Clinical Reimbursement / MDS Director

North Ridge Health and Rehab•Minneapolis, MN

5d•Onsite

About The Position

North Ridge Health and Rehab in New Hope, MN is looking to hire a full-time Clinical Reimbursement / MDS Director to join our team, who will manage all of the MDS duties for our amazing health care company! You'll be a valued member of our caring, dynamic team, with a full suite of benefits available to you. Mission Health is a family of communities, and we are proud to employ exceptional individuals who deliver a positive Mission experience to our residents and families, as well as our co-workers. Our CARES values of Character, Attitude, Respect, Excellence, and Service are at the core of everything we do, from billing to patient care! This position earns a competitive salary. We also provide comprehensive benefits, including medical, dental, vision, short- and long-term disability, a flexible spending account (FSA), a 401(k) plan, paid time off (PTO), life insurance, continuing education unit (CEU) reimbursement, and daily pay options.

Requirements

Current RN licensure with the MN Board of Nursing
Current CPR certification
2-3 years of experience as an MDS Coordinator / Clinical Reimbursement Coordinator
Vast knowledge of Minnesota case mix
The ability to manage multiple payor sources (Medicare, Managed care, etc.)
Ensure timely, accurate, and compliant completion and submission of MDS assessments
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
Trustworthy and respectful of others
Dependable, professional, and a team player
Ability to establish a good rapport with others and communicate effectively

Nice To Haves

This position requires a strong understanding of the MDS rules and regulations as described in the MDS User's Manual, including item coding, RAI RAPS, CAA's, Care Planning, electronic submission, scheduling, PPS including knowledge of MDS submission process, final validation reports, and an understanding of Medicare rules and regulations including coverage, benefit periods, certification, 30 Day rule.

Responsibilities

Overseeing day to day operations for department.
Providing leadership, education, coaching, and accountability to MDS team members.
Coordinate the interdisciplinary assessment process and ensure appropriate collaboration among nursing, therapy, dietary, social services, and other departments.
Ensuring the team is timely and accurate with completion of the Federal and State assessment tools but may also be called upon to perform duties of an RN, if needed.
Intake all processed forms, including but not limited to, order sheets, doctor notes, pharmacy recommendations, order summaries and lab results and scanning them into electronic form to upload each document into the applicable resident's electronic medical record.