Clinical Reimbursement Coordinator, LPN

Genesis Administrative Services • Fairmont, WV

92d • $36 - $38

About The Position

At Genesis Healthcare, we are dedicated to improving the lives we touch through the delivery of high-quality care and exceptional service. As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference. Whether you're an experienced professional or just starting your career, we offer opportunities for growth, development, and advancement in a range of roles. Join us in our mission to enhance the well-being of our patients and residents while making a meaningful impact in the communities we serve.

Requirements

• Must be a graduate of an accredited School of Nursing with current LPN licensure in the state of employment.
• One year of long-term care clinical nursing experience is required.
• Experience with Medicare/Medicaid reimbursement, MDS completion, clinical resource utilization and/or case management is highly desirable.
• Must maintain current BLS/CPR certification.

Responsibilities

• Coordinate and complete clinical assessments, supporting documentation, care planning and transmitting the MDS, as required by federal and state regulations.
• Manage all Medicare/Medicaid case-mix documents at the nursing center to assure appropriate reimbursement for services provided.
• Conduct concurrent MDS reviews to assure achievement of maximum allowable RUG categories.
• Communicate with the Business Office Manager regarding case-mix data required for billing.
• Educate the interdisciplinary team on case-mix and the nursing staff in terminology, language, and format that is required by MDS.

Benefits

• Variable compensation plans
• Tuition, Travel, and Wireless Service Discounts
• Employee Assistance Program to support mental health
• Employee Foundation to financially assist through unforeseen hardships
• Health, Dental, Vision, Company-paid life insurance, 401K, Paid Time Off
• Pet Insurance
• Term and Whole Life Insurance
• Short-term Disability
• Hospital Indemnity
• Personal Accident
• Critical Illness
• Cancer Coverage

What This Job Offers

• Industry: Nursing and Residential Care Facilities
• Education Level: Associate degree