RN: Director of Clinical Documentation Reimbursement - TAG MedStaffing

Job Overview - RN: Director of Clinical Documentation Reimbursement:
We are seeking a dedicated and skilled RN: Director of Clinical Documentation Reimbursement to join our team in Bronx, NY. This role is integral to ensuring the highest quality of care and compliance with all regulatory requirements.

Location: Bronx, NY
Compensation: $135,000 - $150,000/year
Schedule: 9:00 AM to 5:00 PM, Monday to Friday

Responsibilities as the RN: Director of Clinical Documentation Reimbursement:

• Operational Management: Oversee the operations and strategic planning of the Clinical Documentation and Reimbursement (CDR) and Health Information Management (HIM) Departments.
• Regulatory Compliance: Ensure compliance with regulatory requirements related to the Resident Assessment Instrument (RAI) process.
• Collaboration: Work with other department heads to use clinical documentation for high-quality care.
• Strategic Planning: Lead planning related to Medicare/Medicaid reimbursement and Managed Care Case Management.
• Education and Training: Implement education plans for MDS updates, payment reforms, and quality measure changes.
• Data Analysis and Auditing: Analyze and track MDS data, conduct audits to ensure compliance with NYS DOH standards.

Qualifications for the RN: Director of Clinical Documentation Reimbursement:

• Education: Bachelor's Degree in Nursing required; Master’s Degree preferred.
• Licensing: NYS RN License required.
• Experience: Minimum 3 years of experience with the RAI process and SNF reimbursement. Knowledge of Medicaid and Medicare regulations is essential.
• Certifications: New York State approved PRI assessor program completion and RAC-CT certification preferred.
• Skills: Strong analytical and project management skills. Proficient with data extraction, SNF quality metrics, and compliance with Federal and State regulations.

Application Notice: Qualified candidates will be contacted within 2 business days of application. If an applicant does not meet the above criteria, TAG MedStaffing will keep your resume on file for future opportunities and may contact you for further discussion.