A Registered Nurse provides medical care and treatment, educates patients about their conditions, and provides emotional support to patients and families. Works in hospitals, schools, clinics or community health centers. Works under the supervision of a physician or other specialist, and serves as the primary point of care for patients in a hospital setting. May specialize in emergency room work, or treatment for a particular condition, or specialize in working with infants, the elderly or other patient groups. May work as an advanced practice specialists and prescribe medications in addition to offering specialty care.
Job Summary We are seeking a highly skilled and detail-oriented MDS Coordinator to join our healthcare team. The ideal candidate will possess comprehensive knowledge of the Minimum Data Set (MDS) process, Medicare and Medicaid regulations, and clinical documentation standards. As an MDS Coordinator, you will be responsible for ensuring accurate and timely completion of resident assessments, supporting compliance with federal and state healthcare regulations, and facilitating quality patient care documentation. This role offers an opportunity to contribute significantly to clinical quality improvement and regulatory adherence within a dynamic healthcare environment. Responsibilities Coordinate and complete comprehensive MDS assessments in accordance with federal (CMS) and state regulations, including
ICD-10, ICD-9, CPT
coding, and DRG classifications. Review medical records and clinical documentation to ensure accuracy, completeness, and compliance with
HIPAA, NCQA
standards, and long-term care regulations. Collaborate with interdisciplinary teams—including nursing, therapy, social services, and case management—to gather pertinent clinical information for assessments. Utilize electronic health record (EHR/EHR systems) platforms such as Epic, Cerner, Athenahealth, or eClinicalWorks to document assessments efficiently. Ensure timely submission of MDS assessments to support proper reimbursement under Medicare and Managed Care plans. Conduct ongoing education for staff regarding documentation standards, coding updates (ICD-10/ICD-9), and regulatory changes affecting long-term care facilities. Maintain detailed records of documentation review processes and participate in audits to support compliance with CMS guidelines. Assist in discharge planning and coordinate with home care or hospice providers as needed to ensure seamless patient transitions. Requirements Proven experience with MDS coordination within a long-term care or skilled nursing facility environment. Strong knowledge of Medicare regulations, CMS guidelines, ICD coding (ICD-10/ICD-9), CPT coding, DRG classifications, and health regulation policies. Familiarity with electronic health record systems such as Epic, Cerner, Athenahealth, or eClinicalWorks; experience with EMR/EHR management is essential. Prior experience in clinical documentation improvement (CDI), utilization management, or utilization review processes. Excellent understanding of medical terminology, anatomy, physiology, and medical records review procedures. Demonstrated ability to work effectively within multidisciplinary teams in acute care or inpatient settings; ICU or trauma center experience is advantageous. Knowledge of HIPAA regulations and confidentiality standards related to medical records management. Strong organizational skills with attention to detail; ability to prioritize tasks efficiently in a fast-paced environment. Relevant certifications such as MDS certification or nursing licensure are preferred but not mandatory. Join us in delivering exceptional patient care through precise documentation and regulatory excellence!
Benefits:
401(k) Dental insurance Health insurance Life insurance Paid time off Vision insurance
