Reimbursement Specialist - Healthcare jobs in Cleveland, OH

Reimbursement Specialist - Healthcare determines the extent to which patients' insurance covers their treatments. Reviews appropriateness of CPT-4/ICD-10 coding and determines if care provided corresponds to the charges submitted. Being a Reimbursement Specialist - Healthcare ensures compliance with Federal and State regulations and company policies that govern Medicare and state payment systems. May assist in identifying fraudulent non-plan billing practices and assists the legal department with litigation preparation. Additionally, Reimbursement Specialist - Healthcare may require a bachelor's degree. Typically reports to a supervisor or manager. Typically requires Certified Professional Coder (CPC) from AAPC or AHIMA. The Reimbursement Specialist - Healthcare gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Reimbursement Specialist - Healthcare typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)

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RN MDS (Reimbursement Specialist)
  • Progressive Quality Care
  • Parma, OH FULL_TIME
  • Parma Care Center has provided a family-like atmosphere for over three decades, with staff members who work as a team. Parma Care Center provides excellent care to our residents along with ancillary services and on-site dialysis treatment center. Stop in to see what Parma Care has to offer and meet our team.

    The MDS nurse position is open to both LPNs and RNs with at least 2 years of MDS experience in a skilled nursing facility. 

    Duties:

    • Performs all duties within the guidelines of Progressive Quality Care.
    • Schedule and/or oversee scheduling of all resident MDS assessments to assure timeliness
    • Coordinate and oversee all functions of the MDS assessment process to assure compliance with federal and state guidelines
    •  Interview residents, residents' representatives and others for information related to the minimum data set assessment
    •  Review medical records and records related to residents' health status to collect information related to the MDS
    •  Observe resident's to collect information related to the MDS assessment
    • Enter data into the computer program for minimum data set assessments
    • Electronically transmit MDS assessments in accordance with federal and state guidelines
    • Assesses resident and staff needs regarding the assessment process and provides the Administrator and Director of Nursing with comprehensive recommendations concerning the educational needs of the nursing staff.
    •  Analyze quality indicator reports for potential concerns and review residents' care plans to be sure that all information is included
    • ·Participate in committee meetings and function on committees as assigned
    •  Assist in educating staff in appropriate documentation to assure compliance with federal and state guidelines

     

    Come and join our team and become a part of the future of long-term care! 

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

  • 1 Month Ago

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RN Reimbursement Specialist (MDS Nurse)
  • Progressive Quality Care
  • Cleveland, OH FULL_TIME
  • About Progressive Quality Care: Our company is a family-owned business founded by Rose and Hugo Dancziger. We got our start with the 1960's purchase of the Little Flower Nursing Home in Parma, Ohio. T...
  • 18 Days Ago

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Senior Architect/Healthcare Specialist
  • CPL Architects Engineers Landscape Arch & Sur
  • Berea, OH FULL_TIME
  • Formerly Makovich & Pusti ArchitectsSENIOR ARCHITECT/HEALTHCARE SPECIALIST ROLEAn individual in this role applies advanced concepts and designs to a variety of projects across varying market sectors, ...
  • 8 Days Ago

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Procurement Specialist : Healthcare Lawson ERP : Remote-2
  • ANCESTOR HEALTH
  • Cleveland, OH OTHER
  • Job Title: Procurement Specialist : Healthcare Lawson ERP : RemoteJob Summary:We are seeking a Procurement Specialist with experience in Healthcare Lawson ERP systems to join our team on a remote basi...
  • Just Posted

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Merchandising / Fixture Installation Supervisor (PT)
  • Apollo Retail Specialist
  • Cleveland, OH PART_TIME
  • Merchandising & Fixture Installation Supervisor $20-$22/hr.BT Retail Solutions, a division of Apollo Retail Specialists, has served America’s most respected brands as a leading construction and fixtur...
  • 28 Days Ago

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Collections Specialist
  • Certus Healthcare
  • Beachwood, OH FULL_TIME
  • Certus Healthcare Management is seeking a specialist in Collections to join our team at our corporate office. Starting negotiable salary for this position is $45,000.00This is a direct hire position, ...
  • 16 Days Ago

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0 Reimbursement Specialist - Healthcare jobs found in Cleveland, OH area

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Data Entry Specialist (Work From Home)>
  • CareMetx
  • Beachwood, OH
  • [Administrative Assistant / Fully Remote] - Anywhere in U.S. / Competitive Pay - As a Data Entry Specialist you'll: Main...
  • 4/23/2024 12:00:00 AM

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Data Entry Specialist (Work From Home)>
  • CareMetx
  • Bedford, OH
  • [Administrative Assistant / Fully Remote] - Anywhere in U.S. / Competitive Pay - As a Data Entry Specialist you'll: Main...
  • 4/23/2024 12:00:00 AM

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Data Entry Specialist (Work From Home)>
  • CareMetx
  • North Olmsted, OH
  • [Administrative Assistant / Fully Remote] - Anywhere in U.S. / Competitive Pay - As a Data Entry Specialist you'll: Main...
  • 4/23/2024 12:00:00 AM

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Data Entry Specialist (Work From Home)>
  • CareMetx
  • North Royalton, OH
  • [Administrative Assistant / Fully Remote] - Anywhere in U.S. / Competitive Pay - As a Data Entry Specialist you'll: Main...
  • 4/23/2024 12:00:00 AM

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Data Entry Specialist (Work From Home)>
  • CareMetx
  • Solon, OH
  • [Administrative Assistant / Fully Remote] - Anywhere in U.S. / Competitive Pay - As a Data Entry Specialist you'll: Main...
  • 4/23/2024 12:00:00 AM

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Data Entry Specialist (Work From Home)>
  • CareMetx
  • North Ridgeville, OH
  • [Administrative Assistant / Fully Remote] - Anywhere in U.S. / Competitive Pay - As a Data Entry Specialist you'll: Main...
  • 4/23/2024 12:00:00 AM

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Data Entry Specialist (Work From Home)>
  • CareMetx
  • Hudson, OH
  • [Administrative Assistant / Fully Remote] - Anywhere in U.S. / Competitive Pay - As a Data Entry Specialist you'll: Main...
  • 4/23/2024 12:00:00 AM

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Data Entry Specialist (Work From Home)>
  • CareMetx
  • Cuyahoga Falls, OH
  • [Administrative Assistant / Fully Remote] - Anywhere in U.S. / Competitive Pay - As a Data Entry Specialist you'll: Main...
  • 4/23/2024 12:00:00 AM

Cleveland (/ˈkliːvlənd/ KLEEV-lənd) is a major city in the U.S. state of Ohio, and the county seat of Cuyahoga County. The city proper has a population of 385,525, making it the 51st-largest city in the United States, and the second-largest city in Ohio. Greater Cleveland is ranked as the 32nd-largest metropolitan area in the U.S., with 2,055,612 people in 2016. The city anchors the Cleveland–Akron–Canton Combined Statistical Area, which had a population of 3,515,646 in 2010 and is ranked 15th in the United States. The city is located on the southern shore of Lake Erie, approximately 60 miles ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Specialist - Healthcare jobs
$44,237 to $53,753
Cleveland, Ohio area prices
were up 1.6% from a year ago

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MedCert’s Reimbursement and EHR Specialist Certification program is well rounded and features 24/7 access to the curriculum with video and course content, program supplements, and all the resources your need for successful independent study.
January 08, 2020