
Clinical Reimbursement Coordinator - LPN
Franklin, NHJob$41.5/hrSeen 3 days agoSeen in employer's feed 3 days ago
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Job overview
The Clinical Reimbursement Coordinator coordinates clinical assessments, supporting documentation, care planning, and MDS transmission in accordance with federal and state regulations. The role manages Medicare and Medicaid case-mix documentation, reviews MDS assessments, communicates billing data, and educates the interdisciplinary team and nursing staff. Candidates must be licensed LPNs with one year of long-term care clinical nursing experience and current BLS/CPR certification.
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 is responsible for the coordination and completion of clinical assessments, supporting documentation, care planning and transmitting the MDS, as required by federal and state regulations.
*Manage all Medicare/Medicaid case-mix documents at the nursing center to assure appropriate reimbursement for services provided. This will involve collaboration with the center interdisciplinary team.
*Conduct concurrent MDS reviews to assure achievement of maximum allowable RUG categories.
*Communicate with the Business Office Manager regarding case-mix data required for billing.
*Educate the interdisciplinary team on case-mix and the nursing staff in terminology, language, and format that is required by MDS
Qualifications
*Must be a graduate of an accredited School of Nursing with current LPN licensure in the state of employment.
*One year of long-term care clinical nursing experience is required.
*Experience with Medicare/Medicaid reimbursement, MDS completion, clinical resource utilization and/or case management is highly desirable.
*Must maintain current BLS/CPR certification.
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.
Posted Salary Range
USD $41.50 - USD $41.50 /Hr.
Bonus
USD $10,000.00
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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