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Clinical Reimbursement Coordinator/MDS Coordinator (Full Time) at Genesis Healthcare Corporation

Clinical Reimbursement Coordinator/MDS Coordinator (Full Time)

Genesis Healthcare Corporation Cheat Lake, WV Full-Time
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Position is part time back up for Clinical Reimbursement Coordinate and part time float nurse. Sunday- Thursday work schedule -hours are flexible!

This position requires an expertise in the MDS/PPS audit process and the ability to affect solutions to identified issues/problems. Responsibility includes the accurate and timely completion of all Medicare/Medicaid case-mix documents in order to assure appropriate reimbursement for services provided within the Center. In addition, this position will be responsible for mentoring new Clinical Reimbursement Coordinators in their Center as well as other Genesis HealthCare Centers as required. Must possess a basic knowledge of billing, cost containment, per diem rates, ancillary cost and utilization management.

In addition to the responsibilities/accountabilities of the Clinical Reimbursement
Coordinator position, the Clinical Reimbursement Analyst will be responsible/
accountable for the following:

1. Mentors new Clinical Reimbursement Coordinators to increase their knowledge
base of the position requirements;
2. Acts as a resource for Clinical Reimbursement Coordinators regarding clinical
computer related issues and education;
3. Analyzes reimbursement strategies implemented in the Center and reports on the
outcomes of those strategies;
4. Audits medical record documentation to validate that the documentation supports
the MDS coding and provides training to Center staff to improve documentation;
5. Monitors the cost of services prior to delivery and manages duplicate or
unnecessary services in collaboration with physicians and interdisciplinary team to
preserve per diem revenues and mange the costs of case-mix customers;
6. Identifies Center and regional educational needs related to the MDS process and
participates in training as appropriate;
7. Reviews ICD-9 coding on MDS, medical record and billing statement to reduce billing
errors and ensures appropriate documentation to support medical review;
8. Manages other case-mix staff in the Center by participating in the evaluation and
ongoing quality of their work (i.e., CRCs, MDS coordinators, or other state casemix
9. Provides feedback to Reimbursement Services and other Corporate members
concerning issues regarding the Clinical Reimbursement Coordinator position.



SPECIFIC EDUCATIONAL/VOCATIONAL REQUIREMENTS: 1. Graduate of an accredited School of Nursing with current RN licensure in the state in which employment occurs is required. 2. Two years of long term care clinical nursing experience plus successfully acting in the Clinical Reimbursement Coordinator position for one year is required. 3. Management experience also desired. 4. A Bachelor's of Science in Nursing is preferred. 5. Experience with Medicare/Medicaid reimbursement, MDS completion, clinical resource utilization and/or case management is highly desirable. 6. Additional studies in Business, Accounting or Finance are highly desirable. 7. This position requires that the employee is able to read, write, speak and understand the spoken English language to ensure the safety and wellbeing of our patients and visitors at the work site when responding to their medical and physical needs. 8. Maintains current BLS/CPR certificate (excluding ALFs/ILFs).

Position Type: Full Time
Req ID: 351174
Center Name: Madison Center

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Job ID: 5000624605806


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