Auditor III - SNF RUG

This job has been removed
Location: Remote
Compensation: Salary
Staff Reviewed: Wed, May 08, 2024
This job expires in: 12 days

Job Summary

A company is looking for an Auditor III - SNF / RUG.

Key Responsibilities:
  • Conduct clinical reviews to verify the accuracy of skilled nursing facility billing
  • Apply CMS clinical guidelines and payer-provider contract terms and policies to identify overpayments
  • Document audit results accurately using applicable tools and guidelines

Qualifications:
  • LPN or Registered Nurse with Associate's or Bachelor's degree preferred
  • 3+ years of skilled nursing experience, preference for RAC certification or reimbursement/MDS coordinator
  • Experience with RUG, PDPM Medicare reimbursement systems, and Medicaid 48 grouper reimbursement system
  • Experience with billing HIPPS codes and days of billing for each assessment type

COMPLETE JOB DESCRIPTION

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