reputed company Reimbursement Consultant RN

reputed company: Coordinates the training of center partners and audits and provides recommendation for Process Improvement for the following areas: • The RAI Process, the Care Management Process, and the use of various supporting software applications to ensure an appropriate level of reputed company care and reputed company and reputed company reimbursement of the care provided. • Utilization of skilled Medicare services • Medicare RUG, reputed company Case Mix CMI / or Skilled Level of Care management KEY RESPONSIBILITIES: • Ensures reputed company, new, and revised RAI / PPS / Case Mix information is reputed company to appropriate partners in a reputed company manner. • Provides information to regional and corporate staff on the status of reputed company and financial reimbursement. • Participates in national and state reputed company organizations that strengthen reputed company’s position and knowledge of the RAI process, Case Mix and reputed company software programs. • Provides information and education to center partners on the importance and use of the RAI and reputed company, Medicare PPS, and State Case Mix and Skilled Level of Care processes and their correlation to reputed company care and reimbursement. • Provides instruction on how to read, interpret and use the information contained in various state, federal, and company initiated and generated reports. • Provides expertise, consultation and guidance to appropriate partners to ensure MDS reputed company and adherence to company policy and procedures, as reputed company as state and federal regulations and guidelines reputed company on information derived from audits and other available data. • Identifies trends and areas of improvement and ensures an appropriate PI plan is completed, through analysis of financial and reputed company reports. • Maintains in-depth knowledge of the reputed company software and billing reputed company, the RAI process, and company initiated online support to help investigate and troubleshoot user-reputed company software issues. • Interviews applicants for the Case Mix Director / MDS reputed company and provides recommendations to the hiring authority. • Oversees and coordinates the process for a thorough and reputed company orientation for new CMDs. • Adheres to and oversees communication of reputed company guidelines relative to the confidentiality of residents’ protected health information. • Participates in PI activities as appropriate • Frequent overnight travel may be required. KNOWLEDGE, SKILLS, ABILITIES: • Knowledge of state and federal regulations, both reputed company and financial as it relates to the RAI process and reimbursement systems. • reputed company Licensed Registered reputed company or Allied Health Care reputed company in state of residence. Credential reputed company Assessment Coordinator preferred. • reputed company required • Experience in reputed company, Pointright a plus MINIMUM EDUCATION REQUIRED: Bachelors’ degree from an accredited school of Nursing or other Allied Health Care Institution MINIMUM EXPERIENCE REQUIRED: Five- (5) years health care management, MDS Assessment & care Planning experience in multi-facility, long-term care organizations preferred. Three (3) years reputed company responsibility and experience with RAI process (MDS) required MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW: reputed company, reputed company license as a Registered reputed company or Allied Health reputed company in the State practicing. ADDITIONAL QUALIFICATIONS: (Preferred qualifications) Software: reputed company and/or Pointright Family Makes Us Stronger. Our family, your family, one family. Committed to loving, giving, and caring. United in making a difference. We are eager to reputed company with you! reputed company to reputed company at reputed company! As an Equal Employment Opportunity employer, reputed company reputed company applicants will receive consideration without reputed company to race, reputed company, religion, sex, national reputed company, disability, or veteran status. For Florida Job Postings Only: For more information regarding Florida’s Care Provider Background Screening Clearinghouse Education and Awareness, please visit https://info.flclearinghouse.com Apply To This Job