Mds Coordinator Jobs

MAJOR PURPOSE: To promote the capture of appropriate clinical reimbursement for services provided while ensuring highest level of revenue integrity under the guidance of corporate established reimbursement initiatives.

TITLE OF SUPERVISOR : Administrator

TITLE OF IMMEDIATE SUBORDINATES: RAI techs as applicable.

QUALIFICATIONS:

• Ability to successfully train new MDS coordinators and IDT members with varying levels of experience as appropriate.
• Registered nurse with 3+ years reimbursement or similar experience in the LTC industry (preferred).
• Deadline driven, detail-oriented individual with strong analytical capabilities.
• Evidence of effective written, verbal and technological communication.
• Computer literacy (Word, Excel, Power Point, Outlook). Experience with current EMR software a plus.
• Ability to communicate with and elicit support from IDT members at the facility, regional, and corporate level.
• Ability to conduct themselves with a fair, honest, consistent, and professional temperament.
• Ability to apply knowledge in state specific Medicaid and Medicare RUG methodologies.
• Working knowledge of state and federal regulations governing the MDS and billing processes in the LTC setting.
• Demonstrates excellent organization, communication and presentation skills.

WORKING CONDITIONS: Works in appropriately lighted and ventilated environment.

PHSYICAL REQUIREMENTS:

• Can see and hear or use prosthetics that will enable these senses to function adequately to ensure that the requirements of this position can be fully met.
• Must function independently, have flexibility, personal integrity, and the ability to work effectively with residents, personnel, support agencies, and outside agencies.
• Ability to cope with the mental, emotional, and physical stress of this deadline driven position.
• Must be in good health and display emotional stability.
• Must have finger, hand, leg, and arm dexterity (one leg/foot prosthesis acceptable).

PRIMARY FUNCTIONS:

• Effectively communicates documentation pitfalls to department heads, facility leadership as appropriate.
• Coordinates care plan schedules.
• Coordinates and provides strategic Assessment Reference Date (ARD) and completion dates as outlined in Chapter 2 of the Resident Assessment Instrument (RAI) and in accordance with state and federal payment methodologies.
• Collects data to ensure/contribute to the accurate completion and transmission of all required MDS assessments per regulatory guidelines.
• Ensures compliance for all aspects of revenue integrity including but not limited to Physician Certification/Recertification and Denial letters regardless of responsibility to directly issue/manage these tasks.
• Optimizes reimbursement and identifies opportunity through tracking, trending, and analyzing relevant data within the medical record and through staff, resident, and practitioner interviews as necessary.
• Assists with orientation and education of MDS coordinators and IDT members as relates to MDS completion and/or reimbursement processes as necessary.
• Other related duties as assigned.
• Provides facility level presentation/education relevant to primary job functions during monthly/quarterly meetings as appropriate.
• Participates in the interview process for new MDS coordinators as requested/appropriate.
• Promotes, encourages, and facilitates accurate IDT documentation that is representative of the care each patient receives.
• Provides ongoing education and communication to Administrator, clinical and other ancillary staff as relates to current state and federal regulation governing billing and reimbursement or impending changes.
• Chairs revenue related daily/weekly/monthly revenue related meetings such as Daily Revenue, Weekly Medicare/CMI, and Triple Check meetings.
• Assists IDT with interpretation, education and process development as relates to Quality Measure management as appropriate.
• Ensures IDT updates/revisions of the comprehensive Care plan with each MDS completion.
• Serves/Aspires to serve, as the subject matter expert in regard to MDS completion and its impact on quality of care and revenue.
• Responds promptly to facility and regional team inquiry and communication related to MDS, reimbursement and billing processes.
• Develops comprehensive care plans per federal regulation based on data collection, MDS and CAA completion and resident/staff interviews as necessary/appropriate.

Full vaccination against COVID-19 or a medical/religious exemption is required.

Salary/ Wage Range

Compensation for the role will depend on a number of factors, including a candidate’s qualifications, skills, competencies and experience and may fall outside of the range shown.

Benefits:

• Paid Time Off
• Disability Insurance
• Educational Assistance for full-time or part-time employees pursuing educational opportunities that will increase the employee’s qualifications and skills in the nursing field, such as an LPN or RN.
• Accident coverage, Hospital Indemnity coverage, Critical Illness coverage
• Dental Insurance
• Basic Term Life and AD&D Insurance & Voluntary Term Life and AD&D Insurance
• Health Insurance
• Wellness Program
• Vision Insurance
• 401(k)

Schedule:

• 8 hour

Education:

• Associate's
• Bachelor's (Preferred)

Experience:

• MDS: 2 years (Preferred)
• Skilled Nursing Home LTC: 2 years (Preferred)

License/Certification:

• State licensure as a Registered Nurse (RN) or Licensed Practical Nurse (LPN)

Work Location: One location

We are committed to maintaining a diverse and inclusive workplace. We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, gender, gender identity, age, disability or protected veteran status. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for our job opportunities.

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