Director of Clinical Compliance Audits - PDPM

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. Its independent subsidiaries operate 325 post-acute care facilities with 47,000 employees across 17 states serving over 31,000 patients daily. 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.

Reporting to the Senior Director of Clinical Compliance Investigations, the Director of Clinical Compliance Audits – PDPM is responsible for leading and coordinating the organization's PDPM audit program across skilled nursing facilities. This role oversees auditing activities related to Medicare reimbursement, MDS coding, clinical documentation integrity, and regulatory compliance, while supporting investigations and performance improvement initiatives designed to reduce organizational risk and promote accurate billing and documentation practices.

This position will play a key role in advancing PACS' PDPM auditing capabilities and providing strategic oversight that enables leadership to focus on broader compliance priorities.

• 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.

• 10+ years of experience in clinical practice and progressive regional MDS, compliance, or related healthcare auditing roles.
• Experience supporting multiple healthcare sites, preferably within skilled nursing facilities.
• Extensive experience conducting audits and investigations involving clinical documentation, regulatory compliance practices, Medicare & Medicaid reimbursement, and related operational processes.
• Demonstrated experience with PDPM reimbursement methodologies, Medicare billing, and MDS processes.

• Associate's or Bachelor's degree required.

• Active Registered Nurse (RN) license.
• RAC-CT and/or RAC-CTA certification required.

Ability to perform work in a primarily sedentary environment with extended periods of computer use. Ability to read, review, and analyze detailed documentation and audit materials. Regular use of hands for typing and operation of office equipment. Ability to communicate…