Clinical Reimbursement Coordinator
On-siteMinneapolis, Minnesota, United States
Job Summary
Complete Federal and State assessment tools, including item coding, RAPS, CAA's, Care Planning, and electronic submission for MDS and Clinical Reimbursement. Intake processed forms such as order sheets, doctor notes, pharmacy recommendations, and lab results, then scan and upload them into residents' electronic medical records. Validate final reports and ensure compliance with Medicare rules, coverage, benefit periods, and the 30 Day rule. Perform RN duties as needed. Requires current RN licensure, CPR certification, and 1-2 years of MDS experience. Full-time role in New Hope, MN with competitive salary and comprehensive benefits.
Required Qualifications
- Current RN licensure with the MN Board of Nursing
- Current CPR certification
- 1-2 years of experience as an MDS Coordinator / Clinical Reimbursement Coordinator
- Good organization skills
- Experience with 3.0, PPS, and Case Mix
- Ability to pass license check, background check and drug screen
- Ability to maintain confidentiality and comply with all HIPPA regulations
- Desire to work with the elderly
- Understanding of the MDS rules and regulations as described in the MDS User's Manual
- Knowledge of item coding, RAPS, CAA's, Care Planning, electronic submission, scheduling, PPS, Medicare rules and regulations including coverage, benefit periods, certification, and 30 Day rule
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