PRN RN Coding Integrity Specialist

TMC: Therapy Management Corporation; Brandon (FL); On-site; USD 30,000 - 60,000; Full time

Job summary

TMC: Therapy Management Corporation is seeking a PRN RN Coding Integrity Specialist to provide support for ICD-10 coding and MDS recommendations for skilled nursing facility admissions. The ideal candidate will ensure compliance with CMS regulations while working independently in a flexible, as-needed role.

Qualifications

• Must have an active RN license and strong knowledge of MDS processes.
• Minimum 2 years of experience in clinical coding or MDS coordination.
• Ability to work independently in a PRN capacity.

Responsibilities

• Review clinical documentation to recommend accurate ICD-10 codes.
• Submit timely MDS Coding Recommendation Reports based on documentation.
• Ensure recommendations comply with CMS coding rules.

Skills

Attention to detail

Clinical documentation review

ICD-10 coding

Education

Active RN license

Tools

Electronic medical records

MDS software systems

Job description

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Position Summary:

The PRN RN – Coding Integrity Specialist provides as-needed support for ICD-10 coding and MDS recommendations for skilled nursing facility (SNF) admissions. This role requires a strong understanding of MDS processes and CMS regulations to ensure coding accuracy and compliance for Medicare and other payer claims.

Overview

Position Summary:

The PRN RN – Coding Integrity Specialist provides as-needed support for ICD-10 coding and MDS recommendations for skilled nursing facility (SNF) admissions. This role requires a strong understanding of MDS processes and CMS regulations to ensure coding accuracy and compliance for Medicare and other payer claims.

Primary Responsibilities

• Review clinical documentation to recommend accurate ICD-10 codes for skilled SNF admissions.
• Submit timely MDS Coding Recommendation Reports based on supporting documentation and regulatory guidelines.
• Ensure all recommendations align with CMS coding rules, RAI guidelines, and MDS assessment protocols.
• Identify and escalate documentation concerns or coding risks to the Director of Coding Integrity.
• Support occasional training or facility follow-up calls, as needed.
• Ability to complete MDS reports
  
  

Qualifications

• Active RN license (required).
• Strong working knowledge of the MDS and RAI guidelines (required).
• Experience with ICD-10 coding and Medicare SNF regulations.
• Minimum 2 years of experience in MDS coordination, SNF clinical coding, or related role.
• Ability to work independently with attention to detail in a remote, PRN capacity.
• Familiarity with electronic medical records and MDS software systems.

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Hospitals and Health Care

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