Job Overview
We are seeking a dedicated and detail-oriented MDS Coordinator to join our healthcare team. In this vital role, you will oversee the comprehensive assessment and documentation of patient care needs within skilled nursing facilities, ensuring compliance with federal and state regulations. Your expertise will facilitate accurate Medicare and Medicaid reimbursement, support quality improvement initiatives, and enhance patient outcomes. This position offers an exciting opportunity to impact patient care directly while working within a collaborative and innovative environment.
Responsibilities
- Conduct thorough Minimum Data Set (MDS) assessments for residents in accordance with CMS (Centers for Medicare & Medicaid Services) guidelines, including the latest ICD-10 coding standards.
- Collaborate with interdisciplinary teams such as nursing, therapy, social work, and medical staff to gather comprehensive clinical information.
- Review medical records, clinical documentation, and physician orders to ensure accuracy and completeness of data for MDS submissions.
- Coordinate with healthcare providers to ensure timely completion of assessments, discharge planning, and care plan updates aligned with NCQA standards.
- Utilize EMR (Electronic Medical Records) systems like Epic, Cerner, or Athenahealth to document assessments and manage medical records efficiently.
- Stay current on regulatory changes related to Medicare, Managed Care, HIPAA compliance, and utilization management policies affecting MDS processes.
- Support quality assurance initiatives by analyzing data trends from MDS assessments to identify opportunities for clinical documentation improvement and case management enhancements.
Skills
- Extensive knowledge of MDS processes, ICD-10/ICD-9 coding, CPT coding, DRG assignment, and reimbursement methodologies such as Medicare and Managed Care programs.
- Proficiency in EMR/EHR systems including Epic, Cerner, Athenahealth, or eClinicalWorks; experience with health information management is highly desirable.
- Strong understanding of clinical documentation improvement strategies and utilization review practices within inpatient, outpatient, hospice care, or skilled nursing settings.
- Critical care experience such as ICU or Level I/II trauma center background is preferred; familiarity with acute care environments enhances effectiveness.
- Excellent knowledge of medical terminology, anatomy, physiology, and nursing practices related to patient care across diverse settings including pediatrics, primary care, PICU, or emergency medicine.
- Ability to interpret complex medical records accurately while ensuring compliance with HIPAA regulations and NCQA standards.
- Effective communication skills for collaborating with multidisciplinary teams and educating staff on documentation requirements; case management experience is a plus. Join our team to make a meaningful difference in patient lives through precise documentation and quality-focused care coordination!
Pay: $70,000.00 - $75,000.00 per year
Benefits:
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Professional development assistance
- Vision insurance
Work Location: In person
