Dallas, Texas, United States · On-site
Job DetailsJob Location: INNOVATIVE NURSE CONSULTING LLC - DALLAS, TX 75219Job Shift: AnyRegional Clinical Reimbursement Specialist As a Regional Clinical Reimbursement Specialist, you will travel daily to facilities in …
Skills: Medical Records Review, MDS Coding, Clinical Reimbursement, Regulatory Compliance, Case Management
Dallas, Texas, United States · Remote OK
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Dallas, Texas, United States · Remote Solely
$48/hr–$91/hr
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Dallas, Texas, United States · On-site
$55k–$70k/yr
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Dallas, Texas, United States · On-site
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Dallas, Texas, United States · On-site
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Dallas, Texas, United States · On-site
WHY UT SOUTHWESTERN? With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned medical and research center, we str…
Skills: Procurement, Supply Chain Management, Purchase Orders, ERP Systems, PeopleSoft
Dallas, Texas, United States · On-site
$20/hr–$25/hr
Description Employment type: Full Time Why This Role Matters Join Pelvic Rehabilitation Medicine as a Medical Assistant and play a crucial role in transforming care for patients suffering from persistent pelvic pain. We …
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Dallas, Texas, United States · On-site
$21/hr–$31/hr
As a Food Service Assistant at Bezos Academy, you’ll help provide nutritious, compliant meals to children at our tuition-free, Montessori-inspired preschool and provide direct support with a variety of additional tasks b…
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Dallas, Texas, United States · On-site
The Learning Operations Specialist is responsible for the day-to-day administration, configuration, and optimization of the company’s Learning Management System (LMS) and its integrated third-party content libraries. Thi…
Skills: LMS Administration, Learning Operations, Content Curation, Data Analysis, Technical Support
Dallas, Texas, United States · On-site
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Skills: Data Tabulation, Statistical Analysis, Data Curation, Library Research, Protocol Preparation
Dallas, Texas, United States · On-site
Overview Merchandise Assistant The Merchandise Assistant provides the Business Unit with diversified analytical, project and efficient administrative assistance support. The successful candidate must be a self-star…
Skills: Sample Management, Data Entry, Project Coordination, Administrative Support, MS Word
Dallas, Texas, United States · Hybrid
Modern Family Law, a rapidly expanding national law firm specializing in Family Law, is seeking a hybrid Senior Family Law Paralegal to join our Dallas, TX office. Modern Family Law is seeking a Paralegal to handle diver…
Skills: Family Law, Case Management, E-filing, Legal Writing, Client Advocacy
Dallas, Texas, United States · On-site
Austin Industries is one of the nation’s largest, most diversified U.S.-based construction companies. With more than 8,000 employee-owners, Austin Industries provides nearly every type of civil, commercial and indu…
Skills: Executive Support, Calendar Management, Travel Coordination, Microsoft Office Suite, Event Planning
Dallas, Texas, United States · On-site
$25/hr–$30/hr
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Skills: Expense Reporting, Travel Coordination, Data Entry, Data Validation, Microsoft Outlook
Dallas, Texas, United States · On-site
$18/hr–$22/hr
Performs a variety of complex support tasks which may include: processing a variety of documents; drafting routine correspondence; resolving questions and problems; providing information; researching files and records; a…
Skills: Document Processing, Correspondence Drafting, Records Research, Customer Service, Typing
Dallas, Texas, United States · On-site
WHY UT SOUTHWESTERN? With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned medical and research center, we str…
Skills: Procurement, Supply Chain Management, Purchase Orders, ERP Systems, PeopleSoft
Dallas, Texas, United States · On-site
Overview If you’d be excited to work in a field that specializes in attention to detail, all while learning about new products, consider a Back Up Scan Coordinator position at Sprouts Farmers Market. As one of the …
Skills: Attention To Detail, Analytical Skills, Organizational Skills, Mathematical Skills, Microsoft Office
Dallas, Texas, United States · On-site
WHY UT SOUTHWESTERN? With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned medical and research center, we str…
Skills: Administrative Support, Service Functions, Project Assistance, Departmental Support
Dallas, Texas, United States · On-site
800x600 Normal 0 false false false EN-US X-NONE X-NONE MicrosoftInternetExplorer4 External Applicants: Please apply through Prosperity Bank's Career Center at https://www.prosperitybankusa.com/Careers. Applying through a…
Skills: Financial Services, Account Management, Cross Selling, Customer Relationship Management, Consumer Loans
Dallas, Texas, United States • On-site
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The role involves providing executive oversight of the MDS program and directing facility teams to ensure clinical reimbursement aligns with state and federal regulations. Key duties include reviewing medical records for compliance and developing clinical evidence for appeal arguments.
Candidates must be a graduate of an accredited school of nursing with a valid state nursing license. Experience in geriatric long-term care nursing documentation, MDS coding, and knowledge of Medicare/Medicaid reimbursement requirements is required.
Job DetailsJob Location: INNOVATIVE NURSE CONSULTING LLC - DALLAS, TX 75219Job Shift: AnyRegional Clinical Reimbursement Specialist
As a Regional Clinical Reimbursement Specialist, you will travel daily to facilities in your Region to promote, plan, organize, develop, coordinate, and direct our facility teams in support of Clinical Reimbursement in accordance with State and federal regulatory requirements and our company’s established policies and procedures to assure that the highest degree of quality resident care and safety be maintained.
You will work under the direction of the Director of Clinical Reimbursement and be responsible for the executive oversight of the administration, clinical planning, development, and operations of the MDS program. This position supports regional and facility employees in all aspects of care management.
Medical records review utilizing clinical and regulatory knowledge to determine required supporting documentation
Clinical nursing review of patient records for compliance with facility practices and procedures as directed
Flexibly manage tasks to meet deadlines by re-prioritizing workflows in a production-oriented setting
Employ critical thinking to identify/resolve issues and provide timely feedback regarding medical review processes
Develop appeal arguments using clinical evidence, supporting references/regulations, and participate in appeal hearings by providing testimony, as required
Determine regulatory and clinical support for appeal arguments when pre-existing resources are unavailable
Proficiently review and synthesize abstract information from handwritten/electronic medical records to support claims
Agree not to disclose assigned user ID code and password for accessing resident/facility information and promptly report suspected or known violations of such disclosure to the Director of Medical Records.
Agree not to disclose resident’s protected health information and promptly report suspected or known violations of such disclosure to the Director of Medical Records.
Report any known or suspected unauthorized attempt to access facility’s information system to Director of Medical Records.
Attend and participate in mandatory in-service training programs, workshops, seminars, etc., as approved / delegated.
Must be a graduate of an accredited school of nursing, currently registered with a state agency for nursing licensure, and hold a valid license in the state he/she is employed.
Experience in geriatric/long-term care nursing documentation, Minimum Data Set (MDS) coding, and/or medical necessity reviews/appeals. Working knowledge of regulatory and payer requirements for reimbursement and reason(s) for denial of claims for Medicare, Medicare Advantage, or Medicaid.
Completion of continuing education on subjects related to case management, regulatory requirements, restorative nursing, medical records documentation, legal aspects of documentation, reimbursement, and compliance.
Analytical - Synthesizes complex or diverse information using experience and judgement to complement data
Problem Solving – Identifies/resolves problems in a timely manner; develops solutions; works well in group problem solving situations
Communication – Speaks/writes clearly and informatively; listens and gets clarification; responds well to questions; demonstrates group presentation skills, edits work for spelling and grammar; varies writing style to meet needs
Quality - Demonstrates accuracy and thoroughness; excellent attention to detail with a critical eye to catch/correct mistakes and errors; applies feedback to improve performance; monitors own work to ensure quality
Character - Demonstrates integrity in every aspect of work and dealing with others; consistently models desired behaviors and values established by the company; respects diversity of perspective in discussions and demonstrates an inclusive style; demonstrates concerns for job safety for self and others
Organizational Support - Follows policies and procedures; completes administrative tasks correctly and on time; supports organization's goals and values
Dependability - Follows instructions and responds to management direction; takes responsibility for own actions; keeps commitments and completes tasks on time or notifies appropriate person with an alternate plan
Delivering superior care to each community we serve
Priority Management is a long-term care company. Our residential facilities offer the best in round-the-clock skilled nursing care.
Offices: Dallas, TX, US
There are currently 2,404 open administrative positions in Dallas, TX listed on Clera. New openings are added daily as companies post roles.
Companies currently hiring include University of Texas Southwestern Medical Center, Dallas County, Methodist Health System, RPM Living, Baylor Scott & White Health, among others. Browse the listings above to see every active employer.
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