CLINICAL REIMBURSEMENT COORDINATOR-RN

Hillcrest Commons Nursing & Rehabilitation Center; Pittsfield (MA); On-site; USD 80,000 - 96,000; Full time

Benefits offered by this job

Weekly pay

Health insurance

Generous time off

Job summary

Hillcrest Commons Nursing & Rehabilitation Center in Pittsfield, MA is seeking a Clinical Reimbursement Coordinator who will manage all aspects of the MDS process, including Medicare and long-term care assessments, scheduling and completion, working closely with clinical and administrative staff.

The role requires RN licensure, strong knowledge of Medicare requirements, and collaboration with Nursing Administration to ensure compliant chart audits and timely reporting.

Qualifications

• Must be a registered nurse with active license.
• Experience with MDS process and Medicare documentation.
• Ability to coordinate care and communicate with staff.
• On-site responsibilities in Pittsfield MA.

Responsibilities

• Ensure accurate MDS completion in accordance with state and federal regulations.
• Review Medicare charts to determine coverage, and communicate documentation needs to staff.
• Conduct team meetings to discuss care planning.
• Provide information as requested to Medicare intermediaries, Mass Pro, or other insurance providers.
• Do PRI's when requested.
• Provide PEN Therapy usage forms monthly and certifications as required for gastrostomy feedings.
• Monitor necessary documentation for bed use.
• Perform other duties as assigned by the Director of Nursing or designee.

Skills

MDS process

Medicare knowledge

Nursing coordination

Documentation

Team collaboration

Job description

• Pay or shift range: $80,000 USD to $95,680 USD
  The estimated range is the budgeted amount for this position. Final offers are based on various factors, including skill set, experience, location, qualifications and other job-related reasons.

Description

Come join this collaborative and innovated team. At Hillcrest Commons Nursing and Rehabilitationyou will enjoy WEEKLY pay, generous time off, exceptional health insurance and the ability to grow in your career.

Ready to love working again and be proud of where you work? Do you want to be valued and have an opportunity to make a meaningful impact? If you answered ‘yes,’ we can’t wait to introduce you to our team of dedicated, caring professionals.

Join one of the largest post-acute health care systems across Massachusetts, committed to fulfilling the health and residential needs of the population in the communities we serve.

As a clinical reimbursement coordinator, you will manage all aspects of the MDS process including Medicare and long term care assessments, scheduling and completion and works closely with clinical and administrative staff regarding Medicare admissions. Responsible for resident chart audits and reports to Nursing Administration.

Essential Job Functions:

• Ensures accurate MDS completion in accordance with state and federal regulations.
• Review Medicare charts to determine coverage, communication on aspects of care to staff for documentation.
• Conduct team meetings to discuss care planning.
• Provide information as requested to Medicare intermediate, Mass Pro, or other insurance providers.
• Do PRI's when requested.
• Provide PEN Therapy usage forms monthly and certifications as required for gastrostomy feedings.
• monitor necessary documentation for bed use.
• Perform other duties as assigned by the Director of Nursing or designee.

Location: On-Site position at Hillcrest Commons, 169 Valentine Rd, Pittsfield MA

Qualifications

Licenses & Certifications

Required

REGISTERED NURSE

Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.