Job Summary
We are seeking a highly skilled and detail-oriented MDS Coordinator to join our healthcare team. The ideal candidate will possess extensive knowledge of the Minimum Data Set (MDS) process, long-term care regulations, and healthcare documentation standards. As an MDS Coordinator, you will be responsible for ensuring accurate and timely completion of resident assessments, facilitating compliance with federal and state regulations, and supporting quality improvement initiatives. Your expertise in clinical documentation, coding, and utilization review will be vital to optimizing patient care and reimbursement processes.
Responsibilities
- Conduct comprehensive assessments of residents using the MDS tool to capture clinical information accurately.
- Collaborate with interdisciplinary teams to ensure documentation aligns with clinical standards and regulatory requirements.
- Review medical records and documentation for completeness, accuracy, and compliance with CMS (Centers for Medicare and Medicaid Services) guidelines.
- Ensure timely submission of MDS assessments and related documentation within mandated deadlines.
- Support discharge planning, care planning, and case management activities through precise data collection.
- Maintain proficiency in EMR/EHR systems such as Epic, Cerner, or Athenahealth to facilitate efficient documentation management.
- Stay current on healthcare regulations including HIPAA, long-term care regulations, and NCQA standards to ensure ongoing compliance.
- Participate in audits, quality assurance activities, and performance improvement initiatives related to clinical documentation.
Requirements
- Proven experience in long-term care facilities, nursing homes, or skilled nursing environments with a focus on MDS coordination.
- Strong knowledge of Medicare regulations, ICD-10/ICD coding, CPT coding, DRG assignment, and utilization management processes.
- Familiarity with electronic health record (EHR) systems such as Epic, Cerner, or eClinicalWorks; experience with EMR systems is highly preferred.
- Critical care or ICU experience is advantageous; inpatient or hospital experience is also valuable.
- Excellent understanding of medical terminology, anatomy, physiology, and clinical documentation improvement practices.
- Knowledge of health regulation policies including CMS guidelines, HIPAA compliance standards, and state healthcare regulations.
- Ability to analyze medical records critically and review documentation for accuracy and completeness.
- Strong organizational skills with the capacity to manage multiple priorities efficiently while maintaining attention to detail.
- Effective communication skills for collaboration with multidisciplinary teams including nursing staff, physicians, case managers, and external auditors.
Join our dedicated team committed to delivering exceptional patient care through precise documentation and regulatory excellence!
Pay: $38.02 - $45.79 per hour
Work Location: In person
