Clinical Reimbursement Coordinator, RN
Required skills
- RN
- MDS
- Medicare
- Medicaid
- RUG categories
- long-term care
- nursing
Nice to have
- LPN
Role summary
We are seeking a dedicated Clinical Reimbursement Coordinator, RN, to join our long-term care team. This role is responsible for the accurate and timely completion of MDS assessments, ensuring compliance with care standards and appropriate reimbursement for services. The ideal candidate will manage Medicare/Medicaid case-mix documentation, conduct concurrent MDS reviews, and integrate information from various departments to optimize reimbursement. A graduate of an accredited School of Nursing with current RN licensure and at least one year of long-term care nursing experience is required. LPNs with MDS experience may be considered.
We are dedicated to improving the lives we touch through the delivery of high-quality care and exceptional service. As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference. Whether you're an experienced professional or just starting your career, we offer opportunities for growth, development, and advancement in a range of roles. Join us in our mission to enhance the well-being of our patients and residents while making a meaningful impact in the communities we serve.
Responsibilities
The MDS Coordinator - RN is responsible for the timely and accurate completion of the MDS treatment assessment tool and for reviewing care plans and their delivery for factors specific to our patients/residents such as physical, cognitive, and socialization factors to ensure compliance with our high standards of care. *Manage the overall process and tracking of all Medicare/Medicaid case-mix documents to assure appropriate reimbursement for services provided within the nursing center.*Conduct concurrent MDS reviews to assure achievement of maximum allowable RUG categories.*Integrate information from nursing, dietary, social services, restorative, rehabilitation, and physician services to ensure appropriate reimbursement.
Qualifications
*Must be a graduate of an accredited School of Nursing with current Registered Nurse (RN) licensure. LPNs with MDS experience may be considered.*At least one year of long-term care nursing experience is required.
Benefits
*Variable compensation plans
*Tuition, Travel, and Wireless Service Discounts
*Employee Assistance Program to support mental health
*Employee Foundation to financially assist through unforeseen hardships
*Health, Dental, Vision, Company-paid life insurance, 401K, Paid Time Off
*Free 24/7 virtual health care provided by licensed doctors for all Anthem medically-enrolled employees and their immediate family members
*On-Demand Pay Program that allows for instant access to a portion of the money you’ve already earned
We also offer several voluntary insurances such as:
*Pet Insurance
*Term and Whole Life Insurance
*Short-term Disability
*Hospital Indemnity
*Personal Accident
*Critical Illness
*Cancer Coverage
Restrictions apply based on collective bargaining agreements, applicable state law and factors such as pay classification, job grade, location, and length of service.
Posted Salary Range
USD $95,680.00 - USD $95,680.00 /Yr.
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