Genesis Healthcare, Inc

Clinical Reimbursement Coordinator, RN

Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Graduate of an accredited School of Nursing with current RN licensure in state of employment.
  • Minimum one year of long-term care clinical nursing experience.
  • Experience with Medicare/Medicaid reimbursement and MDS completion is preferred.
  • Knowledge of clinical resource utilization and case management is advantageous.
  • Current BLS/CPR certification required.

Responsibilities

  • Manage the Medicare/Medicaid case-mix documentation process for reimbursement.
  • Ensure timely submission of all MDS assessments and maintain accuracy of schedules.
  • Conduct concurrent MDS reviews to achieve appropriate RUGs category and enhance reimbursement.
  • Communicate case-mix data to the Business Office regarding billing.
  • Provide educational resources on MDS terminology and case-mix systems to staff.

Benefits

  • Variable compensation plans
  • Tuition, travel, and wireless service discounts
  • Employee Assistance Program for mental health support
  • Access to the Employee Foundation for financial assistance during hardships
  • Comprehensive health, dental, vision, and life insurance
  • 401K and Paid Time Off
  • Free 24/7 virtual health care for employees and families
  • On-Demand Pay Program for instant access to earned wages
  • Voluntary insurances such as pet insurance and critical illness coverage.
Full Job Description
Overview
Dual Role, MDS Nurse and Restorative Nurse!The MDS Nurse -- RN manages the overall process and tracking of all Medicare/Medicaid case-mix documents to ensure appropriate reimbursement for all services provided within the nursing. *Maintain an accurate schedule of all MDS assessments to include the proper reference dates throughout the patient stay and ensures the accurate and timely submission of the MDS assessments including case-mix, OBRA and OSRA required assessments.*Perform concurrent MDS review to insure appropriate RUGs category is achieved through the capture of appropriate clinical information and in this process identify opportunities to enhance reimbursement.*Communicate case-mix data required for billing to the Business Office such as RUGs categories, modifiers, state case-mix scores, etc.*Serve as the nursing center resource for MDS/RUGs and state case-mix systems providing staff case-mix education and instruction on MDS terminology and format. Qualifications

*Must be a graduate of an accredited School of Nursing with current RN licensure in the state in which employment occurs is required.

*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 (excluding ALFs/ILFs).

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 24/7virtual health careprovided by licensed doctorsforall Anthemmedically-enrolled employees and theirimmediate family members

*On-Demand Pay Program that allows for instant access to a portion of the money you27ve 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 RangeUSD $42.00 - USD $42.00 /Hr. Bonus

About Genesis Healthcare, Inc

Genesis Healthcare, Inc. is a holding company with subsidiaries that, on a combined basis, comprise one of the nation's largest post-acute care providers with more than 325 skilled nursing centers and senior living communities in 24 states nationwide. Genesis subsidiaries also supply rehabilitation and respiratory therapy to more than 1,700 healthcare providers in 46 states, the District of Columbia and China. Genesis' subsidiaries employ approximately 42,000 people and provide services to approximately 350,000 patients and residents per year.
Learn more about Genesis Healthcare, Inc
Size
3,658 employees
Market Cap
$14.2 billion
Industry
Net Income
-$62.6 million
5 Year Trend
-7%
Revenue
$4.1 billion
NASDAQ

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