PRN RN Coding Integrity Specialist

Therapy Management Corporation; United States; Remote; USD 60,000 - 90,000; Part time

Job summary

A leading healthcare organization is seeking a PRN RN – Coding Integrity Specialist to ensure accurate ICD-10 coding and compliance with MDS processes for skilled nursing facility admissions. The ideal candidate will have an active RN license, strong knowledge of MDS and RAI guidelines, and experience in clinical coding. This role offers flexible, as-needed work, requiring attention to detail and independent capability.

Qualifications

• Minimum 2 years of experience in MDS coordination or SNF clinical coding.
• Strong working knowledge of MDS and RAI guidelines.
• Familiarity with ICD-10 coding and Medicare SNF regulations.

Responsibilities

• Review clinical documentation for accurate ICD-10 coding.
• Submit MDS Coding Recommendation Reports based on guidelines.
• Identify and escalate documentation concerns related to coding risks.

Skills

Attention to detail

Independent work

ICD-10 coding knowledge

MDS and RAI guidelines knowledge

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.