RN MDS & Reimbursement Coordinator – Long-Term Care

PowerBack Rehabilitation; Bluefield (VA); On-site; USD 49,000 - 70,000; Full time

Benefits offered by this job

Health, Dental, Vision

401K

Paid Time Off

Life Insurance

Employee Assistance Program

Telehealth services

Job summary

The Westwood Center, part of PowerBack Rehabilitation, is seeking a Clinical Reimbursement Coordinator, RN with MDS experience to manage Medicare/Medicaid case-mix documentation and ensure accurate reimbursement for services.

Responsibilities include scheduling and submitting MDS assessments, optimizing RUGs categorization, and communicating case-mix data to the Business Office. RN licensure and LTC experience are required, with BLS/CPR certification maintained.

Qualifications

• Must be graduate of an accredited School of Nursing with current RN licensure in the state of employment.
• One year of long term care clinical nursing experience is 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 and ensure timely submission of 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

MDS Knowledge

Medicare/Medicaid Reimbursement

BLS/CPR Certification

Education

RN License

Job description

The Westwood Center, part of PowerBack Rehabilitation, is seeking a Clinical Reimbursement Coordinator, RN with MDS experience to manage Medicare/Medicaid case-mix documentation and ensure accurate reimbursement for services.

Responsibilities include scheduling and submitting MDS assessments, optimizing RUGs categorization, and communicating case-mix data to the Business Office. RN licensure and LTC experience are required, with BLS/CPR certification maintained.