The Regional Clinical Reimbursement Consultant (R CRC) supports clinical reimbursement processes across multiple long-term care facilities, focusing on accurate MDS completion, PDPM optimization, and regulatory compliance.
They oversee documentation, assist with audits, and develop staff education on coding and documentation standards.
The role involves analyzing reimbursement data, collaborating with clinical, financial, and operational leaders, and promoting best practices.
Required qualifications include an active RN license, a BSN, and 5–7 years of experience in MDS and clinical reimbursement within long-term care, with strong knowledge of PDPM, CMS regulations, and ICD-10 coding.
Travel within the region is essential.
Preferred credentials include regional leadership experience and advanced certifications.
The position demands strong analytical, leadership, and communication skills, with physical requirements typical of a healthcare administrative role.
It is contingent upon award of the related RFP.