Clinical Reimbursement Coordinator, RN

Responsibilities

• Timely and accurate completion of the MDS treatment assessment tool.
• Reviewing care plans and their delivery for physical, cognitive, and socialization factors to ensure compliance with high standards of care.
• Managing the overall process and tracking of all Medicare/Medicaid case-mix documents to assure appropriate reimbursement for services provided within the nursing center.
• Conducting concurrent MDS reviews to achieve maximum allowable RUG categories.
• Integrating information from various departments including nursing, dietary, social services, restorative, rehabilitation, and physician services to ensure appropriate reimbursement.

Qualifications

• Graduate of an accredited School of Nursing with current Registered Nurse (RN) licensure.
• At least one year of long-term care nursing experience required.
• LPNs with MDS experience may be considered.

Benefits

• Variable compensation plans.
• Tuition, Travel, and Wireless Service Discounts.
• Employee Assistance Program for mental health support.
• Employee Foundation to assist with 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 for instant access to earned money.

Pay

USD $85,280.00 - USD $93,600.00 /Yr.