PRN RN Coding Integrity Specialist

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

Job summary

A leading healthcare company seeks a PRN RN – Coding Integrity Specialist to provide support for ICD-10 coding and MDS recommendations for skilled nursing facility admissions. The role involves reviewing clinical documentation, ensuring compliance with CMS regulations, and submitting MDS Coding Recommendation Reports. This position requires an active RN license and knowledge of MDS and RAI guidelines, with a focus on coding accuracy and regulatory compliance for Medicare claims.

Qualifications

• Active RN license is required.
• Minimum 2 years of experience in MDS coordination or related role.
• Strong working knowledge of MDS and RAI guidelines is essential.

Responsibilities

• Review clinical documentation and recommend accurate ICD-10 codes.
• Submit MDS Coding Recommendation Reports.
• Identify and escalate documentation concerns to the Director of Coding Integrity.

Skills

Attention to detail

ICD-10 coding

Knowledge of MDS and RAI guidelines

Experience with Medicare regulations

Education

Active RN license

Tools

Electronic medical records systems

MDS software systems

Job description

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.