Director of MDS

Director of MDS at Pride Health Director of MDS at Pride Health in Pelham, New York Posted in 4 days ago.

Type:

full-time

Job Description:

Director of Clinical Documentation & Reimbursement (MDS) -

Full Time Location:

Bronx, NY Job Type:

FTE/Permanent A leading senior care campus in the Bronx is seeking an experienced Director of Clinical Documentation & Reimbursement to lead the MDS and HIM departments. This leadership role is responsible for overseeing the RAI process, ensuring regulatory compliance, and driving reimbursement accuracy through strong clinical documentation and data analysis. Position Overview This role provides operational and strategic leadership for Clinical Documentation (MDS) and Health Information Management (HIM). The Director will ensure compliance with all federal and NYS regulations related to the RAI process while optimizing Medicare, Medicaid, and Managed Care reimbursement through accurate documentation, education, and quality monitoring. Key Responsibilities Lead and oversee MDS and HIM teams Ensure full compliance with RAI process and NYS DOH standards Drive Medicare/Medicaid and Managed Care reimbursement strategy Analyze MDS data to support Quality Assurance & Performance Improvement (QAPI) Develop and implement facility-wide education on MDS updates, payment reforms, and quality measures Audit documentation practices to ensure accuracy and regulatory adherence Collaborate with department leaders to enhance quality of care through clinical data insights Qualifications BSN required; MSN preferred Active NY RN license required Minimum 3 years of SNF reimbursement and RAI process experience PRI Assessor certification preferred; RAC-CT preferred Strong knowledge of Medicare, Medicaid, and NYS nursing regulations Experience with data extraction, analysis, and quality metrics (QM, QRP, VBP) Proven leadership, analytical, and project management skills Excellent communication and team leadership abilities

Compensation & Benefits Annual Salary:

$150,000 Comprehensive benefits package including health insurance, retirement plans, PTO, and professional development Interested? Apply Today! If you have strong MDS leadership experience and a passion for quality, compliance, and reimbursement optimization in a SNF setting, we'd love to connect with you. Submit your resume now for immediate consideration.