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Job Description
Overview We are seeking a highly skilled and detail-oriented MDS Coordinator (RN) to join our Skilled Nursing Facility Team. The ideal candidate will play a vital role in ensuring accurate and timely completion of the Minimum Data Set (MDS) assessments, which are essential for quality patient care, reimbursement, and compliance with regulatory standards. This position offers an opportunity to work within a dynamic clinical environment, supporting inpatient, outpatient, hospice, and long-term care settings. Experience with EMR/EHR systems such as Epic, Cerner, Athenahealth, or eClinicalWorks is highly valued. The MDS Coordinator will collaborate closely with nursing staff, case management, and medical records departments to optimize clinical documentation and ensure adherence to HIPAA and NCQA standards. Duties Conduct comprehensive assessments of patients in accordance with federal and state regulations, including Medicare and Medicaid requirements. Complete accurate MDS documentation utilizing EMR/EHR systems such as Epic, Cerner, or Athenahealth. Review medical records for completeness and accuracy; ensure proper coding using
ICD-10, ICD-9, CPT
coding, DRGs, and other relevant classification systems. Collaborate with nursing staff to gather detailed clinical information related to patient care in various settings including inpatient units (ICU, PICU, Level I & II Trauma Centers), outpatient clinics, primary care, pediatrics, and specialized units like OR or hospice care. Perform utilization review and management activities to support discharge planning, case management, and clinical documentation improvement initiatives. Ensure compliance with HIPAA regulations concerning medical records and medical documentation confidentiality. Maintain up-to-date knowledge of healthcare regulations such as NCQA standards and managed care policies affecting documentation practices. Provide education and support to clinical staff regarding documentation requirements for accurate coding and billing processes. Assist in the transition of patient data across different EMR/EHR platforms ensuring seamless documentation review and management. Skills Proficiency with EMR/EHR systems including Epic, Cerner, Athenahealth, eClinicalWorks or similar platforms. Strong knowledge of medical terminology, anatomy, physiology, nursing practices, and clinical documentation standards. Experience with
ICD-10/ICD-9
coding, CPT coding, DRGs, Medicare regulations, utilization review/management processes. Familiarity with inpatient (ICU, trauma centers), outpatient clinics, hospice care, discharge planning, home care settings. Background in managed care environments with understanding of NCQA standards and health information management principles. Excellent attention to detail with strong organizational skills for managing complex medical records and documentation review tasks. Ability to work collaboratively across multidisciplinary teams including nursing staff and case managers. Knowledge of HIPAA compliance requirements related to patient privacy and medical records security. This role is ideal for professionals committed to improving patient outcomes through precise clinical documentation while supporting healthcare operations in a fast-paced environment. The successful candidate will demonstrate expertise in medical coding systems and healthcare IT platforms while maintaining a focus on regulatory compliance and quality improvement initiatives. IND1
Pay:
$110,000.00 - $115,000.00 per year
Benefits:
401(k) Dental insurance Health insurance Life insurance Paid time off Travel reimbursement Vision insurance
Experience:
MDS :
1 year (Required)
License/Certification:
RN License in the State of CT (Required) Ability to
