Remote MDS & Reimbursement Consultant for SNFs

Concept Rehab; Toledo (OH); Hybrid; USD 85,000 - 115,000; Full time

Job summary

Concept Rehab is seeking an experienced Clinical Reimbursement Consultant to support SNFs with MDS completion, PDPM coding, case mix review, auditing, and reimbursement optimization in a fully remote, full-time role reporting to the Director of Clinical Consulting.

The ideal candidate holds an RN license, has multi-state MDS experience, RAC-CT preferred, and strong knowledge of RAI guidelines and CMS participation requirements, with proficiency in EMR systems such as Point Click Care.

Qualifications

• RN licensure (active) required or in-state verification.
• Minimum five years of experience performing MDS completion in a SNF.
• MDS/PDPM knowledge and case-mix management experience preferred.
• RAC-CT certification (RAC-CT) preferred.
• Intermediate knowledge of SNF reimbursement and billing regulations including RAI guidelines and CMS Requirements of Participation.

Responsibilities

• Provide interim MDS completion services with accurate scheduling, completion, and submission per RAI Guidelines.
• Conduct SNF auditing with focus on reimbursement accuracy and optimization, case-mix management, and quality measures.
• Provide professional consulting on MDS/Skilled Nursing Facility engagements to Engage Consulting customers.
• Support SNF reimbursement and operations under the direction of senior leadership.
• Maintain up-to-date knowledge of federal and state health regulations, CMS participation requirements, and payor guidelines.

Skills

MDS completion

PDPM coding

Case Mix Management

Auditing

Regulatory compliance

Education

Registered Nurse (RN) licensure

Tools

Point Click Care

MatrixCare

Job description

Concept Rehab is seeking an experienced Clinical Reimbursement Consultant to support SNFs with MDS completion, PDPM coding, case mix review, auditing, and reimbursement optimization in a fully remote, full-time role reporting to the Director of Clinical Consulting.

The ideal candidate holds an RN license, has multi-state MDS experience, RAC-CT preferred, and strong knowledge of RAI guidelines and CMS participation requirements, with proficiency in EMR systems such as Point Click Care.