Clinical Compliance Auditor II - Therapy

PACS Group, Inc. is a holding company investing in post-acute healthcare facilities, professionals, and ancillary services. Founded in 2013, PACS Group is one of the largest post-acute platforms in the United States, operating 325 post-acute care facilities with 47,000 employees across 17 states serving over 31,000 patients daily. PACS Services, the business support division, provides technology and administrative support—including accounting, finance, HR, compliance, payroll, IT, and legal services—to reduce administrative burdens and allow care teams to focus on patient well-being.

About the role

Reporting to the Senior Director of Clinical Audit, the Clinical Compliance Auditor II is an advanced-level compliance professional responsible for conducting comprehensive clinical audits of documentation, regulatory compliance, and reimbursement processes in Skilled Nursing Facilities and related post-acute care settings. This role promotes a compliant, values-aligned culture, ensures adherence to federal, state, and local regulations (including CMS requirements), supports quality improvement, and drives accurate clinical documentation and billing practices.

Responsibilities

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

Requirements

• Active license in Physical Therapy (PT) or Occupational Therapy (OT).
• Bachelor’s degree (required); Master’s degree (preferred).
• 5+ years of increasing responsibility in compliance and/or skilled nursing facilities, with experience in regional therapy services, dedicated compliance roles, or oversight of multiple healthcare sites.
• Deep understanding and application of Medicare and Medicaid documentation, coding, and regulations.
• AAPC, AHIMA, or HCCA coding certification (e.g., CPC, CCS, CCS-P, COC, CPMA, CHC) or auditing/compliance certification preferred.
• RAC-CT certification preferred.
• Prior experience conducting audits or internal investigations in a healthcare setting.
• Strong analytical skills, excellent communication, attention to detail, and ability to work in a dynamic, fast-paced environment.

Skills

• Ability to work with minimal supervision.
• Advanced knowledge of audit and investigation principles, concepts, and technical capabilities.
• Strong attention to detail and ability to prioritize tasks effectively.
• Excellent time management, personal integrity, and ability to maintain confidentiality.

Schedule

This role is remote, requiring less than 25% travel. Preferred locations: Utah, Montana, North Dakota, South Dakota, New Mexico, Texas.

Benefits

• Health Coverage: Medical, dental, and vision plans.
• PTO and Vacation: Generous paid time off and holidays.
• Financial Wellness: Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA).
• Retirement Planning: 401(k) plan with company contributions.
• Support Services: Employee Assistance Plan (EAP) for confidential personal and professional support.