Regional Clinical Reimbursement Specialist

Regional Clinical Reimbursement Specialist Oakdale Senior Alliance Green Tree, PA Job Details Full-time 21 hours ago Benefits 401(k) Qualifications RN License Nursing Full Job Description Clinical Reimbursement Specialist | Oakdale Seniors Alliance Where Clinical Integrity Meets Strategic Impact Are you an MDS expert who sees the story behind the data? Do you thrive on ensuring that every resident's care is accurately reflected and appropriately reimbursed? At Oakdale Seniors Alliance , we don't just "fill out forms." We are a mission-driven team dedicated to person-centered care, and our Clinical Reimbursement Specialist is at the heart of that mission. We are looking for a sharp, detail-oriented RN who understands that accurate documentation is the key to providing our residents with the resources they deserve. Why Join the Oakdale Team?

Strategic Partnership:

You aren't just an auditor; you are a key partner to our Director of Clinical Reimbursement, helping shape our clinical operations.

Integrity-First Culture:

We value compliance and "doing it right" above all else. You'll work in an environment that supports your high standards.

Professional Empowerment:

We invest in your expertise. Stay at the forefront of PDPM, ICD-10, and CMS changes with a team that values continuous learning.

Comprehensive Rewards:

Competitive salary, robust 401(k), and a benefits package designed to support your life outside of work. The Impact You'll Make Master the

MDS:

You'll lead the way in ensuring MDS assessments are precise, timely, and fully compliant with federal and state regulations. Advocate for

Accuracy:

Collaborate with interdisciplinary teams to ensure every diagnosis and care intervention is captured, supporting proper PDPM classifications.

Educate & Elevate:

Act as a clinical mentor, providing ongoing education to staff on documentation best practices and regulatory shifts.

Drive Quality:

Participate in "triple-check" processes and quality assurance initiatives that keep our facility survey-ready and high-performing. What You Bring to the

Alliance The Credentials:

A current Registered Nurse (RN) license is required.

The Expertise:

2-3 years of dedicated MDS/Clinical Reimbursement experience in a Skilled Nursing (SNF) setting.

The Toolkit:

Deep knowledge of

PDPM, ICD-10

coding, and CMS RAI guidelines.

The Mindset:

You are an analytical problem-solver who can work independently but loves a collaborative "win." Ready to Elevate Your Career? Join an organization that values your clinical insight as much as your analytical mind. Let's ensure our residents receive the exceptional care they deserve by getting the details right. [ - Join the Oakdale Seniors Alliance Family] Oakdale Seniors Alliance is an Equal Opportunity Employer.