MDS Reimbursement Specialist

2 weeks ago


Somersworth, New Hampshire, United States Rochester Manor - Rochester, NH Full time
Position Overview: Rochester Manor is seeking a dedicated part-time (20 hours/week) MDS Coordinator. As a prominent provider of healthcare services, Genesis HealthCare is committed to enhancing the quality of care through innovative practices and compassionate service.

Why Choose Genesis?
We are devoted to improving the lives we touch by delivering high-quality healthcare with empathy and respect. Our culture is built on core values that emphasize care, integrity, and creativity in our services.

Key Responsibilities:
* Oversee the comprehensive process and management of all Medicare/Medicaid case-mix documentation to ensure accurate reimbursement for services rendered within the nursing facility.
* Conduct concurrent MDS reviews to guarantee the correct RUGs category is achieved by capturing relevant clinical data, while identifying opportunities to optimize reimbursement.
* Relay essential case-mix data necessary for billing to the Business Office, including RUGs categories, modifiers, and state case-mix scores.
* Act as the primary resource for MDS/RUGs and state case-mix systems within the nursing center, providing staff education and guidance on MDS terminology and formats.

Benefits:
* Comprehensive health, dental, and vision insurance
* Company-paid life insurance and 401K options
* Paid Time Off and variable compensation plans
* An inclusive workplace supported by a DEI committee
* Nursing Student Loan Debt Repayment and Tuition Assistance programs
* Discounts on tuition, travel, and wireless services
* Employee Assistance Program for mental health support
* Employee Foundation to assist during unforeseen hardships

Qualifications:
* Must possess a degree from an accredited School of Nursing and hold a current RN license in the state of employment.
* A minimum of one year of clinical nursing experience in long-term care is required.
* Experience with Medicare/Medicaid reimbursement, MDS completion, and clinical resource utilization is highly desirable.


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