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Clinical Reimbursement Specialist
2 months ago
We are seeking a highly skilled Clinical Reimbursement Specialist to join our team at Lebanon Center in Lebanon, NH. As a key member of our healthcare team, you will be responsible for managing the overall process and tracking of Medicare/Medicaid case-mix documents to ensure accurate reimbursement for services provided.
Key Responsibilities- Perform concurrent MDS review to ensure accurate RUGs category assignment through the capture of relevant clinical information and identify opportunities to enhance reimbursement.
- Communicate case-mix data required for billing to the Business Office, including RUGs categories, modifiers, state case-mix scores, etc.
- Serve as the nursing center resource for MDS/RUGs and state case-mix systems, providing staff education and instruction on MDS terminology and format.
- Must be a graduate of an accredited School of Nursing with current RN licensure in the state of employment.
- One year of long-term care clinical nursing experience is required.
- Experience with Medicare/Medicaid reimbursement, MDS completion, clinical resource utilization, and/or case management is highly desirable.
- Competitive salary and benefits package.
- Opportunities for professional growth and development.
- Inclusive workplace with a commitment to diversity, equity, and inclusion.
- Employee assistance program for mental health support.
- Employee foundation for financial assistance during unforeseen hardships.
