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)
FULL TIME
Qualifications for MDS Nurse:
Current unencumbered State of New Hampshire RN License
Care Planning experience
Responsibilities for lead MDS Nurse:
Conduct and coordinate the development and completion of the resident assessment
Conduct resident assessments in accordance with current rules, regulation, and guidelines
Implementation of resident CAA’s
Participate in facility survey readiness and throughout survey
Work with our interdisciplinary care team min developing a comprehensive assessment and care plan for each resident
Benefit Package for MDS Nurse:
Competitive wages
Generous Shift Differentials
Sign on Bonus
Referral Bonus
6 Paid Holidays
On Site Free Employee Education
Complimentary Employee Meals and More
Medical Insurance
Dental Insurance
Vision Insurance
Long & Short-term Disability Insurance
Accrued paid time off – Full Time Employees
401K
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0 Reimbursement Specialist - Healthcare jobs found in Nashua, NH area