Regional MDS Clinical Reimbursement Specialist

6 days ago


Rahway, New Jersey, United States Palm Tree Recruiters Full time
About the Job

Palm Tree Recruiters is seeking a highly skilled Regional MDS Clinical Reimbursement Specialist to join our team. As a key member of our clinical reimbursement team, you will be responsible for providing support, education, and training to MDS Coordinators in our facilities.

Key Responsibilities:
  • Maximize Reimbursement: Proactively identify opportunities to increase reimbursement and ensure accurate coding of MDS submissions.
  • Review and Coordinate PDPM and Case Mix Data: Review and coordinate PDPM and Case Mix data to ensure high reimbursement and compliance with laws and regulations.
  • Provide Consulting Advice: Provide consulting advice on clinical support related to MDS Assessment process and develop standardized training modules.
  • Ensure Compliance: Ensure proper compliance for auditing and identify opportunities for improvement and best practices.
Requirements:
  • Experience: 5 years of experience in MDS, with a preferred background in utilization review.
  • License/Certification: RAC-CT certification is required.
  • Travel: Willingness to travel, with a hybrid remote and on-site work arrangement.
Benefits:
  • Competitive Salary: $90,000.00 - $120,000.00 per year.
  • Benefits Package: 401(k) matching, dental insurance, disability insurance, employee assistance program, flexible schedule, flexible spending account, health insurance, life insurance, paid time off, relocation assistance, travel reimbursement, tuition reimbursement, and vision insurance.


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