MDS Coordinator SUMMARY:

The MDS Coordinator is responsible for the accurate and timely completion of all Medicare/Medicaid case-mix and care plan documentation in order to assure appropriate reimbursement for care and services provided within the Facility. Conducts continual Minimum Data Set (MDS) and care plan reviews to assure completeness, thoroughness, and achievement of the optimal allowable Patient Driven Payment Model (PDPM) and Resource Utilization Group (RUG) categorization. Oversees the overall process and tracking of MDS/Prospective Payment System (PPS) documentation and submission, care plan documentation, and the restorative nursing program. He/she will integrate nursing, dietary, social recreation, restorative, rehabilitation and physician services to ensure appropriate assessment and reimbursement.

ESSENTIAL DUTIES AND RESPONSIBILITIES

: MDS Assessment and Documentation Assesses and determines the health status and level of care of all new admissions. Ensures the accurate and timely completion of all MDS Assessments including PPS Medicare, quarterly, annual, significant change. Maintains an accurate schedule of all MDS assessments to include the proper reference dates throughout the resident's stay. Coordinates interdisciplinary participation in completing the Minimum Data Set (MDS) for each new admission to facility according to regulatory time frames. Ensures completeness and thoroughness of documentation as mandated by federal, state and medical standards. Communicates level of care for new resident to all disciplines. Responsible for the data entry function to assure accurate data entry and electronic submission of MDS assessments. Verifies electronic submissions of MDS, performs corrections when necessary and maintains appropriate records. Generates appropriate forms to complete level of acuity and changes. Transmits forms to the appropriate agency for processing as required by state law. Responsible for all level of care changes within the facility. Notifies all departments when a level of care change has been made. Care Planning and Resident Assessment Completes care plans on admission, quarterly and as needed for each resident according to regulatory time frames. Ensures completeness and thoroughness of documentation as mandated by federal and state standards. Assists disciplines in formulating and revising care plans. Ensures that resident's present/potential problems are identified and prioritized; realistic goals are established and nursing intervention is appropriate. Evaluates resident care plans for comprehensiveness and individuality. Assesses the achievement or lack of achievement of desired outcomes. Ensures that resident's care plan is reassessed and revised appropriately. Reviews and updates care plans and restorative programs quarterly and as needed. Care Conferences and Interdisciplinary Coordination Schedules and conducts resident care conferences in compliance with state and federal regulations and ensures completion of all MDS reviews prior to resident care conference. Attends care planning conferences and makes recommendations. Reports progress of nursing and restorative measures. Attends Interdisciplinary/QAPI meetings as indicated to provide feedback and identify any residents for evaluation of service needs. #ACB NRS