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    clinical reimbursement coordinator-rn - Pittsfield, United States - PITTSFIELD MANAGEMENT SYSTEMS INC

    PITTSFIELD MANAGEMENT SYSTEMS INC
    PITTSFIELD MANAGEMENT SYSTEMS INC Pittsfield, United States

    3 weeks ago

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    Description

    Job Description

    Job Description
    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.


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