MDS Coordinator

Job Summary

We are seeking a highly skilled and detail-oriented MDS (Minimum Data Set) Coordinator to join our healthcare team. The ideal candidate will possess a comprehensive understanding of clinical documentation standards, long-term care regulations, and healthcare coding practices. As an MDS Coordinator, you will be responsible for coordinating the assessment, documentation, and compliance processes related to resident care and regulatory requirements. Your expertise will ensure accurate data collection and reporting to support quality patient care and reimbursement processes.

Responsibilities

• Review and analyze medical records, clinical documentation, and assessments to ensure accuracy and completeness in accordance with federal and state regulations.
• Coordinate the completion of the Minimum Data Set (MDS) assessments for residents in long-term care facilities, ensuring timely submission in compliance with CMS (Centers for Medicare and Medicaid Services) guidelines.
• Collaborate with interdisciplinary teams including nursing, therapy, social services, and medical staff to gather necessary information for comprehensive assessments.
• Ensure adherence to clinical documentation standards, HIPAA regulations, and healthcare policies related to medical records management.
• Utilize EMR (Electronic Medical Records) systems such as Epic, Cerner, or Athenahealth to document, review, and update resident information accurately.
• Conduct documentation reviews to identify gaps or discrepancies that could impact reimbursement or quality reporting; implement corrective actions as needed.
• Maintain knowledge of ICD-10/ICD coding, CPT coding, DRG (Diagnosis-Related Group) assignments, and Medicare regulations to optimize billing accuracy.
• Support utilization management initiatives by reviewing patient data for appropriate level of care decisions and discharge planning processes.
• Stay informed about updates in healthcare regulations including HEDIS standards, NCQA (National Committee for Quality Assurance) requirements, and long-term care policies.
• Participate in staff training on clinical documentation improvement strategies and regulatory compliance standards.

Qualifications

• Proven experience with MDS coordination within long-term care or skilled nursing facilities; ICU or hospital experience is a plus.
• Strong knowledge of CMS regulations, Medicare guidelines, HIPAA compliance, and state healthcare policies governing medical records management.
• Proficiency in EMR/EHR systems such as Epic, Cerner, Athenahealth, or eClinicalWorks; experience with Microsoft Office Suite is required.
• In-depth understanding of ICD-10/ICD coding, CPT coding, DRG assignments, and utilization review processes.
• Excellent analytical skills with attention to detail in documentation review and data accuracy.
• Effective communication skills for collaboration with multidisciplinary teams across various healthcare settings.
• Background in nursing or health information management is preferred; clinical experience in acute care or long-term care environments is highly desirable.
• Knowledge of physiology, anatomy, medical terminology, and clinical documentation standards essential for accurate assessments.

Join our dedicated team as an MDS Coordinator to ensure excellence in resident care documentation while supporting regulatory compliance and optimal reimbursement outcomes!

Pay: $36.56 - $44.03 per hour

Expected hours: 30.0 – 45.0 per week

Benefits:

• Dental insurance
• Disability insurance
• Flexible schedule
• Flexible spending account
• Free parking
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Referral program
• Travel reimbursement
• Vision insurance

Work Location: In person