MDS/Clinical Reimbursement Coordinator RN

2 days ago


Lebanon, Pennsylvania, United States Genesis Healthcare, Inc. Full time
Join Our Team as a Clinical Reimbursement Coordinator RN

Genesis HealthCare, Inc. is a leading provider of healthcare services, offering a wide range of living options and professional clinical services. We are committed to improving the lives of our patients and residents through high-quality care and compassion.

About the Role

We are seeking a highly skilled Clinical Reimbursement Coordinator RN to join our team. As a key member of our clinical team, you will be responsible for managing the overall process and tracking of all Medicare/Medicaid case-mix documents to ensure accurate reimbursement for services provided.

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 appropriate RUGs categories are achieved through capture of clinical information and identify opportunities to enhance reimbursement.
  • Communicate case-mix data required for billing to the Business Office, including RUGs categories, modifiers, and state case-mix scores.
  • Provide staff education and instruction on MDS terminology and format, serving as the nursing center resource for MDS/RUGs and state case-mix systems.
What We Offer

As a Clinical Reimbursement Coordinator RN with Genesis HealthCare, Inc., you will enjoy a competitive salary, comprehensive benefits package, and opportunities for professional growth and development. Our inclusive workplace values diversity, equity, and inclusion, and we offer a range of benefits to support your well-being, including health, dental, and vision insurance, company-paid life insurance, and a 401K plan.

Qualifications

To be successful in this role, you must be a graduate of an accredited School of Nursing with current RN licensure in the state where employment occurs. One year of long-term care clinical nursing experience is required, and experience with Medicare/Medicaid reimbursement, MDS completion, clinical resource utilization, and/or case management is highly desirable. You must also maintain current BLS/CPR certification.


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