MDS Clinical Reimbursement Specialist

1 week ago


Hanover, New Hampshire, United States Genesis HealthCare Full time
Join Our Team as a MDS Clinical Reimbursement Coordinator

At Genesis HealthCare, we're dedicated to delivering high-quality healthcare services that make a real difference in people's lives. As a MDS Clinical Reimbursement Coordinator, you'll play a vital role in ensuring our patients receive the care they need while also helping us achieve our goal of providing exceptional patient outcomes.

About the Role

We're seeking a highly skilled and motivated RN to join our team as a MDS Clinical Reimbursement Coordinator. In this role, you'll be responsible for managing the overall process and tracking of all Medicare/Medicaid case-mix documents to ensure accurate reimbursement for all services provided within the nursing center.

Key Responsibilities
  • Maintain accurate schedules of all MDS assessments, including reference dates, and ensure timely submission of MDS assessments.
  • Perform concurrent MDS reviews to ensure accurate RUGs categories and identify opportunities for enhanced reimbursement.
  • Communicate case-mix data required for billing to the Business Office, including RUGs categories, modifiers, and state case-mix scores.
  • Provide education and instruction on MDS terminology and format to nursing center staff.
What We Offer

We're committed to providing a supportive and inclusive work environment that allows our employees to grow and thrive. As a MDS Clinical Reimbursement Coordinator, you'll enjoy a range of benefits, including:

  • Competitive salary and variable compensation plans
  • Comprehensive health, dental, and vision insurance
  • 401K and employee assistance program
  • Tuition reimbursement and student loan debt repayment
  • Wireless service discounts and travel perks
Requirements

To be successful in this role, you'll need:

  • A graduate degree in nursing from an accredited institution
  • Current RN licensure in the state where employment occurs
  • At least one year of long-term care clinical nursing experience
  • Experience with Medicare/Medicaid reimbursement, MDS completion, and clinical resource utilization

We're an equal opportunities employer and welcome applications from diverse candidates. If you're passionate about delivering exceptional patient care and want to join a dynamic team, apply now to become our next MDS Clinical Reimbursement Coordinator



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