Clinical Reimbursement Coordinator, RN

Genesis HealthCare, Inc.; Concord (NH); On-site; USD 61,000 - 66,000; Full time

Benefits offered by this job

Variable pay

Tuition discounts

Employee assistance program

Health, dental, vision, life insurance

401K

Paid time off

On-demand pay

Pet insurance

Disability

Hospital indemnity

Personal accident

Critical illness

Cancer coverage

Job summary

Harris Hill is hiring a FT Clinical Reimbursement Coordinator (MDS) to manage Medicare/Medicaid case-mix documents and ensure proper reimbursement for nursing services. Responsibilities include scheduling MDS assessments, submitting OBRA/OSRA items, and maximizing RUG accuracy.

The role requires an RN license in the relevant state and background in long-term care, with knowledge of MDS, case management, and reimbursement processes. On-site position with comprehensive benefits.

Qualifications

• Graduate of an accredited School of Nursing with RN licensure in the employment state.
• Experience in long-term care nursing and reimbursement processes is highly desirable.
• Proficiency in MDS terminology, reference dates, and case-mix scoring required.

Responsibilities

• Maintain an accurate schedule of all MDS assessments and timely submissions.
• Perform concurrent MDS reviews to optimize RUGs category and reimbursement.
• Communicate case-mix data to the Business Office for billing needs.
• Serve as facility resource for MDS/RUGs and educate staff on terminology.

Skills

RN licensure

MDS knowledge

case management

Medicare/Medicaid reimbursement

Education

Nursing degree / Diploma

Tools

MDS software

billing systems

Job description

Overview

Harris Hill is Hiring

FT Clinical Reimbursement Coordinator (MDS)

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 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 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 $44.00 - USD $48.50 /Hr.