MDS Coordinator

Overview

We are seeking a highly motivated and detail-oriented MDS Coordinator to join our dynamic healthcare team. In this vital role, you will oversee the comprehensive assessment process for residents in long-term care facilities, ensuring compliance with federal and state regulations. Your expertise will support quality patient care, accurate clinical documentation, and seamless coordination across multidisciplinary teams. This position offers an exciting opportunity to make a meaningful impact on patient outcomes while working in a collaborative environment that values innovation and excellence.

Duties

• Conduct thorough Minimum Data Set (MDS) assessments for residents, ensuring accuracy and completeness in accordance with CMS (Centers for Medicare and Medicaid Services) standards and clinical documentation standards.
• Review medical records, clinical documentation, and care plans to verify compliance with HIPAA, health regulation policies, and long-term care regulations.
• Collaborate with nursing staff, physicians, social workers, and case managers to gather pertinent information for MDS coding and documentation review.
• Ensure timely completion of assessments to meet regulatory deadlines and facilitate appropriate reimbursement under Medicare and Medicaid programs.
• Utilize EMR/EHR systems such as Cerner or Athenahealth to document assessments, update resident records, and manage electronic health records management efficiently.
• Apply CPT coding, ICD-9/10 coding, DRG (Diagnosis-Related Group) classification, and other medical coding practices to support accurate billing and reimbursement processes.
• Participate in discharge planning, utilization review, and clinical documentation improvement initiatives to optimize patient care quality and regulatory compliance.
• Maintain up-to-date knowledge of healthcare regulations including NCQA standards, HEDIS measures, CMS guidelines, and state healthcare regulations to ensure ongoing compliance.

Experience

• Proven experience in long-term care settings such as nursing homes or skilled nursing facilities with a strong understanding of Medicare regulations and long-term care policies.
• Demonstrated expertise in clinical documentation improvement (CDI), utilization management, and medical management processes.
• Extensive knowledge of EMR/EHR systems like Cerner or Athenahealth; proficiency in Microsoft Office Suite is preferred for reporting and documentation purposes.
• Critical care experience or ICU background is highly desirable to understand complex patient physiology and acute care documentation requirements.
• Familiarity with medical terminology, anatomy knowledge, physiology concepts, and medical records management is essential for accurate assessment review.
• Experience with inpatient or outpatient settings including hospital or trauma center environments enhances understanding of acute care workflows.
• Strong case management skills combined with knowledge of home care services, hospice care protocols, discharge planning procedures, and emergency medicine practices will be advantageous.
• Knowledge of HIPAA regulations along with state healthcare laws ensures confidentiality and compliance in all aspects of medical documentation review.

Join us as an MDS Coordinator where your expertise will directly influence the quality of patient care while supporting our mission to deliver exceptional healthcare services!

Pay: $80,000.00 - $86,000.00 per year

Work Location: In person