Clinical Reimbursement RN | MDS & Medicare Champion

Integritus Healthcare; Pittsfield (MA); On-site; USD 68,000 - 86,000; Full time

Job summary

Hillcrest Commons Nursing and Rehabilitation in Pittsfield, MA is seeking a Clinical Reimbursement Coordinator to manage the MDS process, Medicare and long-term care assessments, scheduling, and reporting. You will collaborate with clinical and administrative staff to ensure accurate documentation and admissions.

This on-site role requires attention to detail, familiarity with state and federal regulations, and the ability to coordinate care planning with the team.

Responsibilities

• 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 intermediaries or 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.

Job description

Hillcrest Commons Nursing and Rehabilitation in Pittsfield, MA is seeking a Clinical Reimbursement Coordinator to manage the MDS process, Medicare and long-term care assessments, scheduling, and reporting. You will collaborate with clinical and administrative staff to ensure accurate documentation and admissions.

This on-site role requires attention to detail, familiarity with state and federal regulations, and the ability to coordinate care planning with the team.