MDS Coordinator/IP Nurse

Job Overview We are seeking a highly skilled and detail-oriented MDS Coordinator (RN or LPN) to join our healthcare team. The ideal candidate will be responsible for managing the Minimum Data Set (MDS) process, ensuring accurate clinical documentation, and supporting quality care initiatives within a complex healthcare environment. Additionally, this role will work on our Infection Prevention program and submit monthly forms documenting IP protocols and audit facility practices to ensure IP safety measure are being met. This role requires a strong understanding of medical coding, documentation review, and regulatory standards to optimize patient care and reimbursement processes. Prior MDS experience and an IP certification are preferred, but not required. Duties Conduct comprehensive reviews of medical records to ensure accuracy and completeness of clinical documentation related to MDS assessments. Coordinate and facilitate the timely completion of MDS assessments Collaborate with interdisciplinary teams including nursing, case management, discharge planning, and medical management to gather necessary information. Ensure compliance with Medicare requirements. Perform utilization review and management activities to support appropriate patient care levels and resource utilization. Apply knowledge of CPT coding, ICD-9/ICD-10/ICD coding, DRGs, and medical terminology to accurately code diagnoses and procedures. Support clinical documentation improvement initiatives by identifying documentation gaps and educating staff on proper record keeping. Assist in discharge planning processes by reviewing patient records for appropriate documentation of care transitions. Maintain confidentiality of patient information in accordance with HIPAA regulations. Skills Proficiency with PointClickCare Strong knowledge of medical coding including

CPT, ICD-9/10

codes, DRGs, and case management principles. Strong knowledge of PDPM and Quality Measures. Experience with managed care programs and Medicare regulations. Skilled nursing experience required. Ability to interpret clinical data for utilization review and clinical documentation improvement initiatives. Knowledge of healthcare compliance standards including NCQA standards and HIPAA regulations. Strong organizational skills with attention to detail in documentation review and medical management processes. Effective communication skills for collaboration across multidisciplinary teams. This position offers an opportunity to contribute significantly to patient care quality while working within a dynamic healthcare environment that values professionalism and expertise in health information management.

Pay:

$110,000.00 - $135,000.00 per year

Work Location:

In person