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

🔥 1 hour ago

🇺🇸 United States – Remote

💵 $36 - $47 / hour

⏰ 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.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

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

• 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

🎯 Requirements

• 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

🏖️ Benefits

• 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