Corporate Clinical Reimbursement Coordinator - FT (UCC Homes Corporate Office)

United Church of Christ Homes • Camp Hill, PA

1d

About The Position

The Corporate Clinical Reimbursement Coordinator provides leadership, oversight, guidance, and direction for clinical compliance with reimbursement under Medicare, Medicaid, and other third-party payers. The role develops policies and procedures, or recommends changes to existing policies and procedures, relating to the MDS, RAI, and care-planning processes. The coordinator monitors and audits skilled facilities to ensure they follow established policies and procedures and comply with requirements. The position also recommends and assists with education on clinical reimbursement processes for skilled nursing facilities.

Requirements

• Graduate of an accredited school of nursing as an RN.
• Current RN license in good standing with the PA Board of Nurse Examiners.
• Three to five years of progressive experience as a lead RNAC.
• Proficient knowledge of the MDS and RAI process.
• Proficient computer skills and experience using clinical software.

Nice To Haves

• Bachelor’s degree.
• RAC-CT certification.
• Experience in management, supervision, and/or consulting with multi-facility oversight.

Responsibilities

• Provide leadership, oversight, guidance, and direction for clinical compliance with reimbursement under Medicare, Medicaid, and other third-party payers.
• Develop policies and procedures or recommend changes to existing policies and procedures related to MDS, RAI, and care-planning processes.
• Monitor and audit skilled facilities to ensure adherence to established policies and procedures and compliance.
• Recommend and assist with education on clinical reimbursement processes for skilled nursing facilities.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior