PRN RN Coding Integrity Specialist

TMC: Therapy Management Corporation; Hattiesburg (MS); Remote; USD 60,000 - 80,000; Full time

Job summary

A leading health care provider seeks a PRN RN Coding Integrity Specialist to support ICD-10 coding and MDS recommendations for skilled nursing facility admissions. The role requires an active RN license, strong MDS knowledge, and coding experience. This position offers the flexibility of remote work and requires a detail-oriented candidate to ensure compliance with Medicare regulations.

Qualifications

• Minimum 2 years of experience in MDS coordination or related role.
• Strong working knowledge of MDS and RAI guidelines required.
• Ability to work independently with attention to detail.

Responsibilities

• Review clinical documentation for accurate ICD-10 codes.
• Submit MDS Coding Recommendation Reports timely.
• Complete MDS reports accurately and efficiently.

Skills

ICD-10 coding

MDS processes

CMS regulations

Attention to detail

Education

Active RN license

Experience in MDS coordination

Tools

MDS software systems

Electronic medical records

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.

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.
• Complete MDS reports accurately and efficiently.

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.

Additional Details:

• Seniority level: Entry level
• Employment type: Full-time
• Job function: Health Care Provider
• Industries: Hospitals and Health Care

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