Clinical Reimbursement Coordinator - LPN at Genesis · Peterboro…

Summary: Genesis Healthcare is dedicated to improving the lives of patients and residents through high-quality care and exceptional service in the long-term care industry. The Clinical Reimbursement Coordinator will coordinate MDS assessments, documentation, care planning, and transmission while managing Medicare/Medicaid case-mix information, conducting reviews, supporting billing, and educating interdisciplinary and nursing teams.

Responsibilities:
- The MDS Coordinator is responsible for the coordination and completion of clinical assessments, supporting documentation, care planning and transmitting the MDS, as required by federal and state regulations
- Manage all Medicare/Medicaid case-mix documents at the nursing center to assure appropriate reimbursement for services provided. This will involve collaboration with the center interdisciplinary team
- Conduct concurrent MDS reviews to assure achievement of maximum allowable RUG categories
- Communicate with the Business Office Manager regarding case-mix data required for billing
- Educate the interdisciplinary team on case-mix and the nursing staff in terminology, language, and format that is required by MDS

Required Qualifications:
- Must be a graduate of an accredited School of Nursing with current LPN licensure in the state of employment
- One year of long-term care clinical nursing experience is required
- Must maintain current BLS/CPR certification

Preferred Qualifications:
- Experience with Medicare/Medicaid reimbursement, MDS completion, clinical resource utilization and/or case management is highly desirable

Required Skills: LPN Licensure, Long-Term Care Clinical Nursing, Medicare/Medicaid Reimbursement, MDS Completion, BLS/CPR Certification

Benefits: Variable compensation plans, Tuition, Travel, and Wireless Service Discounts, Employee Assistance Program to support mental health, Employee Foundation to financially assist through unforeseen hardships, Health, Dental, Vision, Company-paid life insurance, 401K, Paid Time Off, Free 24/7 virtual health care provided by licensed doctors for all Anthem medically-enrolled employees and their immediate family members, On-Demand Pay Program that allows for instant access to a portion of the money you’ve already earned, Pet Insurance, Term and Whole Life Insurance, Short-term Disability, Hospital Indemnity, Personal Accident, Critical Illness, Cancer Coverage