Find & Apply For Clinical Analyst / Clinical Documentation and Improvement Specialist Jobs in Maywood, New Jersey

Major Duties and Responsibilities Coordination of the facility's Resident Assessment Instrument (RAI) process in accordance with state and federal regulations. Accurate completion of all MDS assessments and any supporting assessments or clinical documentation. Implementation and ongoing evaluation of each resident's comprehensive plan of care. Scheduling and leading interdisciplinary care plan team meetings. Auditing medical records for the presence of supporting documentation for all items coded on the MDS. Provide education to department heads, physicians, and other staff as needed. Collaborating with health plans, physicians and the interdisciplinary team for assuring insurance approvals and/or that residents meet eligibility and coverage criteria. Interpreting rules, regulations and coverage guidelines and acting as primary resource for problem solving in regards to the SNF prospective payment system and quality reporting program