CLINICAL REIMBURSEMENT COORDINATOR-RN

Integritus Healthcare; Pittsfield, Northern (MA, KY); On-site; USD 80,000 - 96,000; Full time

Job summary

Hillcrest Commons Nursing and Rehabilitation in Pittsfield, MA is seeking a Clinical Reimbursement Coordinator. The role focuses on managing all aspects of the MDS process, Medicare assessments, and coordination with clinical and administrative staff.

The position requires an RN license and involves working on-site with responsibilities including chart audits and collaboration with nursing leadership to ensure compliance and quality care.

Qualifications

• Must hold a registered nurse license.
• Experience with Medicare/MDS processes preferred.

Responsibilities

• Ensure accurate MDS completion in accordance with state and federal regulations.
• Review Medicare charts to determine coverage and document for staff.
• Conduct team meetings to discuss care planning.
• Provide information to Medicare intermediaries or other insurers.
• Perform 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.

Education

RN license

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 willenjoy 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

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.