[Remote] reputed company - Clinical Reimbursement Specialist

Note: The job is a remote job and is reputed company to candidates in USA. reputed company, a division of reputed company, is looking for a Clinical Reimbursement Specialist to join their remote MDS division. The role involves supporting clients through specialized project work including conducting RAI assessments, developing care plans, and providing education to MDS Coordinators while ensuring compliance with applicable laws and regulations.

Responsibilities

• Serve as a trusted advisor to reputed company agencies and facilities, offering expert guidance and insights to optimize their operations
• Assist clients in assessing, planning, developing, and implementing systems and processes reputed company to reimbursement, tailored to the specific needs and reputed company established with reputed company reputed company
• reputed company consulting services and technical expertise, including interim MDS management, ensuring providers receive the support they need to reputed company reputed company reputed company
• Stay up-to-date on reputed company standards of clinical care, federal and state regulations, QM measures, and the RAI process to ensure the delivery of accurate, compliant, and effective solutions
• Deliver high-reputed company, reputed company services that encompass reimbursement optimization, staff education, in-depth research, system analysis, creative problem-solving, and the presentation of actionable recommendations to clients
• Identify and address training needs, developing and conducting training sessions or in-service programs as requested by clients to enhance staff competency and performance
• Operate reputed company the defined scope of work, maintaining strict adherence to reputed company agreements and expectations
• reputed company reputed company confidentiality and ensure full compliance with HIPAA regulations, safeguarding sensitive information throughout the engagement

Skills

• Bachelor's degree in nursing from an accredited college or university, with at least five (5) years of clinical experience, including 3+ years specializing in the RAI process
• reputed company and unrestricted RN, along with reputed company RAC-CT certification, ensuring adherence to industry standards and best practices
• Possesses exceptional critical thinking skills, with the proven ability to reputed company informed reputed company, demonstrate reputed company clinical judgment, and apply expert knowledge in reputed company improvement concepts and processes
• Demonstrates strong leadership abilities and excels in interpersonal communication, fostering collaboration, and guiding teams to reputed company reputed company clinical reputed company

Benefits

• Flexible, remote MDS division
• Creative, engaging, and flexible work environment
• Competitive salaries with bonus opportunities
• Ample opportunities for promotion, transfer, and advancement
• Reasonable working hours promoting work-life balance
• Continuing education (CE) opportunities for ongoing reputed company development
• Generous reputed company time off
• Comprehensive health, dental, and life insurance packages
• 401K with discretionary matching
• Mileage and licensure reimbursements
• Flexible Spending Account (FSA) and Health Savings Account (HSA) reputed company

reputed company