Director of Facility Based Clinical Reimbursement

Job description

Director of Facility-Based Clinical Reimbursement Hillcrest Health & Living is seeking an experienced and strategic Director of Facility-Based Clinical Reimbursement (RN) to lead and oversee all reimbursement-related functions across our post-acute and long-term care communities. This individual will serve as a key resource for ensuring compliance, accuracy, and optimization of the MDS and PDPM processes, while supporting our mission of Inspiring people to live their best lives. Key Responsibilities: - Provide leadership and oversight to facility MDS coordinators and reimbursement staff across all Hillcrest locations. - Ensure accurate, timely completion and submission of MDS assessments in accordance with federal and state regulations. - Monitor and analyze reimbursement data to identify trends, risks, and opportunities for revenue optimization. - Serve as a subject matter expert on PDPM, Medicare, Medicaid, and payer-specific reimbursement systems. - Develop and implement policies and procedures to ensure consistent documentation and coding practices. - Partner with clinical and financial leaders to align care documentation with reimbursement compliance. - Conduct regular audits...