Assistant Director of Nursing / MDS Coordinator

Overview Join our dynamic healthcare team as an Assistant Director of Nursing / MDS Coordinator, where you will play a pivotal role in ensuring exceptional patient care and compliance with regulatory standards. This energetic position offers the opportunity to lead clinical documentation improvement initiatives, coordinate comprehensive assessments, and oversee medical records management within a fast-paced, multidisciplinary environment. Your expertise will directly impact patient outcomes, operational efficiency, and adherence to industry standards such as NCQA and HIPAA. If you thrive in a collaborative setting and possess a passion for nursing excellence and healthcare management, this role is your next career milestone! Duties This is an on-call role features an on-call rotation schedule. Lead the development and implementation of the Minimum Data Set (MDS) assessments to ensure accurate and timely completion in compliance with federal regulations. Coordinate interdisciplinary team efforts to optimize patient care planning, discharge planning, and clinical documentation improvement. Oversee medical records management, ensuring accuracy, completeness, and confidentiality in accordance with HIPAA standards. Utilize advanced EMR (Electronic Medical Record) systems such as Ecin, Epic, or PCC to review medical documentation, coding, and clinical data. Conduct utilization review and utilization management activities to support appropriate resource allocation and reimbursement processes including Medicare and managed care programs. Collaborate with nursing staff on CPT coding, ICD-9/10 coding, DRG assignment, and medical documentation review to enhance coding accuracy and reimbursement. Facilitate training sessions on healthcare regulations, ICD coding updates, and documentation best practices for clinical staff. Assist in case management activities like discharge planning for hospice care or outpatient services to ensure seamless patient transitions across care settings. Experience Proven experience in nursing leadership roles with a focus on MDS coordination or clinical documentation improvement within long-term care facilities or hospitals. Extensive knowledge of Epic EMR systems used for medical records management. Demonstrated expertise in

ICD-10/ICD-9

coding, CPT coding, DRG assignment, and Medicare regulations related to inpatient and outpatient billing processes. Strong background in managed care environments with familiarity in utilization review and utilization management processes. Critical care experience preferred along with nursing home experience or hospital-based acute care exposure. Familiarity with healthcare quality standards such as NCQA standards; experience supporting clinical documentation improvement initiatives is highly desirable. Knowledge of physiology, anatomy, medical terminology, HIPAA compliance requirements, and health information management practices essential for success. Excellent communication skills combined with the ability to train multidisciplinary teams on complex documentation procedures while maintaining a lively enthusiasm for continuous improvement. Embark on a rewarding career journey where your leadership enhances patient outcomes through meticulous documentation and innovative healthcare solutions!

Pay:

Up to $45.00 per hour

Benefits:

Dental insurance Health insurance Paid time off Vision insurance

Work Location:

In person