Patient-Driven Payment Model Trainer, Skilled Nursing Facility

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $80k - $105k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 2%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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EXL

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

🛡️ Insurance

📦 Logistics

💰 $2M Venture Round on 2015-01

Healthcare • Insurance • Logistics

EXL is a business consulting and services firm that focuses on leveraging data to enhance business operations and decision-making. With a strong emphasis on collaboration and adaptability, EXL partners with organizations to address their unique needs and culture while integrating data science and technology solutions. The company's areas of expertise include operations management, decision analytics, digital transformation, and various industries such as healthcare, finance, and insurance. EXL's mission is to help clients drive business evolution and maintain competitive advantage through tailored solutions and effective use of data.

📋 Description

• Deliver structured training and facilitation for SNF/PDPM auditors, including new hire onboarding and ongoing development • Translate audit findings and error trends into targeted training, coaching, and reinforcement activities • Provide one-on-one and group coaching to address performance gaps and improve audit accuracy and consistency • Support trainees in developing clinical documentation interpretation and classification logic for SNF claims • Reinforce application of PDPM components, including MDS-driven reimbursement factors • Conduct observation sessions, case reviews, and teach-back activities to validate learner understanding and application • Use progress reports and performance data to identify trends, root causes, and intervention opportunities • Support trainees in achieving performance expectations and progressing efficiently through training to independent production • Partner with Quality, Audit, and SMEs to align on audit logic, regulatory guidance, and training priorities • Maintain training documentation, including progress tracking, coaching notes, and performance updates • Own and contribute to training materials, case studies, and job aids

🎯 Requirements

• RN required; Bachelor’s or Master’s degree preferred • Deep understanding of HIPPS billing codes, MDS 3.0 coding rules, and case management • Minimum 5 years of experience in a Skilled Nursing Facility and/or Long Term Care, auditing, or payment integrity • Strong experience with PDPM (Patient-Driven Payment Model) • Experience with MDS assessments, SNF documentation, and reimbursement structures • Minimum 3 years of experience delivering training, facilitation, or coaching within a coding or audit environment • Strong working knowledge of MDS, PDPM components, and MDS-driven reimbursement • Ability to interpret clinical documentation and apply classification logic accurately in an audit setting • Ability to facilitate instructor-led, virtual, and blended training for adult learners • Ability to translate complex regulatory and clinical concepts into clear, practical, and engaging learning experiences • Strong analytical skills to identify error patterns, knowledge gaps, and training opportunities based on audit data • Effective communication and facilitation skills, with the ability to engage learners and manage group dynamics • Ability to collaborate cross-functionally with Quality, Audit, and SME partners • Strong organizational and time management skills to manage multiple priorities and deadlines • Proficiency with Excel, PowerPoint, Word, Outlook, Encoder tools (Optum, TrueCode, 3M, Webstrat), LMS, and MS Teams

🏖️ Benefits

• Exciting, fast-paced, and innovative environment • Opportunity to work closely with highly experienced, world-class Healthcare consultants • Opportunities to learn many aspects of clients’ businesses • Mentoring program with guidance/coaching from a senior-level professional advisor • Opportunities for further growth and development