Skilled Nursing Reimbursement Specialist

Elm Wood Center; Claremont (NH); On-site; USD 70,000 - 95,000; Full time

Job summary

Elm Wood Center in Barre, VT seeks a Clinical Reimbursement Coordinator to manage MDS and reimbursement processes for our skilled nursing and rehabilitation residents. You will coordinate assessments, review clinical documentation, and ensure compliance with Medicare/Medicaid and payer guidelines.

You will collaborate with nurses, therapists, and billing staff to optimize case mix, support accurate, timely billing, and provide reporting that helps sustain high-quality long-term and

Qualifications

• Experience with MDS scheduling and formatting for billing.
• Understanding of Medicare/Medicaid guidelines and payer requirements.
• Ability to review clinical documentation for accuracy and compliance.

Responsibilities

• Coordinate patient assessments and MDS items.
• Review and ensure clinical documentation supports coding and billing.
• Comply with Medicare/Medicaid and payer guidelines to support accurate billing.
• Collaborate with nurses, therapists and billing staff to optimize case mix and reimbursement.
• Provide reporting to monitor trends and support high-quality care.

Skills

MDS coordination

Reimbursement processes

Clinical documentation review

Medicare/Medicaid knowledge

Job description

Elm Wood Center in Barre, VT seeks a Clinical Reimbursement Coordinator to manage MDS and reimbursement processes for our skilled nursing and rehabilitation residents. You will coordinate assessments, review clinical documentation, and ensure compliance with Medicare/Medicaid and payer guidelines.

You will collaborate with nurses, therapists, and billing staff to optimize case mix, support accurate, timely billing, and provide reporting that helps sustain high-quality long-term and