Clinical Reimbursement Specialist
17 hours ago
Responsibilities:
* Maintain MDS/Care plan schedule for interdisciplinary team
* Coordinate preparation of MDS and Care Plan as per regulatory requirements
* Track Medicare resident benefit days, validate daily Medicare census, and coordinate this information with management to assure accurate billing
* Complete responses to requests for additional information from the intermediary and appeals decisions, when necessary, within established time frames
* Ensure preparation of Medicare denial letters for each resident discharged from Medicare coverage within time limits imposed by Medicare guidelines
* Participate in the ongoing evaluation of documentation required for Medicaid reimbursement
Requirements:
* Current RN license in the state of Colorado
* 2+ years of experience in skilled nursing facility with previous experience in completing MDS's and Care Plans as an MDS Coordinator
* Demonstrated proficiency in the RAI / PPS processes
* Strong attention to detail, documentation, and resident assessment skills
* Good communication, clerical, organizational, and computer skills
Benefits:
* Competitive compensation
* Health, dental, and vision insurance
* Company-paid life insurance
* Holiday pay
* Paid time off
* Employee appreciation events
* And much more
If you are a motivated and detail-oriented professional looking for a new challenge, we encourage you to apply for this exciting opportunity.
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