Skilled Nursing Facility Auditor

VirtualVocations
Glendale, Arizona, United States
Full-time
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A company is looking for an Auditor III - SNF / RUG.Key ResponsibilitiesConduct clinical reviews to verify the accuracy of skilled nursing facility billingApply CMS clinical guidelines and payer-provider contract terms to identify overpaymentsDocument audit results clearly and utilize proprietary workflow systems for audit determinationsRequired QualificationsLPN or Registered Nurse with an Associate's or Bachelor's degree preferred3+ years of skilled nursing experience, with preference for RAC certification or MDS coordinator experienceExperience with RUG and PDPM Medicare reimbursement systems and Medicaid 48 grouper reimbursement systemFamiliarity with billing of HIPPS codes and days of billing for each assessment type

8 days ago
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