Clinical Reimbursement Consultant
5 days ago
Fairview Commons is seeking an experienced Clinical Reimbursement Consultant to lead our team in delivering high-quality patient care and ensuring accurate reimbursement for services provided. As a key member of our team, you will play a vital role in managing all aspects of the MDS process.
About the RoleThe ideal candidate will have:
- Proven experience in clinical and financial audits, with a strong understanding of state and federal regulations related to MDS, billing, and care planning.
- Excellent analytical and problem-solving skills, with the ability to work independently and collaboratively as part of a team.
- A Bachelor's degree in a healthcare-related field or equivalent experience.
The successful candidate will be responsible for:
- Managing all aspects of the MDS process, including clinical and financial audits, educational opportunities, and strategic planning related to ARDs.
- Ensuring IDT compliance with state/federal requirements and timeframes related to MDS, billing, and care planning.
- Interpreting revenue-related data, identifying revenue-related risks, and assisting with action plans as needed.
We require:
- A minimum of 5 years of experience in clinical reimbursement, including MDS and care planning.
- Strong knowledge of state and federal regulations related to MDS, billing, and care planning.
- Ability to work independently and collaboratively as part of a team.
We provide:
- A competitive salary range of $75,000 - $95,000 per year.
- Generous time off and exceptional health insurance.
- Ongoing education and career growth opportunities.
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