Overview Join our dynamic healthcare team as a full-time MDS (Minimum Data Set) Coordinator, where you'll play a vital role in ensuring accurate, compliant, and timely completion of resident assessments within long-term care and skilled nursing facilities. This position offers an exciting opportunity to utilize your clinical expertise, critical thinking, and knowledge of healthcare regulations to improve patient care quality and support facility operations. You will be instrumental in coordinating comprehensive assessments that meet federal and state guidelines, including CMS (Centers for Medicare and Medicaid Services) standards, while collaborating with interdisciplinary teams to optimize resident outcomes. Duties Conduct thorough assessments using the MDS process to evaluate residents' clinical status, functional capabilities, and care needs. Ensure all documentation aligns with clinical documentation standards, medical terminology, and regulatory requirements such as HIPAA and long-term care regulations. Review medical records, physician notes, and other clinical documentation to accurately complete MDS items, including CPT coding, ICD-9/ICD-10/ICD coding, and DRG (Diagnosis-Related Group) assignments. Collaborate with nursing staff, case managers, therapists, and physicians to gather pertinent information for accurate assessments. Maintain compliance with Medicare regulations and CMS guidelines by submitting timely assessments for reimbursement purposes. Support utilization management and review processes by providing detailed documentation review and ensuring appropriate coding for billing accuracy. Participate in discharge planning, hospice care coordination, and post-acute care transitions to promote seamless patient care continuity. Stay updated on health regulation policies including NCQA standards and state healthcare regulations to ensure ongoing compliance. Requirements Proven experience with MDS processes within long-term care or skilled nursing environments; ICU or hospital inpatient experience is highly valued. Strong knowledge of medical terminology, anatomy, physiology, and clinical documentation standards. Familiarity with EMR/EHR systems such as Cerner, Epic (eClinicalWorks), or Athenahealth; proficiency in Microsoft Office is preferred. Experience with Medicare regulations, CMS guidelines, ICD coding (ICD-9/ICD-10), CPT coding, DRG assignment, and utilization review procedures. Critical care or acute care experience demonstrating the ability to assess complex patient conditions accurately. Knowledge of HIPAA compliance and state healthcare regulations governing long-term care facilities. Excellent communication skills for effective collaboration with multidisciplinary teams and clear documentation review. Ability to manage multiple priorities efficiently while maintaining attention to detail in a fast-paced environment. Join us in making a meaningful difference by ensuring high-quality resident care through meticulous assessment practices! We are committed to fostering a supportive environment that values your expertise while offering opportunities for professional growth in the evolving healthcare landscape.

Pay:

$45.00 - $50.00 per hour

Benefits:

Dental insurance Health insurance Vision insurance

Work Location:

In person