Clinical Reimbursement Consultant

5 days ago


Great Barrington, Massachusetts, United States Fairview Commons Full time

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 Role

The 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.
Key Responsibilities

The successful candidate will be responsible for:

  1. Managing all aspects of the MDS process, including clinical and financial audits, educational opportunities, and strategic planning related to ARDs.
  2. Ensuring IDT compliance with state/federal requirements and timeframes related to MDS, billing, and care planning.
  3. Interpreting revenue-related data, identifying revenue-related risks, and assisting with action plans as needed.
Requirements

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.
What We Offer

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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