Clinical Auditor

We are looking for an experienced Registered Nurse (RN) with expertise in PDPM and ICD-10 coding to perform clinical chart audits and documentation reviews. The Clinical Auditor will review medical records to ensure accurate documentation, appropriate ICD-10 coding, and compliance with PDPM reimbursement guidelines. This role requires strong experience in chart scrubbing, SNF documentation, and Medicare compliance.

This position is remote and offers you the flexibility of working from home.

• →Perform chart scrubbing and clinical documentation audits to ensure completeness and accuracy.
• →Review records to validate ICD-10 diagnosis coding and supporting clinical documentation.
• →Ensure compliance with PDPM (Patient-Driven Payment Model) and CMS guidelines.
• →Identify documentation gaps that may impact coding, reimbursement, or compliance.
• →Prepare audit findings and provide recommendations for documentation improvement.
• →Collaborate with clinical, coding, and compliance teams to resolve discrepancies.

• Active U.S. Registered Nurse (RN) license with New York State license required.
• 3+ years of experience in skilled nursing, long-term care, or post-acute settings.
• Strong knowledge of PDPM reimbursement and ICD-10 coding.
• Experience with clinical audits, chart review, or documentation improvement.
• Familiarity with MDS assessments and SNF documentation standards.
• Excellent analytical, documentation review, and communication skills.

Industry standards applicable to the state depending on work experience and level of expertise.

US Eastern Standard Time (EST) – 9am to 6pm

We embrace the flexibility and convenience of a remote working environment, and you will collaborate with an international team while contributing to our growing business, all from the comfort of your home.

You will need to have some essential tools – a reliable computer and noise-cancelling headset, a second monitor for enhanced productivity, and a stable internet connection. You’ll also be required to have a backup internet connection, ensuring that you’re well-equipped to complete your work seamlessly.