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Clinical Reimbursement Specialist
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- Responsible for the MDS/PPs documentation and submission function.
- Processes and ensures MDS/PPS documentation of resident care will meet all federal and state regulations and will maximize reimbursement to The Loomis Communities.
- Oversees, coordinates, completes and ensures electronic submission of the nursing center MDS/PPS assessment process for all residents accurately and timely with honesty and transparency.
- Acts as a clinical resource and collaborates with rehabilitation, nursing, clinical liaison and billing departments with fiscal prudence to maximize reimbursement, keeping residents, families and staff informed of changes.
- Participates in CARF/CCAC, OSHA, OBRA, DPH and other surveys/inspections, ensuring their readiness.
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