Job Summary We are seeking a highly skilled and detail-oriented MDS Coordinator to join our long-term care team. The ideal candidate will possess comprehensive knowledge of clinical documentation standards, Medicare and Medicaid regulations, and long-term care policies. As an MDS Coordinator, you will be responsible for coordinating the completion and accuracy of Minimum Data Set (MDS) assessments, ensuring compliance with federal and state regulations, and supporting quality patient care through meticulous documentation review and case management. Duties Lead the coordination and completion of MDS assessments in accordance with Centers for Medicare and Medicaid Services (CMS) guidelines and long-term care regulations. Collaborate with interdisciplinary teams including nursing, therapy, social services, and medical staff to gather accurate clinical information. Ensure timely submission of assessments within regulatory deadlines to support appropriate reimbursement and quality reporting. Review medical records, clinical documentation, and coding to verify accuracy, completeness, and compliance with documentation standards. Maintain expertise in
ICD-10, CPT
coding, DRG assignment, and utilization management processes to optimize patient care documentation. Stay current with evolving healthcare policies, HIPAA requirements, and state healthcare regulations affecting long-term care facilities. Utilize electronic health record (EHR) systems such as Cerner or eClinicalWorks to document assessments accurately and efficiently. Provide education and training to staff on documentation standards, coding practices, and regulatory compliance related to MDS processes. Qualifications Proven experience in long-term care settings with a strong understanding of MDS coordination and clinical documentation improvement. Knowledge of
ICD-10/ICD-9
coding systems, CPT coding, DRG assignment, and Medicare regulations. Familiarity with EMR/EHR systems such as Cerner or eClinicalWorks is highly desirable. Experience with utilization review, case management, discharge planning, and hospice care is preferred. Strong understanding of health regulation policies including CMS guidelines, HEDIS standards, NCQA standards, and HIPAA compliance. Excellent organizational skills with the ability to manage multiple priorities efficiently within a fast-paced environment. Effective communication skills for collaborating across multidisciplinary teams while maintaining confidentiality of medical records. Background in nursing or medical office experience is advantageous; critical care or ICU experience is a plus. Knowledge of anatomy, physiology, medical terminology, and clinical documentation standards necessary for accurate assessment completion. Join our dedicated team committed to delivering exceptional patient care through precise documentation management and regulatory compliance in a supportive long-term care environment!
Pay:
From $35.00 per hour Expected hours: 40.0 per week
Benefits:
403(b) Dental insurance Disability insurance Employee assistance program Flexible spending account Health insurance Life insurance Paid time off Referral program Vision insurance