MDS Clinical Reimbursement Coordinator

2 weeks ago

Wallingford, United States Wallingford Nursing & Rehab Full time
Genesis HealthCare is one of the nation's leading providers of healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. We are changing how care is delivered by bringing together people like you - passionate, highly skilled and motivated to make a difference.
Why Genesis?
We improve the lives we touch through the delivery of high-quality healthcare and everyday compassion
*We Care Deeply about YOU Guided by our Core Values, Code of Conduct and Ethics program, we foster a culture of care and compassion. We focus on improving the quality of care through creativity and innovation, honesty and integrity in all we do.
*We Develop YOU We provide career ladders, education and training opportunities so you can build a long and successful career with Genesis.
*We Appreciate YOU We value your contributions to the Genesis mission and vision and instill an environment of teamwork and enjoyment in working together. We recognize and celebrate our shared successes.
*We are Committed to YOU We know you are the vital link between Genesis, our patients and residents We inspire you to be your best self.
*We Protect YOU We take great pride in meeting or exceeding CDC and CMS standards.
The MDS Nurse - RN manages the overall process and tracking of all Medicare/Medicaid case-mix documents to ensure appropriate reimbursement for all services provided within the nursing.
Position Highlights
*Maintain an accurate schedule of all MDS assessments to include the proper reference dates throughout the patient stay and ensures the accurate and timely submission of the MDS assessments including case-mix, OBRA and OSRA required assessments.
*Perform concurrent MDS review to insure appropriate RUGs category is achieved through the capture of appropriate clinical information and in this process identify opportunities to enhance reimbursement.
*Communicate case-mix data required for billing to the Business Office such as RUGs categories, modifiers, state case-mix scores, etc.
*Serve as the nursing center resource for MDS/RUGs and state case-mix systems providing staff case-mix education and instruction on MDS terminology and format.
Benefits
*Health, Dental, Vision, Company-paid life insurance, 401K, Paid Time Off
*Variable compensation plans
*Inclusive workplace with DEI committee
*Nursing Student Loan Debt Repayment and Tuition Assistance
*Tuition, Travel, and Wireless Service Discounts
*Employee Assistance Program to support mental health
*Employee Foundation to financially assist through unforeseen hardships
Restrictions apply based on collective bargaining agreements, applicable state law and factors such as pay classification, job grade, location, and length of service.
Requirements: *Must be a graduate of an accredited School of Nursing with current RN licensure in the state in which employment occurs is required. *One year of long term care clinical nursing experience is required. *Experience with Medicare/Medicaid reimbursement, MDS completion, clinical resource utilization and/or case management is highly desirable. *Must maintain current BLS/CPR certification (excluding ALFs/ILFs).
Compensation: $40.00 - $45.00

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