MDS Clinical Reimbursement Specialist
3 days ago
We are seeking a highly skilled MDS Clinical Reimbursement Coordinator to join our team at Wallingford Nursing & Rehab in Wallingford, PA. As a key member of our clinical operations team, you will play a critical role in ensuring accurate and timely reimbursement for our services.
Key Responsibilities- Manage the overall process and tracking of all Medicare/Medicaid case-mix documents to ensure appropriate reimbursement.
- Perform concurrent MDS review to identify opportunities to enhance reimbursement and ensure accurate RUGs category assignment.
- Communicate case-mix data required for billing to the Business Office.
- Serve as the nursing center resource for MDS/RUGs and state case-mix systems, providing staff education and instruction on MDS terminology and format.
- 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.
- Experience with Medicare/Medicaid reimbursement, MDS completion, clinical resource utilization, and/or case management is highly desirable.
- Maintain current BLS/CPR certification.
- Competitive hourly rate of $45.00.
- Full-time position with benefits, including health, dental, vision, and 401K.
- Variable compensation plans and inclusive workplace with DEI committee.
- Nursing Student Loan Debt Repayment and Tuition Assistance.
- Tuition, Travel, and Wireless Service Discounts.
- Employee Assistance Program to support mental health.
- Employee Foundation to financially assist through unforeseen hardships.
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