Responsibilities:

We are currently seeking a Director of Clinical Documentation Reimbursement (CDR) to join our dynamic team! This position is responsible for the overall operational and strategic planning of the Clinical Documentation and Reimbursement (CDR) Department and Health Information Management (HIM) Department. This position will ensure that all the operational and regulatory requirements are maintained related to the Resident Assessment Instrument (RAI) process. Collaborates with other department heads to utilize objective information from the clinical documentation to drive the highest quality of care. Leads the strategic planning development related to Medicare/ Medicaid reimbursement and Managed Care Case Management. Monitors and incorporates facility wide education plans related to MDS updates, payment reforms and changes to quality measures. Analyzes and tracks data related to MDS item sets to support organizational quality assurance/ performance improvement plan. Audits and tracks all aspects of the RAI process to ensure performance is reflective of NYS DOH regulatory statues and standards. Provides oversight and supervision to all CDR and HIM staff.

This position requires a Bachelor's Degree in Nursing or a Master’s Degree preferred. NYS RN License in related healthcare field a plus.

• Bachelor’s Degree in Nursing required, Master’s Degree preferred.
• NYS RN license required with required following experience a plus:
• Minimum 3 years of Resident Assessment Instrument (RAI) process and SNF reimbursement experience.
• Completion of New York State approved PRI assessor program preferred, RAC-CT preferred.
• Knowledge of Federal and State regulations and NYS nursing standards required. Familiarity with Medicaid and Medicare regulations required.
• Required Experience with data extraction and manipulation required.
• SNF Based Quality Metrics (ie QM, QRP, VBP models)
• Demonstrated strong analytical, project management Skills

Compensation: Min. $135,000 Max. $150,000 Annually

Job Type: Full-time

Pay: $135,000.00 - $150,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Disability insurance
• Flexible schedule
• Free parking
• Health insurance
• Life insurance
• Paid time off
• Parental leave
• Professional development assistance
• Referral program
• Retirement plan
• Travel reimbursement
• Tuition reimbursement
• Vision insurance

Healthcare setting:

• Long term care
• Nursing home
• Rehabilitation center
• Skilled nursing facility

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Work Location: Hybrid remote in Bronx, NY 10471