Temp Part-time, Skilled Nursing Facility – Patient-Driven Payment Model

🕒 Setembro 18

🇺🇸 Estados Unidos – Remoto (EUA)

💵 $36 - $47 / hora

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

👻 Score fantasma 3%

O que significa: quão provável esta vaga está aberta sem contratação ativa.Como ler: 60% ou mais significa que achamos que é uma vaga fantasma. Pontuações mais baixas preocupam menos.Como pontuamos: tempo em aberto, republicações, vagas abertas vs tamanho do time, rapidez para fechar vagas, e se o salário está divulgado.Observação: é uma estimativa de dados públicos, não um julgamento da empresa. Vagas reais podem ter pontuação alta, então use como uma dica, não como um fato.

Candidatar-se

Encontrar Vagas Remotas Similares

Configurar Alerta de Email para Novas Vagas

📊 Verifique sua pontuação de currículo para esta vaga

Melhore suas chances de conseguir uma entrevista verificando sua pontuação de currículo antes de se candidatar.

Enviar Currículo

EXL

SiteLinkedInTodas as Vagas

10.000+ funcionários

🏥 Saúde

🛡️ Seguros

📦 Logística

💰 $2.000.000 Venture Round em 2015-01

Healthcare • Insurance • Logistics

Escolher um parceiro digital vai além das capacidades — trata-se de colaboração e caráter.

Descrição

• Perform quality reviews of completed SNF/PDPM audits to validate coding accuracy, reimbursement determinations, supporting documentation, and audit rationale • Ensure audit findings align with CMS guidelines, RAI Manual requirements, PDPM regulations, client requirements, and departmental procedures • Document quality review findings clearly and accurately • Identify quality trends, recurring audit errors, and opportunities for process improvement • Provide constructive written feedback to auditors • Achieve productivity and quality goals • Respond timely to emails and meeting requests and attend scheduled meetings • Participate in discussions and team meetings, providing improvement suggestions or volunteering when needed • Adhere to EXL Health policies and procedures • Report audit or quality-process problems to the Quality Manager for resolution • Identify and communicate facility- and provider-specific issues affecting audits • Maintain current knowledge of CMS regulations, PDPM reimbursement methodology, MDS 3.0 requirements, and industry best practices • Monitor regulatory changes affecting SNF/PDPM auditing activities

🎯 Requisitos

• Registered Nurse, Licensed Practical Nurse, or Licensed Vocational Nurse license in good standing in the state that you reside • Minimum of 5 years’ experience with SNF clinical, MDS 3.0 completion, PDPM reimbursement methodology, quality assurance, auditing, and/or related experience • Advanced knowledge of MDS 3.0 coding guidelines, skilled nursing facility (SNF) levels of care, and PDPM reimbursement • Previous experience/exposure to the billing of HIPPS codes • Experience reviewing audit findings, conducting quality revises, or performing compliance monitoring activities • Experience with Excel, PowerPoint, Outlook, and Word • Experience with Encoder tools such as 3M • Experience with and expertise with Medicare Local Coverage Determinations (LCD) and National Coverage Determinations (NCD) • Must be detail oriented • Must have excellent verbal and written communication skills • Must be self-directed and able to work with minimum oversight

🏖️ Benefícios

• Remote work flexibility • Up to 10% annual travel for team meetings and limited client onsite engagements • Opportunities for growth and mentorship through a structured coaching program • Collaborative culture where ideas and insights are valued • Opportunities for advancement • Fast-paced, innovative environment with a team of driven professionals