Senior Clinical Reimbursement Analyst - RN - Long Term Care
10000 Sanford(1 month ago)
About this role
This role provides analytical and reimbursement guidance to Sanford nursing centers, focusing on accurate Medicare and Medicaid documentation and MDS submission. The position supports facilities in maximizing PDPM and case-mix reimbursement, advises leadership on coverage and eligibility, and participates in training and policy development across operations. The role works closely with Quality, Compliance, and Clinical Services to ensure regulatory compliance and accurate reporting.
Required Skills
- MDS Review
- Medicare
- Medicaid
- PDPM
- Case Mix
- Chart Auditing
- CareWatch
- PointClickCare
- Staff Training
- Compliance
Qualifications
- BSN or Equivalent
- Unencumbered RN License
- AANAC Certification (may be required)
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