, and local regulation adherence and supports quality improvement initiatives. The incumbent will review billing accuracy, documentation integrity, and coding, then collaborate with operations to implement corrective actions and deliver targeted training.

Qualifications

• Bachelor's degree required in a health care, allied health, or related field.
• Master's degree preferred.
• AAPC, AHIMA or HCCA coding/certification and/or auditing/compliance certification preferred.
• RAC-CT preferred.

Responsibilities

• Complete internal audits related to billing and reimbursement accuracy, documentation integrity, therapy utilization and coding, quality and clinical documentation.
• Analyze audit findings to identify trends and root causes.
• Partner with operations and clinical operations to implement corrective action plans and ensure timely follow-up.
• Conduct and/or partner on compliance investigations, ensuring completed timely, objectively and well documented.
• Deliver live and/or virtual training sessions in collaboration with operations and clinical operations.
• Cross functional collaboration across the organization, including operations, clinical operations, finance, HR and IT teams.
• Provide regular updates on investigation and audit results and prepare reports.

Skills

Analytical skills

Communication skills

Attention to detail

Time management

Education

Bachelor's degree

Master's degree preferred

Coding certifications (AAPC/AHIMA/HCCA) preferred

RAC-CT preferred

Job description

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

The role ensures CMS, state, and local regulation adherence and supports quality improvement initiatives. The incumbent will review billing accuracy, documentation integrity, and coding, then collaborate with operations to implement corrective actions and deliver targeted training.