Job Overview
We are seeking an energetic and detail-oriented MDS Coordinator to join our healthcare team, dedicated to ensuring accurate and timely completion of the Minimum Data Set (MDS) assessments. In this vital role, you will coordinate interdisciplinary efforts to evaluate patient care needs, ensure compliance with healthcare regulations, and optimize reimbursement processes. Your expertise will directly impact patient outcomes, quality of care, and regulatory adherence across long-term care facilities, skilled nursing centers, and other inpatient settings. This position offers an exciting opportunity to contribute to clinical documentation improvement and enhance the overall quality of patient care.
Responsibilities
- Lead the comprehensive assessment process by coordinating with nursing staff, physicians, social workers, and other healthcare professionals to gather accurate clinical data for MDS documentation.
- Review and analyze medical records, clinical notes, and treatment plans to ensure compliance with federal and state regulations such as CMS guidelines and long-term care regulations.
- Ensure timely completion and submission of MDS assessments in accordance with regulatory deadlines, maintaining adherence to HIPAA privacy standards.
- Utilize EMR/EHR systems like Epic, Cerner, Athenahealth, or eClinicalWorks to document patient information accurately and efficiently.
- Conduct documentation review for accuracy and completeness, ensuring alignment with clinical documentation standards and coding requirements such as ICD-10/ICD-9/ICD coding, CPT coding, DRG assignment, and utilization management.
- Collaborate with interdisciplinary teams on discharge planning, case management, and patient care strategies to optimize health outcomes.
- Stay current on healthcare policies including Medicare regulations, NCQA standards, CMS guidelines, and long-term care policies to ensure ongoing compliance.
Qualifications
- Proven experience in medical documentation review within long-term care facilities or hospitals; ICU or trauma center experience is highly desirable.
- Strong knowledge of clinical terminology, physiology, anatomy, and medical records management.
- Familiarity with EMR/EHR systems such as Epic, Cerner, Athenahealth or eClinicalWorks; proficiency in Microsoft Office is preferred.
- Experience with Medicare regulations, CMS guidelines, HIPAA compliance, and health regulation policies.
- Knowledge of ICD-10/ICD-9 coding systems along with CPT coding for accurate reimbursement processing.
- Background in utilization review, clinical documentation improvement (CDI), case management or medical management roles preferred.
- Excellent organizational skills with the ability to manage multiple priorities in a fast-paced environment while maintaining attention to detail.
- Strong communication skills for effective collaboration with multidisciplinary teams across inpatient and outpatient settings.
Join us in making a meaningful difference by ensuring high-quality patient care through precise clinical documentation! This role is integral to our commitment to excellence in healthcare delivery while supporting your professional growth in a dynamic environment focused on innovation and compliance.
Benefits:
- Dental insurance
- Free parking
- Health insurance
- Paid time off
- Travel reimbursement
- Vision insurance
Work Location: In person
