Review and audit clinical documentation in electronic health records (EHR) systems for accuracy, completeness, and compliance with federal/state regulations.
??Identify discrepancies or deficiencies in nursing documentation, care plans, and assessments.
??Ensure documentation supports MDS coding and PDPM reimbursement requirements.
??Collaborate with facility staff, MDS coordinators, and interdisciplinary teams to resolve findings and provide feedback.
??Track audit results and trends; generate reports and recommendations for improvement.
??Participate in training and education initiatives to support documentation best practices.
??Stay current with CMS regulations, SNF compliance guidelines, and quality measures.
Job Type: Full-time
Pay: ?40,000.00 - ?68,158.84 per month
Benefits:
Health insurance
Schedule:
UK shift
Work Location: In person
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