Regional Clinical Reimbursement Specialist

Accura HealthCare embraces a unique upside-down culture, putting residents and direct-care staff at the top level of the organization. Our Resource Center associates play a key role in supporting Accura’s purpose, “to care for others” and advancing the mission, “to be partners in care and family for life” and are expected to provide exceptional customer service by demonstrating and upholding our values of trust, integrity, accountability, commitment, and kindness through the development of strong relationships, servant leadership, and effective communication and follow-up.

Accura HealthCare, a leading post-acute healthcare provider based in Iowa, has communities in Iowa, Minnesota, South Dakota and Nebraska, and growing.

We currently have two Regional Clinical Reimbursement Specialist (MDS Leader) openings. One region would support approximately 10-11 of our communities in Northwest Iowa. The other region supports communities predominantly in Minnesota.

The Clinical Reimbursement Specialist reports directly to the Senior Director of Clinical Reimbursement and will be responsible for providing consulting, services, support, and training to ensure our communities receive accurate reimbursement. This individual’s responsibilities will include our Restorative Program.

This individual will support and provide technical assistance to the Directors of Nursing and MDS Coordinators through audits, training, onsite visits, web sessions, etc. This individual will help develop and improve processes to ensure MDS accuracy and timeliness.

The role will complete audits of MDS data in Point Click Care and will work very closely supporting MDS Coordinators to assure compliance and a strong understanding of reimbursement regulations, documentation, policies, and processes as well as Quality Measures and Person Centered Care planning.

The individual will be a part of the Accura Resource Center and will work remotely supporting our facilities. The position will involve frequent travel with some overnights required.

REQUIREMENTS AND QUALIFICATIONS:
Licensed RN
2+ years experience in long-term care with proven leadership and management skills
2+ years current experience in Clinical Reimbursement/MDS
Proficiency with Point Click Care (PCC) preferred
Strong knowledge of Medicare reimbursement regulations with specific focus on PDPM
Working knowledge of nursing and rehabilitation services provided in long-term care settings along with the MDS process, resident/patient care, and nursing standards of practice.
Knowledge of long-term care regulations and procedures as well as use of medical and nursing equipment and medications