Compliance Clinical Auditor I - Therapy (Cataluña)

Compliance Clinical Auditor I - Therapy (Cataluña)

11 sep
|
Pikes Peak Post Acute
|
Cataluña

11 sep

Pikes Peak Post Acute

Cataluña

Company Overview
PACS Group, Inc. is a holding company investing in post-acute healthcare facilities, professionals, and ancillary services. PACS business support division, PACS Services, provides technology and administrative support services — accounting, finance, human resources, compliance, payroll, AR/AP, legal, risk management, information technology, corporate communication, and other business advice and support — to their healthcare facilities, reducing administrative burdens so their leadership and care teams can focus on the care, well-being, and quality of life of their patients and residents. PACS is one of Utah’s Best Companies to work for. It has also been recognized as one of Utah’s Fastest Growing Companies for multiple years.
Company Overview PACS Group, Inc. is a holding company investing in post-acute healthcare facilities, professionals, and ancillary services. PACS business support division, PACS Services, provides technology and administrative support services — accounting, finance, human resources, compliance, payroll, AR/AP, legal, risk management, information technology, corporate communication, and other business advice and support — to their healthcare facilities, reducing administrative burdens so their leadership and care teams can focus on the care, well-being, and quality of life of their patients and residents. PACS is one of Utah’s Best Companies to work for. It has also been recognized as one of Utah’s Fastest Growing Companies for multiple years.
Job Summary The Clinical Compliance Auditor I is responsible for conducting routine audits of clinical documentation,



regulatory compliance practices, and reimbursement related processes related to Skilled Nursing Facilities. This role ensures adherence to federal, state, and local regulations including CMS requirements, supports quality improvement initiatives, and promotes accurate clinical documentation and billing practices.
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.
Conduct and or partner on compliance investigations, ensuring completed timely, objectively and well documented.
Deliver live and virtual training sessions in collaboration with operations and clinical operations.
Cross functional collaboration across the organization, including (but not limited to) operations, clinical operations, finance, HR and IT teams.
Provide regular updates on investigation and audit results and prepare reports.
Active License in Physical Therapy (PT) or Occupational Therapy (OT).
~ Bachelor’s degree required. Master’s degree preferred.
~ AAPC, AHIMA or HCCA Coding certification and or Auditing/Compliance certification (CPC, CCS, CCS‑P, COC, CPMA, CHC) preferred.



3+ years of increasing levels of responsibility in compliance and/or skilled nursing facilities. Specifically regional therapy services and or dedicated compliance roles, with oversight experience supporting multiple healthcare sites.
~ A deep understanding and application of Medicare and Medicaid documentation, coding and regulations
~ Prior experience conducting audits and or conducting internal investigations, in a healthcare setting.
~ Ability to carry out responsibilities with minimal supervision.
Apply knowledge and understanding of concepts, principles, and technical capabilities to manage audits and investigations.
Regular use of hands for typing and office equipment.
This role is remote, requiring less than 25% travel.
PACS is elevating healthcare by revolutionizing our approach to leadership and quality care. As we grow rapidly, exciting opportunities await you to engage in impactful projects and contribute valuable insights to stakeholders nationwide. Together, let’s shape the future of healthcare!
Health Coverage: Enjoy medical, dental, and vision plans to keep you and your family healthy.
PTO and Vacation: Benefit from generous paid time off and holidays to relax and recharge.
Financial Wellness: Take advantage of Health Savings Accounts (HSA) and Versátil Spending Accounts (FSA) to manage your healthcare expenses effectively.
Retirement Planning: Secure your future with our 401(k) plan, complete with company contributions to help you build your retirement savings.

📌 Compliance Clinical Auditor I - Therapy (Cataluña)
🏢 Pikes Peak Post Acute
📍 Cataluña

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