MDS Auditor

Audits MDS assessments across multiple facilities to ensure compliance with RAI guidelines, regulatory requirements, payer requirements, and organizational standards. Reviews MDS assessments for accuracy, completeness, and supporting clinical documentation; audits coding accuracy and validates documentation for MDS items impacting reimbursement and quality measures. Reviews CMG components and supporting documentation for accurate reimbursement classification; audits Section GG documentation for consistency with medical records and regulatory requirements. Reviews Medicare Part A certifications and recertifications for compliance at corporate oversight level; ensures assessment reference dates, schedules, transmission requirements, and submission timelines are met. Identifies discrepancies and trends, communicates findings to facility leadership and corporate compliance leadership; maintains audit logs and supporting documentation; completes audits within established timelines and productivity expectations. Monitors updates to the RAI Manual and MDS requirements; conducts trend analysis across facilities; develops and maintains corporate audit tools and templates; recommends corrective action plans and monitors implementation. Participates in corporate compliance, reimbursement, and quality meetings to report audit trends and risks.