Clinical Reimbursement RN — MDS & Medicare Lead (Weekly Pay)

Berkshirejobs; Pittsfield (MA); On-site; USD 65,000 - 85,000; Full time

Benefits offered by this job

Weekly pay

Generous PTO

Health insurance

Job summary

Hillcrest Commons Nursing and Rehabilitation seeks a Clinical Reimbursement Coordinator to manage the MDS process, including Medicare and long-term care assessments, scheduling and completion. You will work closely with clinical and administrative staff on Medicare admissions and audits.

Responsibilities include ensuring accurate MDS, reviewing charts for coverage, participating in care planning meetings, and providing required forms and certifications for healthcare providers.

Qualifications

• Experience with MDS completion and regulatory guidelines.
• Knowledge of Medicare and Mass Pro better care coordination.

Responsibilities

• Ensure accurate MDS completion per state and federal regs.
• Review Medicare charts to determine coverage and document care.
• Lead team meetings to discuss care planning and documentation.
• Provide information to Medicare intermediaries and other insurers.
• Assist with PEN therapy usage forms and related certifications.
• Monitor bed use documentation and perform tasks assigned by Nursing Director.

Skills

MDS knowledge

Medicare knowledge

Care coordination

Regulatory compliance

Job description

Hillcrest Commons Nursing and Rehabilitation seeks a Clinical Reimbursement Coordinator to manage the MDS process, including Medicare and long-term care assessments, scheduling and completion. You will work closely with clinical and administrative staff on Medicare admissions and audits.

Responsibilities include ensuring accurate MDS, reviewing charts for coverage, participating in care planning meetings, and providing required forms and certifications for healthcare providers.