Now Hiring: ADR Specialist (RN/LPN)Remote Opportunity | Skilled Nursing & Long-Term Care
Are you an experienced MDS professional with a passion for regulatory compliance, reimbursement accuracy, and process improvement? We are seeking a highly skilled ADR Specialist (RN or LPN) to join our growing team and support a portfolio of Skilled Nursing Facilities (SNFs).
In this remote role, you will serve as a subject matter expert in MDS documentation, reimbursement audits, and Additional Documentation Requests (ADRs), helping ensure regulatory compliance and optimal reimbursement outcomes across multiple facilities.
What You'll DoADR & Reimbursement Management
Coordinate and manage Additional Documentation Requests (ADRs) for a portfolio of Skilled Nursing Facilities.
Assemble, audit, and submit ADR responses accurately and within required deadlines.
Collaborate with facility leadership, MDS teams, business office staff, and billing partners to obtain supporting documentation.
Monitor reimbursement trends and identify opportunities to improve accuracy and outcomes.
MDS Compliance & Education
Audit MDS submissions and reimbursement processes to ensure accuracy and compliance with federal and state regulations.
Provide education, guidance, and best practices to facility MDS Coordinators regarding documentation requirements, coding accuracy, and MDS software functionality.
Assist facilities in maintaining compliance with CMS regulations and reimbursement guidelines.
Identify process deficiencies and recommend corrective actions to improve documentation and reimbursement performance.
Quality Assurance
Maintain an ongoing quality assurance program related to skilled documentation requirements, Medicare certifications, and MDS coding accuracy.
Review records and supporting documentation for completeness and regulatory compliance.
Monitor trends and provide recommendations to improve operational effectiveness and reimbursement outcomes.
QualificationsRequiredCurrent, active, unrestricted RN or LPN license in the state of residence.
Minimum of 5 years of MDS experience in a Skilled Nursing Facility setting.
Strong understanding of Medicare reimbursement, MDS coding, PDPM, and skilled documentation requirements.
Knowledge of CMS regulations, state regulations, and long-term care compliance standards.
Excellent organizational, analytical, and problem-solving skills.
Strong communication and relationship-building abilities.
Ability to work independently and manage multiple priorities in a remote environment.
Preferred
Multi-facility or regional reimbursement experience.
Experience responding to ADRs, audits, and reimbursement reviews.
Previous experience training or mentoring MDS Coordinators.
Why Join Us?
100% Remote Position
Opportunity to impact reimbursement performance across multiple facilities
Collaborative and supportive clinical leadership team
Professional growth and development opportunities
Competitive compensation and benefits package
Working Conditions
Remote/Home Office work environment.
Occasional extended hours may be required to meet business needs and regulatory deadlines.
Frequent interaction with facility personnel, clinical teams, billing partners, and regulatory agencies.
Physical Requirements
Frequent computer use and keyboarding.
Frequent reading and review of electronic and printed documentation.
Frequent verbal communication via phone and virtual meetings.
Ability to perform essential job functions in a remote office setting.
If you're a detail-oriented MDS expert looking to make a meaningful impact on compliance, reimbursement accuracy, and clinical excellence, we'd love to hear from you. Apply today!