[Hiring] Revenue Cycle Compliance Auditor @Tutera Senior Living & Health Care

Role Description

The Revenue Cycle Compliance Auditor – Resident Trust is responsible for performing ongoing audits of Resident Trust accounts and related processes across the organization to ensure resident funds are accurately accounted for, properly safeguarded, adequately documented, and managed in accordance with company policy and applicable regulatory requirements. The primary focus of this position is Resident Trust auditing within PointClickCare (PCC) and RFMS, including review of resident-level transactions, withdrawals, deposits, reconciliations, supporting documentation, cash controls, and facility compliance with established Resident Trust procedures.

• Perform routine and targeted Resident Trust audits in PCC and RFMS across skilled nursing and other applicable communities.
• Review Resident Trust bank activity, resident ledgers, deposits, withdrawals, checks, cash transactions, shopping activity, receipts, supporting documentation, and reconciliations.
• Trace Resident Trust transactions from authorization through disbursement and final documentation to verify that resident funds were appropriately used and accounted for.
• Audit withdrawal documentation for required resident or representative authorization, signatures, witness requirements, receipts, acknowledgments, and other supporting documentation.
• Review Resident Trust checks for proper authorization, required signatures, supporting documentation, unusual payees, checks written to cash, and other potential exceptions.
• Review deposits to ensure funds received on behalf of residents are timely and accurately recorded to the appropriate resident account.
• Audit bank reconciliations, resident-level balances, cash-box reconciliations, and other controls intended to safeguard resident funds.
• Monitor discharged and deceased resident accounts for timely resolution and refund of remaining Resident Trust balances.
• Review high resident balances and other activity that may create Medicaid/resource-limit or compliance concerns.
• Perform analytical reviews to identify unusual or higher-risk activity, including high-dollar or round-dollar transactions, repeated payees, employee-related reimbursements, rapid withdrawals following deposits, missing or voided checks, and other transaction patterns requiring additional review.
• Maintain clear audit workpapers and supporting documentation sufficient to substantiate testing performed, findings identified, and conclusions reached.
• Document audit exceptions and communicate findings to appropriate facility, regional, and corporate leadership.
• Request additional documentation or expanded testing when initial audit findings cannot be adequately supported.
• Escalate significant discrepancies, suspected misuse of resident funds, repeated control failures, or other compliance concerns in accordance with established company processes.
• Track corrective actions and follow identified exceptions through resolution.
• Assist with development and maintenance of standardized Resident Trust audit tools, forms, controls, policies, procedures, and best practices.
• Provide education and guidance to Business Office and other facility personnel regarding Resident Trust documentation and control expectations when audit findings identify a training need.
• Partner with Revenue Cycle leadership, facility operations, Compliance, Finance, and other departments as appropriate during investigations or corrective-action reviews.
• Serve as a backup auditor for other Revenue Cycle audit functions, including PCC revenue and financial reporting audits, revenue validation, account and payer reviews, and other internal Revenue Cycle compliance reviews.
• Assist with cost report audit preparation and supporting documentation, including validation and organization of Revenue Cycle information requested for cost reporting.
• Assist with Medicaid, Medicare, Managed Care, commercial insurance, and other payer audit requests, including gathering records, validating requested information, tracking documentation, and assisting with responses.
• Assist with regulatory, financial, external auditor, ownership-transition, or other requests requiring Revenue Cycle documentation or validation.
• Perform special audits, investigations, data validation, and Revenue Cycle projects as assigned by the Director of Revenue Cycle Management.
• Maintain confidentiality of resident, financial, employee, and proprietary company information.

Qualifications

• High school diploma or equivalent is required.
• Experience in skilled nursing, long-term care, healthcare Revenue Cycle, Business Office operations, accounting, auditing, or compliance.
• Strong analytical skills and the ability to review detailed financial transactions, identify discrepancies, trace activity between multiple records or systems, and distinguish documentation errors from issues requiring further investigation.
• Strong written communication, organization, attention to detail, independent judgment, and follow-through are essential.
• Proficiency with Microsoft Excel and the ability to learn and work within multiple financial and healthcare information systems are required.

Requirements

• Experience with PointClickCare (PCC) and/or RFMS Resident Trust is strongly preferred.
• Experience with Resident Trust, resident funds, SNF Business Office operations, Medicaid, Medicare, insurance billing, healthcare financial audits, or Revenue Cycle compliance is preferred.
• Prior audit, accounting, reconciliation, fraud-prevention, financial investigation, or internal-control experience is highly desirable.
• Knowledge of skilled nursing facility reimbursement and regulatory requirements is beneficial.

Benefits

• Advanced Pay
• Financial Literacy Classes
• Employee Assistance Program offering Mental Health Resources, Legal Guidance, Financial Information, and more!
• Child Care Discount
• Health Insurance
• Dental Insurance
• Vision Insurance
• Life Insurance
• 401(k) for Eligible Locations
• Tuition Reimbursement
• Paid Time Off
• Holiday Pay
• Exclusive Tutera Perks
• Tutera University
• Advancement Opportunities