About this role
The Corporate Clinical Reimbursement Coordinator is responsible for providing leadership, oversight, guidance and direction for clinical compliance with reimbursement under Medicare, Medicaid and other third party payers. This position develops policies and procedures or makes recommendations for changes to existing policies/procedures related to the MDS, RAI, and care planning processes. The Clinical Reimbursement Coordinator monitors and audits to ensure that the skilled facilities are following established policies and procedures to ensure compliance. This position recommends and provides assistance with education on clinical reimbursement processes for the skilled nursing facilities.
Requirements:
- RN graduate from an accredited school of nursing; Bachelor’s Degree, RAC-CT preferred
- Current RN license in good standing by the PA Board of Nurse Examiners
- Three to five years’ progressive experience as a lead RNAC with proficient knowledge of the MDS and the RAI process
- Experience in management, supervision and/or consulting with multi-facility oversight in the role is strongly preferred.
- Proficient computer skills and use of clinical software
E.O.E.