Reimbursement Specialist - Healthcare jobs in Roanoke, VA
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)
Recently Added Reimbursement Specialist - Healthcare jobs
MDS Clinical Reimbursement Coordinator -- RN
- Genesis HealthCare
-
Bluefield, VA
FULL_TIME
-
Genesis HealthCare is one of the nation's leading providers of healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. We are changing how care is delivered by bringing together people like you -- passionate, highly skilled and motivated to make a difference.Why Genesis?
We improve the lives we touch through the delivery of high-quality healthcare and everyday compassion!
*We Care Deeply about YOU! Guided by our Core Values, Code of Conduct and Ethics program, we foster a culture of care and compassion. We focus on improving the quality of care through creativity and innovation, honesty and integrity in all we do.
*We Develop YOU! We provide career ladders, education and training opportunities so you can build a long and successful career with Genesis.
*We Appreciate YOU! We value your contributions to the Genesis mission and vision and instill an environment of teamwork and enjoyment in working together. We recognize and celebrate our shared successes.
*We are Committed to YOU! We know you are the vital link between Genesis, our patients and residents! We inspire you to be your best self.
*We Protect YOU! We take great pride in meeting or exceeding CDC and CMS standards.The MDS Nurse -- RN manages the overall process and tracking of all Medicare/Medicaid case-mix documents to ensure appropriate reimbursement for all services provided within the nursing.Position Highlights
*Maintain an accurate schedule of all MDS assessments to include the proper reference dates throughout the patient stay and ensures the accurate and timely submission of the MDS assessments including case-mix, OBRA and OSRA required assessments.
*Perform concurrent MDS review to insure appropriate RUGs category is achieved through the capture of appropriate clinical information and in this process identify opportunities to enhance reimbursement.
*Communicate case-mix data required for billing to the Business Office such as RUGs categories, modifiers, state case-mix scores, etc.
*Serve as the nursing center resource for MDS/RUGs and state case-mix systems providing staff case-mix education and instruction on MDS terminology and format.Benefits
*Health, Dental, Vision, Company-paid life insurance, 401K, Paid Time Off
*Variable compensation plans
*Inclusive workplace with DEI committee
*Nursing Student Loan Debt Repayment and Tuition Assistance
*Tuition, Travel, and Wireless Service Discounts
*Employee Assistance Program to support mental health
*Employee Foundation to financially assist through unforeseen hardshipsRestrictions apply based on collective bargaining agreements, applicable state law and factors such as pay classification, job grade, location, and length of service.Qualifications:
*Must be a graduate of an accredited School of Nursing with current RN licensure in the state in which employment occurs is required. *One year of long term care clinical nursing experience is required. *Experience with Medicare/Medicaid reimbursement, MDS completion, clinical resource utilization and/or case management is highly desirable. *Must maintain current BLS/CPR certification (excluding ALFs/ILFs).
Other Info
- Position Type: Full Time
- Pay Target: $85,000 - $100,000
- Job City: Bluefield
- Requisition Number: 477995
- 1 Month Ago
Records Management Specialist
- Genesis HealthCare
-
Marlinton, WV
FULL_TIME
- Genesis HealthCare is one of the nation's leading providers of healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. We are cha...
- 14 Days Ago
Registered Peer Recovery Specialist
- Pyramid Healthcare
-
Radford, VA
FULL_TIME
- Pyramid Healthcare is dedicated to offering the highest quality of care to those we serve. A focus on client-focused care establishes our family of brands as respected leaders in addiction treatment, ...
- 5 Days Ago
Records Management Specialist
- Genesis HealthCare
-
Bluefield, VA
PART_TIME
- Benefits*Tuition, Travel, and Wireless Service Discounts*Employee Assistance Program to support mental health*Employee Foundation to financially assist through unforeseen hardships*Inclusive workplace...
- 1 Month Ago
Patient Advocate Specialist
- Firstsource Healthcare
-
Roanoke, VA
FULL_TIME
- Date: Mar 25, 2024 Location: Roanoke, Virginia, US Requisition ID: 8215 Description: FULL-TIME ENTRY LEVEL Location: Medical facility in Roanoke, VA Shift: Tuesday through Saturday 10:30am-7:00pm GREA...
- 21 Days Ago
Housing Specialist
- Blue Ridge Behavioral Healthcare
-
Roanoke, VA
FULL_TIME
- Are you passionate about the need for individuals with mental illness to have access to stable housing? The Housing Specialist will assist individuals with serious mental illness to secure and maintai...
- 14 Days Ago
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0 Reimbursement Specialist - Healthcare jobs found in Roanoke, VA area
Data Entry Specialist (Work From Home)>
- CareMetx
-
Roanoke, VA
- [Administrative Assistant / Fully Remote] - Anywhere in U.S. / Competitive Pay - As a Data Entry Specialist you'll: Main...
- 4/18/2024 12:00:00 AM
Data Entry Specialist (Work From Home)>
- CareMetx
-
Christiansburg, VA
- [Administrative Assistant / Fully Remote] - Anywhere in U.S. / Competitive Pay - As a Data Entry Specialist you'll: Main...
- 4/18/2024 12:00:00 AM
Community Program Specialist II - Housing Rehabilitation Program Manager
- City of Roanoke, VA
-
Roanoke, VA
- Salary : $46,708.22 - $96,991.96 Annually Location : Roanoke, VA Job Type: Full-Time Job Number: 02610 Department: Depar...
- 4/18/2024 12:00:00 AM
Commercial Security Consultant
- Defenders
-
Roanoke, VA
- Company Overview: The next generation of ADT Commercial is here. At Everon, we truly believe that our people are the dif...
- 4/18/2024 12:00:00 AM
Vocational Rehabilitation Counselor
- Department of Veterans Affairs
-
Roanoke, VA
- Summary Vocational Rehabilitation Counselors (VRCs) provide and coordinate a wide range of rehabilitation, counseling, a...
- 4/18/2024 12:00:00 AM
Physician / Surgery - Bariatric / Virginia / Permanent / Bariatric Surgeon Job
- Vohra Wound Physicians
-
Roanoke, VA
- Full and Part-Time Physician Positions with Expanding Wound Care Physician Group Get Your Life Back No Nights, No Call, ...
- 4/15/2024 12:00:00 AM
Internal Revenue Agent (Reviewer - Examiner) Temp NTE 1 Yr., MBE, MBMP 12 MONTH ROSTER (Amended)
- Department Of The Treasury
-
Roanoke, VA
- Duties WHAT IS THE SMALL BUSINESS/SELF EMPLOYED (SBSE) DIVISION? A description of the business units can be found at: ht...
- 4/14/2024 12:00:00 AM
Class A CDL Truck Driver FLATBED - HIRING IMMEDIATELY Up to $100K!
- Western Express
-
ROANOKE, VA
- HAVE YOUR CDL-A? SPEAK WITH A SEATING SPECIALIST TODAY! (888) 404-4790 Real Miles. Real Money. Western Express has immed...
- 4/14/2024 12:00:00 AM
About Roanoke, Virginia
According to the United States Census Bureau, the city has a total area of 42.9 square miles (111.1 km2), of which 42.5 square miles (110.1 km2) is land and 0.3 square miles (0.8 km2) (0.8%) is water.
Roanoke is located in the valley and ridge province of Virginia immediately west of the Blue Ridge Mountains and east of the Allegheny Mountains
Within the city limits is Mill Mountain, which stands detached from surrounding ranges. Its summit features the Roanoke Star, Mill Mountain Zoo, the Discovery Center interpretive building, and an overlook of the Roanoke Valley. The Appalachian Trail runs...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Specialist - Healthcare jobs
$41,624 to $50,579
Roanoke, Virginia area prices
were up 1.2% from a year ago
were up 1.2% from a year ago
What does a Reimbursement Specialist - Healthcare do?
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