MDS Coordinator or Clinical Reimbursement Coordinator

We are looking for an MDS Coordinator or Clinical Reimbursement Coordinator to work with medical professionals to provide exceptional patient care and assess facilities for reimbursement. This role involves gathering patient data, creating clinical care plans, and monitoring case mix and Medicaid reimbursement.

Requirements

• Determine potential Patient Driven Payment Method (PDPM) and expense associated with a potential admission
• Participate in the admission process of prospective residents
• Maintain current working knowledge of Medicare criteria
• Monitor Case Mix Index (CMI) scores
• Monitor Medicare assessment schedules and nursing documentation
• Assist physicians to provide ongoing patient care
• Ensure patients maintain physical, mental, and dietary health
• Communicate patient health status or changes to other medical personnel
• Participate in standardized health care programs and education