Clinical Reimbursement Coordinator - LPN

Genesis Administrative Services LLC; Follansbee (WV); On-site; USD 45,000 - 52,000; Full time

Benefits offered by this job

Health, Dental, Vision

401K

Paid Time Off

Tuition Assistance

Employee Assistance Program

On-Demand Pay

Pet Insurance

Short-term Disability

Hospital Indemnity

Personal Accident

Critical Illness

Cancer Coverage

Life Insurance

Job summary

Genesis Administrative Services LLC is seeking an experienced MDS Coordinator to coordinate clinical assessments, care planning, and MDS transmission in a long-term care setting.

The role requires a Nursing degree with an active LPN license and at least one year of LTC experience. Knowledge of Medicare/Medicaid reimbursement and MDS processes is valued, along with current BLS/CPR certification.

Qualifications

• Graduate of an accredited School of Nursing with current LPN licensure in the state of employment.
• 1 year of long-term care clinical nursing experience required.
• Experience with Medicare/Medicaid reimbursement, MDS completion or case management is desirable.
• Maintain current BLS/CPR certification.

Responsibilities

• Coordinate and complete clinical assessments, care planning, and transmit the MDS as required by regulations.
• Manage all Medicare/Medicaid case-mix documents with the interdisciplinary team for reimbursement.
• Conduct concurrent MDS reviews to maximize RUG categories.
• Educate the interdisciplinary team on case-mix and MDS terminology and formats.

Skills

Interdisciplinary collaboration

MDS coordination

Regulatory knowledge

Documentation

Education

Nursing degree with LPN license

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 24/7virtual 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 you’ve already earned
• 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 $33.00 - USD $38.00 /Hr.