Clinical Reimbursement Specialist

Regional MDS Consultant Job Summary: The Regional MDS Consultant is responsible for the accurate and timely completion of all Medicare/Medicaid case-mix documents to assure appropriate reimbursement for care and services provided within the Facility. Conducts continual Minimum Data Set (MDS) reviews to assure achievement of optimal allowable Resource Utilization Group (RUG) category. Oversees the overall process and tracking of MDS/Prospective Payment System (PPS) documentation and submission. He/she will integrate nursing, dietary, social recreation, restorative, rehabilitation and physician services to ensure appropriate assessment and reimbursement. Essential Duties: Ensures that the facility is following the organization’s policy and procedures and complies with all state regulations Hybrid position in Central Illinois with travel Understands and implements company policies and procedures Ensures the accurate and timely completion of all MDS Assessments including PPS Medicare, quarterly, annual, significant change. Verifies electronic submissions of MDS, performs corrections when necessary and maintains appropriate records. Coordinates interdisciplinary participation in completing the MDS for each resident according to regulatory time frames. Ensures completeness and thoroughness of documentation as mandated by federal and state standards Benefits Offered: Extremely low-cost Health, Dental, Vision, 401K, and more $25,000 Company Paid Life Insurance – at no cost to you Leadership Training to enhance your management skills Daily Pay - get your money when you want Paid Vacations - rolls over each year Paid Sick Time Paid Holidays Tuition Reimbursement Daily, Weekly, Monthly Employee Appreciation Events Birthday, Anniversary Celebrations Free Employee Assistance Programs - professional support & guidance on family, money, health, legal services and more Huge Discounts at all major retailers (Walmart, Costco, etc.) at no cost to you Virtual Visits with Doctors 24/7, without setting up additional accounts or appointments Paid Break Time for Nursing Mothers Time Off to Vote Preferred Qualifications: Must have a current, unencumbered, active Illinois Registered Nurse License Five years management experience with experience in long-term care General knowledge of professional basic nursing, restoratives and personal care services #J-18808-Ljbffr