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MDS Compliance / PDPM Auditor

extra holidays - extra parental leave

Remote:

Full Remote

Experience:

Senior (5-10 years)

Work from:

New York (USA), United States

Offer summary

Qualifications:

Nursing degree, BSN preferred, 3+ years experience in long term care, Up to date knowledge of Medicare criteria, Experience with healthcare compliance auditing.

Key responsabilities:

Identify and improve coding policies
Establish educational and monitoring protocols

CommuniCare Health Services XLarge https://www.communicarehealth.com/

5001 - 10000 Employees

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Job description

MDS Compliance/PDPM Auditor - Long Term Care Experience

The CommuniCare Family of Companies currently owns and operates 90+ World-Class Skilled Nursing and Rehabilitation communities located in Ohio, Indiana, Missouri, Pennsylvania, Virginia, West Virginia and Maryland.

Since 1984, CommuniCare Health Services has provided superior, comprehensive management services for the development and management of adult living communities. We are looking to fill a key position, MDS Auditor /PDPM Auditor with Long Term Care experience.

The Corporate PDPM Auditor contributes to the success of the corporate clinical and compliance programs by identifying, address and improving the organization’s coding policies, procedures and internal processes. This will be accomplished by establishing an educational and monitoring protocol that examines how nursing, laboratory and therapy orders are developed, documented and coded in all CommuniCare facilities.

Job Duties & Responsibilities

RN with 5 or more years experience with MDS coding/completion
Multi-facility management experience
Up to date knowledge of Federal Medicare skilling criteria and PDPM reimbursement system/components
Financial and documentation auditing experience
Ability to review and analyze data to determine interventions and support required
Leadership skills
Teaching/training skills
Experience with Microsoft Excel, Word, and Office
Experience with Point Click Care and Optima software helpful
Ability to work remotely with minimal supervision

Qualifications

Nursing degree, BSN preferred
3+ years’ experience in long term care: including MDS experience.
Ability to follow standard practices in coding & reimbursement.
Significant exposure to healthcare compliance concepts and compliance auditing.
Significant experience in Medicaid and Medicare regulatory environment, including experience researching Federal and State coding and billing guidelines and regulations.
Multi-facility experience strongly preferred

Knowledge/Skills/Abilities