Revenue Cycle Compliance Auditor - Resident Trust

Revenue Cylce Compliance Auditor - Resident Trust

Tutera Senior Living & Health Care

Are you an Revenue Cycle Compliance Auditor Professional seeking an exciting new career opportunity? Look no further! Tutera Senior Living & Health Care is seeking a dedicated Revenue Cycle Compliance Auditor to join our team! If you are dedicated and compassionate, WE WANT YOU!

What Will You Do in This Role?

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.

This position will serve as a key internal control within Revenue Cycle by identifying documentation deficiencies, financial discrepancies, control weaknesses, and potential compliance concerns; communicating findings to leadership; and monitoring corrective action through resolution.

In addition to Resident Trust responsibilities, the position will serve as a backup resource for other Revenue Cycle audit and compliance activities, including PCC revenue audits, cost report support, Medicaid and insurance audit requests, revenue validation, and other financial or regulatory reviews as assigned.

Do You Have What It Takes?

• • 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 Required

High school diploma or equivalent is required. The ideal candidate must have experience in skilled nursing, long-term care, healthcare Revenue Cycle, Business Office operations, accounting, auditing, or compliance.

Candidates should have 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. The individual must be comfortable identifying and communicating compliance concerns while remaining objective and fact-based.

Proficiency with Microsoft Excel and the ability to learn and work within multiple financial and healthcare information systems are required.

Preferred

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.

Core Competencies

Attention to Detail: Identifies discrepancies and documentation deficiencies that may not be readily apparent.

Analytical Thinking: Connects information across PCC, RFMS, bank records, receipts, logs, payer documentation, and other supporting records.

Objectivity: Evaluates documentation and transactions based on evidence and established requirements rather than assumptions.

Integrity: Handles sensitive resident and financial information with a high level of confidentiality and professional judgment.

Follow-Through: Tracks findings through resolution rather than simply identifying exceptions.

Communication: Clearly explains audit findings and documentation requirements to facility and leadership teams.

Organization: Manages audits and supporting documentation across multiple facilities and competing priorities.

Independence: Works effectively with limited supervision while recognizing when findings require leadership escalation.

Position Purpose

This position is intended to strengthen the organization's internal controls surrounding resident funds and Revenue Cycle operations by providing an independent level of review outside of the facility-level processes responsible for the original transactions.

The position supports the protection of resident funds, accuracy of financial reporting, regulatory compliance, and early identification of financial or operational risk while providing additional audit capacity to the Revenue Cycle Management department

Why is Tutera THE Employer of Choice?

• Tutera Senior Living & Health Care is guided by one single purpose: To live the YOUNITE philosophy in every decision, every day. Based on genuine respect, YOUNITE is how we get to know residents and team members on a personal level. By asking about our employees’ and residents’ unique needs and preferences, we actively listen and then deliver. Do you want to work for a company where you are the driving force behind every decision made?
• Tutera offers stability; our family-owned company was founded in 1985!
• Tutera offers a competitive starting wage and amazing benefits! We take care of you so you can be a rockstar at work and at home!
• Tutera Senior Living & Health Care is dedicated to growing and developing our Tutera rockstars. Through Tutera University, every employee has the opportunity to learn new skills and become the best health care rockstar they can be!
  
  

Apply today and let us show you how we are inspired by you.

Equal Opportunity Employer. The wage and benefit information provided in this listing is subject to change. Benefits eligibility criteria must be met to enroll in available benefits.

How Can You Benefit?

• 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