About Fairbanks Denali Center Located next to Fairbanks Memorial Hospital, Denali Center is a 90-bed comprehensive short and long-term care facility offering uniquely compassionate care to our adult patient population. Following the Eden Alternative, we foster a core belief that aging should be a continued stage of development and growth, rather than a period of decline. Within our inviting setting, we provide residents with access to daily activities, visits from friends and family, a place to worship and on-site shopping options. We also provide our dedicated health care professionals with deeply rewarding career opportunities and fulfilling lifestyle options.
This position is responsible for assuring the completion of all documentation, data entry and transmission in compliance with defined regulations and requirements to assure appropriate federal and/or state reimbursement. The position also measures quality of care and services utilizing established quality indicators, and assists management in quality management and performance improvement.
Plans, organizes develops and coordinates the completion of documentation and the input of patient assessment data as required by federal and/or state regulations for reimbursement. Assures accurate transmission of data in accordance with regulations and maintains a compliance log of transmissions.
Maintains, updates and revises required documentation according to patient changes in condition, as regulated by federal and/or state guidelines. Effectively communicates and coordinates with members of the interdisciplinary team regarding appropriate functional/care level and transition to another level. Advises patients of rights regarding information transmitted.
Performs audits related to the reimbursement documentation and the quality management process. Reviews audit results and presents summary information for management utilization and review.
Assists in ensuring compliance from a risk management/regulatory perspective through early identification of clinical events or trends, including root cause analysis and risk reduction strategy. Provides data management and summary information regarding clinical decisions for benchmarking and comparative analysis.
Maintains education and updated knowledge of federal and state regulations in order to assure appropriate reimbursement. Provides education and guidance to the interdisciplinary team regarding regulations, reimbursement system, and associated documentation to assure maximum reimbursement levels.
Performs all functions according to established policies, procedures, regulatory and accreditation requirements, as well as applicable professional standards. Provides all customers of Foundation Health with an excellent service experience by consistently demonstrating our core and leader behaviors each and every day.
Depending on patient care area supported and state regulations, requires: Registered Nurse (R.N.) licensure in state of practice; OR Graduate from an accredited school and licensure in state of practice as Physical Therapist, Occupational Therapist, or Speech Pathologist.
Requires a proficiency level typically attained with 3 years clinical nursing or rehabilitation therapy experience. Must have good communication skills. Must have strong organization skills and be able to work independently. Knowledge of quality improvement processes with an emphasis on clinical documentation standards, auditing, and reimbursement process.
Additional related education and/or experience preferred.
Foundation Health Partners is an EEO/AAP employer;qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status.
About Fairbanks Memorial Hospital
Fairbanks Memorial Hospital is a non-profit facility owned by the Greater Fairbanks Community Hospital Foundation. A Joint Commission-accredited facility with 152 licensed beds, Fairbanks Memorial Hospital is the primary referral center for residents of Alaska's interior. We have a strong patient to nurse ratio and a culture of Shared Leadership. In addition to... our exceptional clinical environment, our location offers incomparable lifestyle rewards away from work. In Fairbanks, small-town living, spectacular natural beauty and endless recreation combine to create a one-of-a-kind place to live, work and play.