Vantage at Chelmsford!!

MDS Coordinator / Clinical Reimbursement

Benefits

• 401(k)

• Dental insurance

• Health insurance

• Life insurance

• Paid time off

• Vision insurance

MDS Coordinator / Clinical Reimbursement Full job description

The MDS Coordinator / Clinical Reimbursement - RN manages the overall process and tracking of all Medicare/Medicaid case-mix documents to ensure appropriate reimbursement for all services provided within the nursing.

MDS Coordinator / Clinical Reimbursement Position Highlights

• Maintains the schedule of all MDS assessments to include the proper reference dates throughout the patient stay and ensures the accurate and timely submission of the MDS assessments including case-mix, OBRA and PDPM required assessments.

• Perform concurrent MDS review to ensure appropriate HIPPS category is achieved through the capture of appropriate clinical information and in this process identify opportunities to enhance reimbursement.

• Collaborate with facility staff to assist with ensuring accurate/complete documentation to support accurate coding of MDS assessments and prevent revenue recoupment on audits.

• Communicate case-mix data required for billing to the Business Office such as HIPPS categories, modifiers, state case-mix scores, etc.

• Serve as the nursing center resource for MDS/HIPPS and state case-mix systems providing staff case-mix education and instruction on MDS terminology and format.

• Ensure the development of accurate and resident specific care plans to support quality of care and reimbursement.

MDS Coordinator / Clinical Reimbursement Benefits

• Health, Dental, Vision, Company-paid life insurance, 401K, Paid Time Off

• Variable compensation plans

• Nursing Student Loan Debt Repayment and Tuition Assistance

• Tuition, Travel, and Wireless Service Discounts

• Employee Assistance Program to support mental health

• Employee Foundation to financially assist through unforeseen hardships

Restrictions apply based on collective bargaining agreements, applicable state law and factors such as pay classification, job grade, location, and length of service.

Requirements: *Must be a graduate of an accredited School of Nursing with current RN licensure in the state in which employment occurs is required. *One year of long term care clinical nursing experience is required. *Experience with Medicare/Medicaid reimbursement, MDS completion, clinical resource utilization and/or case management is highly desirable. *Must maintain current BLS/CPR certification (excluding ALFs/ILFs).