RN Clinical Reimbursement Coordinator — Growth & Weekly Pay

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

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.