RN MDS & Reimbursement Coordinator

White Sulphur Springs Center; White Sulphur Springs (WV); On-site; USD 52,000 - 72,000; Full time

Benefits offered by this job

Tuition discounts

Paid Time Off

Health, Dental & Vision

401(k)

Employee Assistance Program

Life Insurance

Job summary

White Sulphur Springs Center in West Virginia is seeking an experienced MDS Nurse (RN) to manage Medicare/Medicaid case-mix documentation and ensure accurate reimbursement for services in our long-term care facility.

Responsibilities include scheduling MDS assessments, submitting OBRA and OSRA items on time, performing concurrent MDS reviews to optimize RUGs, and communicating case-mix data to the Business Office.

Qualifications

• Must be a graduate of an accredited School of Nursing with current RN licensure in the state.
• One year of long-term care clinical nursing experience required.
• Experience with Medicare/Medicaid reimbursement, MDS completion, clinical resource utilization and/or case management is highly desirable.
• Must maintain current BLS/CPR certification (excluding ALFs/ILFs).

Responsibilities

• The MDS Nurse -- RN manages the overall process and tracking of all Medicare/Medicaid case-mix documents to ensure appropriate reimbursement for all services provided within the nursing.
• Maintain an accurate schedule of all MDS assessments to include the proper reference dates throughout the patient stay and ensures the accurate and timely submission of the MDS assessments including case-mix, OBRA and OSRA required assessments.
• Perform concurrent MDS review to insure appropriate RUGs category is achieved through the capture of appropriate clinical information and in this process identify opportunities to enhance reimbursement.
• Communicate case-mix data required for billing to the Business Office such as RUGs categories, modifiers, state case-mix scores, etc.
• Serve as the nursing center resource for MDS/RUGs and state case-mix systems providing staff case-mix education and instruction on MDS terminology and format.

Skills

RN licensure

Long-term care

MDS experience

BLS/CPR

Education

Accredited School of Nursing

Job description

White Sulphur Springs Center in West Virginia is seeking an experienced MDS Nurse (RN) to manage Medicare/Medicaid case-mix documentation and ensure accurate reimbursement for services in our long-term care facility.

Responsibilities include scheduling MDS assessments, submitting OBRA and OSRA items on time, performing concurrent MDS reviews to optimize RUGs, and communicating case-mix data to the Business Office.