Clinical Reimbursement Coordinator, RN
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At a glance
Requirements
Credentials this posting asks for.
Job overview
Genesis Healthcare is hiring a Clinical Reimbursement Coordinator, RN. Genesis Healthcare seeks a Clinical Reimbursement Coordinator, RN to manage Medicare/Medicaid case‑mix documentation, conduct concurrent MDS reviews, and integrate multidisciplinary information to ensure appropriate reimbursement while supporting high‑quality long‑term care.
Key focus areas include Manage the overall process and tracking of Medicare/Medicaid case‑mix documents to assure appropriate reimbursement., Conduct concurrent MDS reviews to achieve maximum allowable RUG categories., and Integrate information from nursing, dietary, social services, restorative, rehabilitation, and physician services for reimbursement..
Important skills include MDS Treatment Assessment Tool, Care Plan Review, Medicare/Medicaid Case-Mix Documents, MDS Reviews, and RUG Categories.
Skills & qualifications
Skills
Qualifications
Benefits
Full job description
Overview
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
*Free 24/7 virtual health care provided by licensed doctors for all Anthem medically-enrolled employees and their immediate family members
*On-Demand Pay Program that allows for instant access to a portion of the money you’ve already earned
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.
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Posted Salary Range
USD $42.00 - USD $45.00 /Hr.
Genesis HealthCare, Inc. and all affiliated entities (collectively “Genesis”) has a strong commitment to diversity that is fully supported and practiced by our officers and leadership team. Genesis provides equal employment opportunities to all employees and applicants for employment without regard to actual or perceived race, color, religion, gender, gender expression, gender identity, sex, sexual orientation, HIV status, national origin, age, disability, marital status, pregnancy, ancestry, citizenship, genetic information, amnesty, military status or status as protected veterans, or any other legally protected characteristic. Genesis is an Affirmative Action and Equal Opportunity Employer and our goal is to foster an inclusive and accessible workplace free from discrimination and harassment where everyone has equal opportunities to succeed.
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