CLINICAL REIMBURSEMENT COORDINATOR-RN

Come join a collaborative and supportive Team at Mount Greylock Extended Care Facility in the Clinical Reimbursement Coordinator Role.

Newly Update Generous Sign-on Bonus Starting Salary $45- $50 per hour

The primary purpose of this position is to manage all aspects of the MDS process including Medicare and
long term care assessments, scheduling and completion. Works closely with clinical and administrative staff
regarding Medicare admissions. Responsible for resident chart audits and reports to Nursing
Administration.Essential Job Functions:
• Ensures accurate MDS completion in accordance with state and federal regulations.
• Review Medicare charts to determine coverage, communication on aspects of care to staff for
documentation.
• Conduct team meetings to discuss care planning.
• Provide information as requested to Medicare intermediate, Mass Pro, or other insurance
providers.
• Do PRI's when requested.
• Provide PEN Therapy usage forms monthly and certifications as required for gastrostomy feedings.
• monitor necessary documentation for bed use.
• Perform other duties as assigned by the Director of Nursing or designee.
Qualifications:
• A current, unencumbered MA Registered Nursing license is required.
• Knowledge of MDS and Medicare regulations required.
• Previous experience working in long term care preferred.
• Ability to communicate effectively both verbally and in writing.
• Job requires strong computer skills including data entry and LTC software use.
• Must have excellent problem solving skills.
• Must exhibit excellent interpersonal relations, time management, family and customer relations
and job knowledge.
• Must be able to read, write, speak, and understand the English language.
Physical Requirements and Working Conditions:
Will meet all physical requirements of the position as identified by the facility policies and procedures
related to functional job analysis.
Other Duties:
Please note this job description is not designed to cover or contain comprehensive listing of activities,
duties or responsibilities that are required of the employee for this job. Duties, responsibilities and
activities may change at any time with or without notice.