2 CLINICAL REIMBURSEMENT COORDINATOR Jobs in Leeds, MA
Integritus Healthcare is Hiring a CLINICAL REIMBURSEMENT COORDINATOR Near Leeds, MA
Come join this collaborative and innovative team. At Integritus Healthcare you will enjoy WEEKLY pay, generous time off, exceptional health insurance, and the ability to grow in your career. Integritus Healthcare wants you!
Competitive pay based on experience:
Essential Job Functions:
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Perform independent and/or suggested affiliate level, clinical and financial audits as warranted.
- Identify and assist with educational opportunities through audit, tracking, trending, and analyzing relevant patient data with supervisor guidance and support.
- Strategic planning related to ARDs; optimizing the appropriate revenue systems.
- Ensure IDT compliance with state/federal requirements and timeframes related to MDS, billing and care planning.
- Interpretation of revenue related data as requested.
- Identify revenue related risks associated with missing, irrelevant, erroneous clinical documentation. Assist with action plans related to such risk as warranted.
- Assist with orientation and education for CRCs and other IDT members as relates to MDS and/or reimbursement processes.
- Provide ongoing education and communication with IDT as relates to current state and federal regulation systems driven by the MDS.
- Review clinical charts and assist with determination of ongoing skilled need, and appropriate Length of Stay.
- Under the coordination of a Registered Nurse, complete sections of the MDS.
- Review, revise and communicate the need for new care plans as per facility protocol.
- Attend CP meetings per facility protocol.
- Conduct/attend as necessary the daily, weekly, monthly meetings related to Revenue. (Daily REV, Wkly MRA/CMI, Monthly Triple check)
- Ensure/assist with the timeliness of managed care updates.
- Assist with maintenance, risk and education related to 5 STAR Quality Measures/Value Based Purchasing, and Quality Reporting programs.
- Provide information as requested for Additional Documentation Request (ADR) and appeals as appropriate.
- Other related duties as assigned.
Job Summary
Full Time
$60k-72k (estimate)
05/16/2024
07/14/2024
The job skills required for CLINICAL REIMBURSEMENT COORDINATOR include Managed Care, Health Insurance, etc. Having related job skills and expertise will give you an advantage when applying to be a CLINICAL REIMBURSEMENT COORDINATOR. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by CLINICAL REIMBURSEMENT COORDINATOR. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for CLINICAL REIMBURSEMENT COORDINATOR positions, which can be used as a reference in future career path planning. As a CLINICAL REIMBURSEMENT COORDINATOR, it can be promoted into senior positions as a Staff Nurse - RN, Sr. - Medical Management that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary CLINICAL REIMBURSEMENT COORDINATOR. You can explore the career advancement for a CLINICAL REIMBURSEMENT COORDINATOR below and select your interested title to get hiring information.
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