MDS - Clinical Reimbursement Coordinator Specialist

4 days ago


Winner, South Dakota, United States Winner Regional Health Full time
About the Role

This is a critical position at Winner Regional Health, requiring a skilled and experienced professional to oversee the accurate completion of the Minimum Data Set (MDS) process. The successful candidate will be responsible for managing Medicare management, restorative nursing, admissions, and documentation for residents assigned to them.

Key Responsibilities
  • Scheduling all OBRA and PPS Resident Assessment Instruments (RAI) to ensure compliance with regulatory date requirements
  • Coordination of all required Resident Assessment Instruments (both OBRA and PPS) per state and federal regulations to ensure timely completion
  • Timely transmissions of all required MDSs per state and federal regulations
  • Manage follow-up of all transmission error issues in a timely manner and in compliance with HCFA regulations
  • Monitoring of RAI process for timely completion of all elements, i.e., MDS, CAA's, Care Planning, Transmissions, and error follow-up
Requirements

To be successful in this role, you will need:

  • A current RN or LPN license to practice in the State of South Dakota or multi-state licensure privileges
  • One year experience as RN Assessment Coordinator in a Long Term Care facility
  • Intimate knowledge of RAI/PP process regulations
  • Two plus years as Long Term Care Nurse
What We Offer

As a valued member of our team, you can expect:

  • A competitive salary of $65,000-$75,000 per annum
  • The opportunity to work in a dynamic and supportive environment
  • Ongoing training and development opportunities
  • A comprehensive benefits package


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