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Maganti IT Resources LLC

maganti it resource,5meadow street naugatuck
naugatuck, CT, United States

Phone: 2035670144
Web Site: www.mitresource.com

Company Profile

Director of Clinical Assessment permanent position at Eldersburg, MD


Job ID:



eldersburgh, MD, United States 




per year

Job Views:


Zip Code:


Employment Type:

Full time



Job Description:

Title: Director of Clinical Assessment
Location: Eldersburg, MD
Type: permanent

Job requirement:

• Assisting, planning, developing and reviewing MDS related policies/procedures, programs, and tools and ensuring full and on-going, effective and accurate implementation.

• Developing and implementing programs and processes to ensure that the MDS is completed in an accurate manner and in a process consistent with maintaining all requirements, Medicare regulations and standards of professional practice.

• Performing and managing the denials management process (as part of the Recovery Audit Contractors Audit and other audits).

• Providing system-wide coding quality reviews and assessing audit denials

• Identifying audit appeal strategies and developing focused coder education and auditing programs to improve skills and compliance

• Determining documentation improvement opportunities in order to reduce and/or eliminate future reviews.

• Providing a high-level of technical competency and serving as a subject matter expert regarding documentation, coding, billing, and reimbursement, Medicare regulations, compliance and compliance management.

• Leading special compliance related projects.

• Developing and delivering educational programs, informational materials, work products and tools to departments in order to optimize data quality and appropriate payment methods, improve skills, establish improved physician documentation initiatives, respond to the perceived needs of coding quality reviews, and support the development and implementation of best practices, guidelines and policies to ensure compliance with regulations.

Desired Skills & Experience:

• 5-10 years experience as a community based MDS Coordinator

• 1-3 years experience as a regional MDS Coordinator preferred.

• BSN required, MSN preferred

• AANAC certification required, preference to those certified as a Master Trainer

• Valid licensure as an RN
Should someone need more information I can be reached at sai@mitresource.comor 203-567-0144.

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