MDS Clinical Reimbursement Director **Mon-Fri

About the role

As a pioneer in providing exceptional care and services to older adults, Saunders Nursing and Rehabilitation Center is seeking a highly skilled MDS Clinical Reimbursement Director\RNAC to join our team. Our dedicated team of healthcare professionals is committed to delivering top-notch care to our residents, and we're looking for a like-minded individual to lead our reimbursement efforts.

Responsibilities

• Develop and implement effective financial strategies to optimize reimbursement and maximize revenue
• Collaborate with the interdisciplinary team to ensure accurate and compliant MDS assessments, care plans, and reimbursement documentation
• Analyze and report on financial performance, identifying areas for improvement and implementing changes to optimize billing and coding processes
• Develop and maintain strong relationships with payors, insurance companies, and government agencies to ensure optimal reimbursement rates and payment terms
• Ensure compliance with all relevant laws, regulations, and industry standards related to reimbursement and billing
• Lead and mentor a team of reimbursement professionals, providing guidance and training to ensure high-quality performance
• Participate in strategic planning and budgeting efforts to drive business growth and profitability

Requirements

• Current RN License in the State of Pennsylvania
• Prior experience in reimbursement, MDS, and Medicare/Medicaid regulations
• PDPM experience required
• Restorative Nursing experience required
• Strong analytical and problem-solving skills, with the ability to interpret complex data and develop effective solutions
• Excellent communication and leadership skills, with the ability to work effectively with multiple stakeholders
• Ability to work in a fast-paced environment, with a focus on high-quality patient care and exceptional customer service

Schedule

Monday–Friday, weekends off.