Skilled Nursing Facility (SNF) / Patient-Driven Payment Model (PDPM) Trainer

EXL Talent Acquisition Team; United States; On-site; USD 95,000 - 135,000; Full time

Benefits offered by this job

Mentoring program

Career growth opportunities

Dynamic team environment

Job summary

EXL Health is seeking a Skilled Nursing Facility (SNF) / PDPM Trainer to deliver structured training and facilitation for auditors, onboard new hires, and provide ongoing development. You will translate findings into targeted coaching and reinforce PDPM components for accurate MDS-driven reimbursement.

Responsibilities include one-on-one and group coaching, observation sessions, and collaboration with Quality, Audit, and SMEs to align training priorities. Strong PDPM/MDS experience is essential.

Qualifications

• RN is required; Bachelor’s or Master’s degree preferred.
• Deep understanding of HIPPS billing codes, MDS 3.0 coding rules, and case management.
• Minimum 5 years in a Skilled Nursing Facility/Long Term Care, auditing, or payment integrity.
• Strong PDPM experience and MDS assessments, SNF documentation, reimbursement.
• At least 3 years delivering training, facilitation, or coaching in coding/audit.

Responsibilities

• Deliver structured training and facilitation for SNF/PDPM auditors, including onboarding and development.
• Translate audit findings into targeted training, coaching, and reinforcement activities.
• Provide one-on-one and group coaching to address performance gaps and improve audit accuracy.
• Support trainees in developing clinical documentation interpretation and classification logic.
• Reinforce application of PDPM components, including MDS-driven reimbursement factors.
• Conduct observation sessions, case reviews, and teach-back activities to validate learning.
• Utilize progress reports to identify trends, root causes and intervention opportunities.
• Support trainees in achieving performance and progressing to independent production.
• Partner with Quality, Audit, and SMEs to align on training priorities and guidance.
• Maintain training documentation, progress tracking, coaching notes, and performance updates.
• Own and contribute to development of training materials, case studies, and job aids.

Skills

Attention To Consistency

CMS guidelines

Internal Communications

Interpersonal Relationship Building

Leadership Capabilities

Medicare LCD

National Coverage Determinations (NCD)

Reporting Metrics

Skilled Nursing Facility

Strategic Planning

Education

RN

Bachelor’s or Master’s degree preferred

Tools

Encoder 3M

Optum

TrueCode

Webstrat

Excel

PowerPoint

MS Teams

LMS

Job description

Skilled Nursing Facility (SNF) / Patient-Driven Payment Model (PDPM) Trainer

• Deliver structured training and facilitation for SNF/PDPM auditors, including new hire onboarding and ongoing development
• Translate audit findings and error trends into targeted training, coaching, and reinforcement activities
• Provide one-on-one and group coaching to address performance gaps and improve audit accuracy and consistency
• Support trainees in developing strong clinical documentation interpretation and classification logic for SNF claims
• Reinforce application of PDPM components, including MDS-driven reimbursement factors
• Conduct observation sessions, case reviews, and teach‑back activities to validate learner understanding and application
• Utilize progress reports and performance data to identify trends, root causes, and opportunities for intervention
• Support trainees in achieving performance expectations and progressing efficiently through training to independent production
• Partner with Quality, Audit, and SMEs to ensure alignment on audit logic, regulatory guidance, and training priorities
• Maintain accurate training documentation, including progress tracking, coaching notes, and performance updates
• Own and contribute to the development and enhancement of training materials, case studies, and job aids

Qualifications

Qualifications:

• RN required; Bachelor’s or Master’s degree preferred
• Deep understanding of HIPPS billing codes, MDS 3.0 coding rules, and case management
• Minimum 5 years of experience in a Skilled Nursing Facility and/or Long Term Care, auditing, or payment integrity
• Strong experience with PDPM (Patient-Driven Payment Model)
• Experience with MDS assessments, SNF documentation, and reimbursement structures
• Minimum 3 years of experience delivering training, facilitation, or coaching within a coding or audit environment

Knowledge and Skills:

• Strong working knowledge of MDS, PDPM components, and MDS-driven reimbursement
• Ability to interpret clinical documentation and apply classification logic accurately in an audit setting
• Demonstrated ability to facilitate instructor‑led, virtual, and blended training for adult learners
• Ability to translate complex regulatory and clinical concepts into clear, practical, and engaging learning experiences
• Strong analytical skills to identify error patterns, knowledge gaps, and training opportunities based on audit data
• Effective communication and facilitation skills, with the ability to engage learners and manage group dynamics
• Ability to collaborate cross‑functionally with Quality, Audit, and SME partners
• Strong organizational and time management skills to manage multiple priorities and deadlines
• Proficiency with Excel, PowerPoint, Word, Outlook, and Encoder tools (Optum, TrueCode, 3M, Webstrat) and training / collaboration tools (e.g., LMS, MS Teams, Excel, PowerPoint)

What we offer:

• EXL Health offers an exciting, fast paced, and innovative environment, which brings together a group of sharp and entrepreneurial professionals who are eager to influence business decisions. From your very first day, you get an opportunity to work closely with highly experienced, world class Healthcare consultants
• You can expect to learn many aspects of businesses that our clients engage in. You will also learn effective teamwork and time‑management skills—key aspects for personal and professional growth
• We provide guidance/coaching to every employee through our mentoring program wherein every junior‑level employee is assigned a senior‑level professional as an advisor
• The sky is the limit for our team members. The unique experiences gathered at EXL Health sets the stage for further growth and development in our company and beyond.

The posted base salary range is the hiring base salary range for this role. Final offers are based on several factors, including: the candidate's skills and experience, internal pay equity, work location, market conditions for the role, and the specific scope and responsibilities of the position.

Required Skills

• Attention To Consistency
• CMS guidelines
• Encoder 3M
• Internal Communications
• Interpersonal Relationship Building
• Leadership Capabilities
• Medicare Local Coverage Determinations (LCD)
• Microsoft Office
• National Coverage Determinations (NCD)
• Reporting Metrics
• Skilled Nursing Facility
• Strategic Planning

About Us

EXL (NASDAQ: EXLS) is a leading data analytics and digital operations and solutions company. We partner with clients using a data and AI‑led approach to reinvent business models, drive better business outcomes and unlock growth with speed. EXL harnesses the power of data, analytics, AI, and deep industry knowledge to transform operations for the world’s leading corporations in industries including insurance, healthcare, banking and financial services, media and retail, among others. EXL was founded in 1999 with the core values of innovation, collaboration, excellence, integrity and respect. We are headquartered in New York and have more than 54,000 employees spanning six continents. For more information, visit www.exlservice.com .

EXL never requires or asks for fees/payments or credit card or bank details during any phase of the recruitment or hiring process and has not authorized any agencies or partners to collect any fee or payment from prospective candidates. EXL will only extend a job offer after a candidate has gone through a formal interview process with members of EXL’s Human Resources team, as well as our hiring managers.