Clinical Reimbursement Coordinator

Oak Hill, West Virginia

Hidden Valley Center
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Clinical Reimbursement Coordinator, RN at Hidden Valley Center summary:

The Clinical Reimbursement Coordinator, RN at Genesis Healthcare is responsible for managing the MDS treatment assessment tool and ensuring compliance with high standards of care in long-term health services. This role involves overseeing Medicare/Medicaid documentation to guarantee appropriate reimbursement, while integrating data from various healthcare services. The position requires a registered nurse with experience in long-term care, contributing to the mission of enhancing patient well-being in a collaborative work environment.

Overview:

At Genesis Healthcare, we are dedicated to improving the lives we touch through the delivery of high-quality care and exceptional service. As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference. Whether you're an experienced professional or just starting your career, we offer opportunities for growth, development, and advancement in a range of roles. Join us in our mission to enhance the well-being of our patients and residents while making a meaningful impact in the communities we serve.

Responsibilities:

The MDS Coordinator - RN is responsible for the timely and accurate completion of the MDS treatment assessment tool and for reviewing care plans and their delivery for factors specific to our patients/residents such as physical, cognitive, and socialization factors to ensure compliance with our high standards of care.

Manage the overall process and tracking of all Medicare/Medicaid case-mix documents to assure appropriate reimbursement for services provided within the nursing center.

Conduct concurrent MDS reviews to assure achievement of maximum allowable RUG categories.

Integrate information from nursing, dietary, social services, restorative, rehabilitation, and physician services to ensure appropriate reimbursement.

Qualifications:

Must be a graduate of an accredited School of Nursing with current Registered Nurse (RN) licensure. LPNs with MDS experience may be considered.

At least one year of long-term care nursing experience is required.

Benefits:

Variable compensation plans
Tuition, Travel, and Wireless Service Discounts
Employee Assistance Program to support mental health
Employee Foundation to financially assist through unforeseen hardships
Health, Dental, Vision, Company-paid life insurance, 401K, Paid Time Off

We also offer several voluntary insurances such as:
Pet Insurance
Term and Whole Life Insurance
Short-term Disability
Hospital Indemnity
Personal Accident
Critical Illness
Cancer Coverage

Restrictions apply based on collective bargaining agreements, applicable state law and factors such as pay classification, job grade, location, and length of service.

Posted Salary Range: USD $83,000.00 - USD $83,000.00 /Yr.
Date Posted: 13 April 2025
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