Medical Review Nurse II - SNF/MDS Auditor
Machinify · United States · US
Utilization Review
Remote
Nurse
Demand76
Career growth69
Healthcare fit86
Remote potential95
Salary band
USD 90k – 105k
5-year outlook
Posted starting range is $90,000-$105,000; with SNF/MDS audit expertise, progression toward lead auditor, QA, or medical review management can support upward movement, though growth depends on payer audit demand and internal hierarchy.
Clinical license
Required
Applicant reach
narrow
Seniority
mid
Employment type
full-time
Date found
2026-10-28
Intelligence details
Flexible work details
- Engagement type
- Permanent
- Hours
- Full-time
- Eligible countries
- United States
- License jurisdiction
- US
- Profession fit
- Nurse
- Rate period
- Annual
Listing via Himalayas.
Eligibility, licensing, and location restrictions can change. Always confirm details on the source posting before applying.
Why this is worth applying to
Strong fit for RNs with SNF MDS/RAI and claims audit experience seeking remote non-bedside work; less suitable for clinicians without MDS or payer audit background.
Who should apply
RNs with SNF/MDS/RAI experience, Medicare or commercial payer claims audit or utilization review background, and comfort with ICD-10/HCPCS/PDPM documentation.
CV angle
Frame RN experience around SNF resident assessment, MDS/RAI coordination, PDPM payment items, ICD-10/HCPCS coding, medical records review, audit documentation, appeals support, and QA/training. Quantify caseloads, audit findings, compliance outcomes, and cross-functional collaboration without inventing non-clinical titles.
Skills to highlight
- SNF MDS/RAI process
- Medical claims auditing
- ICD-10/ICD-9/HCPCS coding
- PDPM payment methodology
- Medical review guidelines and policy application
- Audit documentation and findings letters
- Appeals support and compliance
- QA and team training
Role summary
Remote RN medical reviewer auditing SNF claims for government and commercial payers, applying medical review policies, documenting findings, generating letters, supporting appeals, and contributing to QA/training and guideline development.
We publish our own intelligence summary, never the full job description. Always confirm details with the employer when you apply.