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.
Overview We are seeking a highly skilled and detail-oriented MDS Coordinator to join our healthcare team. The ideal candidate will possess a comprehensive understanding of the Minimum Data Set (MDS) process, along with expertise in clinical documentation, coding, and regulatory compliance. As an MDS Coordinator, you will play a vital role in ensuring accurate assessment, documentation, and reimbursement for long-term care and skilled nursing facility residents. This position offers an opportunity to contribute to quality patient care while maintaining adherence to federal and state healthcare regulations. Responsibilities Conduct thorough assessments of residents using the MDS tool, ensuring compliance with clinical documentation standards and CMS (Centers for Medicare and Medicaid Services) regulations. Collaborate with interdisciplinary teams including nursing, therapy, and medical staff to gather accurate clinical information for MDS completion. Review medical records, physician notes, and other documentation to ensure completeness and accuracy prior to submission. Ensure timely completion and submission of MDS assessments within regulatory deadlines, supporting appropriate reimbursement and quality reporting. Maintain up-to-date knowledge of healthcare policies related to Medicare, Medicaid, long-term care regulations, and HIPAA (Health Insurance Portability and Accountability Act). Utilize EMR/EHR systems such as Cerner, Epic, or Athenahealth for documentation review and data entry. Provide education and training to staff regarding documentation requirements, coding standards including CPT (Current Procedural Terminology), ICD-9/10 (International Classification of Diseases), DRG (Diagnosis-Related Group), and utilization management practices. Requirements Proven experience in long-term care facilities or skilled nursing environments with strong familiarity in MDS coordination and clinical documentation improvement. Knowledge of health regulation policies including CMS guidelines, NCQA standards, and state healthcare regulations. Proficiency in EMR/EHR systems such as Cerner, Epic, or Athenahealth; experience with Microsoft Office is preferred. Strong understanding of medical coding including
ICD-9/10
codes, CPT coding, DRGs, and utilization review processes. Background in nursing or healthcare administration with acute care or inpatient experience is highly desirable. Excellent organizational skills with attention to detail; ability to manage multiple assessments simultaneously under strict deadlines. Effective communication skills for training staff and collaborating across multidisciplinary teams. Knowledge of physiology, anatomy, medical terminology, and clinical documentation standards necessary for accurate assessments. Join our team as we strive to enhance patient outcomes through meticulous documentation practices and regulatory excellence!
