MDS Solutions · 1 month ago
MDS Solutions - Clinical Reimbursement Specialist
Kansas City, MO
Full-time
Hybrid
Senior Level
5+ years expMDS Solutions, a division of Key Rehabilitation, is looking for energetic and self-driven team members to join their remote MDS division as Clinical Reimbursement Specialists. The role involves supporting clients through RAI assessments, developing care plans, and providing education and training on the RAI process while ensuring compliance with laws and regulations.
Hospitals and Health Care
Responsibilities
Serve as a trusted advisor to healthcare agencies and facilities, offering expert guidance and insights to optimize their operations
Assist clients in assessing, planning, developing, and implementing systems and processes related to reimbursement, tailored to the specific needs and contracts established with each client
Provide consulting services and technical expertise, including interim MDS management, ensuring providers receive the support they need to achieve optimal outcomes
Stay up-to-date on professional standards of clinical care, federal and state regulations, QM measures, and the RAI process to ensure the delivery of accurate, compliant, and effective solutions
Deliver high-quality, professional services that encompass reimbursement optimization, staff education, in-depth research, system analysis, creative problem-solving, and the presentation of actionable recommendations to clients
Identify and address training needs, developing and conducting training sessions or in-service programs as requested by clients to enhance staff competency and performance
Operate within the defined scope of work, maintaining strict adherence to client agreements and expectations
Uphold client confidentiality and ensure full compliance with HIPAA regulations, safeguarding sensitive information throughout the engagement
Qualification
Required
Bachelor's degree in nursing from an accredited college or university, with at least five (5) years of clinical experience, including 3+ years specializing in the RAI process
Current and unrestricted RN, along with active RAC-CT certification, ensuring adherence to industry standards and best practices
Possesses exceptional critical thinking skills, with the proven ability to make informed decisions, demonstrate sound clinical judgment, and apply expert knowledge in quality improvement concepts and processes
Demonstrates strong leadership abilities and excels in interpersonal communication, fostering collaboration, and guiding teams to achieve optimal clinical outcomes
Benefits
Competitive salaries with bonus opportunities
Ample opportunities for promotion, transfer, and advancement
Work that is meaningful, fulfilling, and provides high job satisfaction
Reasonable working hours promoting work-life balance
Continuing education (CE) opportunities for ongoing professional development
Generous paid time off
Comprehensive health, dental, and life insurance packages
401K with discretionary matching
Mileage and licensure reimbursements
Flexible Spending Account (FSA) and Health Savings Account (HSA) options
Company
MDS Solutions
MDS Solutions and our RAC certified MDS experts can assist in your MDS completion, capturing accurate quality care, educating your teams around regulatory changes, and optimize clinical reimbursement.
2-10 employees
Funding
Current Stage
Early StageCompany data provided by crunchbase