Clinical Reimbursement Coordinator

3 weeks ago


Southlake, Texas, United States Cantex Full time
Clinical Reimbursement Coordinator - RN

At Cantex, we're committed to creating a culture of respect and inclusivity. We believe that our differences are what make us stronger, and we're dedicated to making sure every individual feels valued and supported.

About the Role

We're seeking an experienced Clinical Reimbursement Coordinator - RN to join our team at The Carlyle at Stonebridge Park. As a Clinical Reimbursement Coordinator - RN, you'll play a vital role in ensuring the accurate reimbursement of Medicare and Medicaid patients through the Patient Assessment Instrument (RAI) process.

Key Responsibilities
  • Maintain compliance with all State and Federal Medicaid and/or Medicare rules, regulations, and published interpretations.
  • Participate in the assessment of pre-admission paperwork to ensure patients meet qualifying medical necessity determination.
  • Attend daily stand-up meetings to stay informed and coordinate with the Interdisciplinary Team Members.
  • Coordinate the Weekly Reimbursement Meeting to ensure proper Medicare and/or Medicaid reimbursement.
  • Audit clinical records to ensure appropriate documentation for actual care delivery.
Requirements

To be successful in this role, you'll need:

  • A current, valid Texas nursing license (RN or LVN).
  • At least 2 years of LTC experience.
  • An Acknowledgement of Completion Certificate through the HHSC RUG Online Training for Nursing Facilities.
  • The ability to effectively communicate, direct, and delegate tasks.
What We Offer

We're proud to offer a highly competitive compensation package, including:

  • A salary range of $65,000 - $85,000 per year.
  • CEU reimbursement.
  • Vacation and sick leave.
  • Holidays.
  • Medical, dental, and supplemental insurance plans.
About Us

Cantex is a leading provider of senior living services. We're committed to delivering exceptional care and experiences for our residents and their families.



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