Regional RAI Specialist (Clinical Reimbursement) Job at Confidential Healthcare Facility, Jasper, IN

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  • Confidential Healthcare Facility
  • Jasper, IN

Job Description

Regional RAI Specialist (Clinical Reimbursement) – Evansville, Jasper and Yorktown, IN (This position is NOT REMOTE)

We are seeking an experienced Regional RAI Specialist to support skilled nursing facilities in and around the Evansville, Jasper and Yorktown areas. This role focuses on clinical reimbursement, MDS accuracy, and regulatory compliance, making it ideal for a detail-oriented professional with a strong understanding of the RAI process and a commitment to ensuring optimal reimbursement and quality care.

Benefits:
Competitive salary and benefits package
Travel reimbursement
Opportunities for professional growth
Supportive regional leadership team
Responsibilities:
Provide MDS guidance and support to facility-based MDS Coordinators, ensuring compliance with state and federal regulations
Assist in the accurate completion and timely submission of MDS assessments
Conduct audits to ensure compliance with reimbursement guidelines and clinical documentation standards
Educate facility teams on evolving regulatory changes, reimbursement protocols, and best practices
Collaborate with interdisciplinary teams to enhance clinical outcomes and financial performance
Support facilities in optimizing case mix, PDPM reimbursement, and quality measures
Requirements:
Active RN or LPN license
Minimum of five years of MDS/RAI experience in a skilled nursing setting
Strong knowledge of PDPM, Medicare/Medicaid reimbursement, and regulatory guidelines
Experience in training and educating MDS teams

If you are an experienced clinical reimbursement professional looking for a regional leadership role, we encourage you to apply today!

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