Healthcare Reimbursement Specialist

4 weeks ago


Kingsville, United States Lone Star Ranch Rehabilitation and Healthcare Center Full time
About the Role:

We are seeking a skilled MDS Coordinator to join our team at Lone Star Ranch Rehabilitation and Healthcare Center. As a key member of our healthcare team, you will be responsible for coordinating and completing clinical assessments, supporting documentation, care planning, and transmitting MDS 3.0, all as required by federal and state regulations.

Key Responsibilities:

* Coordinating preparation of MDS and Care Plan as per regulatory requirements
* Maintaining MDS/Care plan schedule for interdisciplinary team
* Completing responses to requests for additional information from the intermediary and appeals decisions
* Ensuring preparation of Medicare denial letters for each resident discharged from Medicare coverage within time limits imposed by Medicare guidelines
* Participating in the ongoing evaluation of documentation required for Medicaid reimbursement

Requirements:

* Current RN or LVN/LPN license in state of practice
* Graduate of an accredited school of nursing
* 1+ years of experience in skilled nursing facility with previous experience in completing MDSs and Care Plans as an MDS Coordinator
* Demonstrated proficiency in the RAI / PPS processes
* Strong attention to detail, documentation, and resident assessment skills
* Good communication, organizational, and computer skills

What We Offer:

We offer a competitive compensation and benefits package to include voluntary Medical, Dental, Vision, AD&D Benefits, LT/ST Disability, Life Insurance, Flex Spending Account and 401K

EOE M/F/D/V
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