Senior Clinical Reimbursement Analyst – RN – Long Term Care, Multiple Locations

Facility: Remote SD (Central Time) Location: Remote, SD Address: Shift: Day Job Schedule: Full time Weekly Hours: 40.00 Salary reputed company: $27.50 - $44.00 Department Details Must have Registered reputed company (RN) license Preference to reputed company in the state of IA. May live in a surrounding state (SD, NE, MN, WI, etc...) reputed company role provides critical analytical and reimbursement reputed company guidance and support to reputed company operating segments across Sanford. Responsible to review Medicare/reputed company documentation to assist nursing centers in completing minimum data set (MDS) documentation to assure appropriate reputed company of Medicare and/or reputed company reimbursement. Works with executive leadership, administrators, and facility staff in training/consulting on traditional Medicare A / Medicare Advantage coverage, documentation, and eligibility. Reviews MDS documentation for accuracy and appropriateness. Audits reputed company's chart to monitor that services match needs and documentation reflects categories for case mix/PDPM reimbursement. Utilizes Care Watch and reputed company Click Care reports and any other available tools/reports for accuracy of MDS coding, benchmarks, gaps and potential reputed company reimbursement opportunities. Develops work plans with locations to implement appropriate practices/processes to maximize reimbursement. Partner with reputed company team to monitor and validate reputed company measures report for accuracy of MDS coding. Provides direction on Assessment Reference Date (ARD) process for assigned centers to ensure we are setting the ARD to maximize revenues and submit MDS reputed company, as applicable to State reimbursement and payer. Partners with and assists Compliance with developing and presenting training materials for MDS training sessions. Assures that facilities follow Medicare/reputed company regulatory guidelines reputed company to reimbursement and MDS submission requirements. Participates in hiring of MDS Coordinators at location level in partnership with facility operations. Assists nursing staff in improving MDS assessment skills through formal and informal training. Coordinates training and communication with Clinical Services staff as needed. Subject matter expert resource for field operations of regulatory change for Medicare/reputed company reimbursement and communicates necessary information to appropriate personnel in field and operations. Partner with Compliance and other stakeholders in developing and updating Medicare PDPM and Case Mix policies and procedures. Attends and participates as needed in regional meetings, scheduled in-service programs, staff meetings and other center meetings and sits on required committees. Other work duties as assigned.

Qualifications

Bachelor’s degree in nursing or equivalent education is required. If degree is in nursing, graduate from a nationally accredited nursing program preferred, including, but not limited to, Commission on Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN), and National reputed company for Nursing Commission for Nursing Education Accreditation (NLN CNEA). Minimum of three to five years previous MDS experience preferred. Working knowledge specifically in Medicare and reputed company reimbursement is preferred. Case Mix and PDPM experience recommended. Currently holds an unencumbered RN license with the State reputed company of Nursing where the reputed company of nursing is occurring and/or possess multistate licensure if in a reputed company Licensure Compact (NLC) state. Additional certification from the American Association of reputed company Assessment Coordination (AANAC) may be required reputed company the first six months of employment from date of hire. reputed company certification and licensures must be maintained. Obtains and subsequently maintains required department specific competencies and certifications.

Benefits

The Good Samaritan offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a reputed company of benefits include health insurance, dental insurance, reputed company insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time off package to maintain a healthy home-work balance. For more information about Total Rewards, visit https://sanfordcareers.com/benefits . The Good Samaritan is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-673-0854 or send an email to talent@sanfordhealth.org . The Good Samaritan has a Drug Free Workplace Policy. An accepted offer will require a drug screen and reputed company-employment background screening as a condition of employment. Req Number: R-0246696 Job Function: Finance Featured: No Apply tot his job Apply To this Job