Clinical Reimbursement Coordinator - LPN

Genesiscareers; Follansbee District (WV); On-site; USD 45,000 - 52,000; Full time

Benefits offered by this job

Variable compensation plans

Tuition discounts

Employee Assistance Program

Health, Dental, Vision, life insurance

401K

Paid Time Off

On-Demand Pay

Pet Insurance

Short-term Disability

Hospital Indemnity

Critical Illness

Cancer Coverage

Job summary

Genesiscareers is seeking an MDS Coordinator to manage clinical assessments, care planning, and MDS transmission in accordance with federal and state regulations at our nursing center.

You will coordinate Medicare/Medicaid case-mix documentation with the interdisciplinary team, perform concurrent MDS reviews to optimize RUG categories, educate staff on terminology, and support billing accuracy and compliant practice.

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.

Responsibilities

• Manage all Medicare/Medicaid case-mix documents at the nursing center to assure appropriate reimbursement for services provided.
• 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

Skills

LPN licensure

Long-term care experience

MDS/case management knowledge

Education

Graduate of accredited School of Nursing

Tools

Medicare/Medicaid reimbursement knowledge

MDS completion experience

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.