MDS Coordinator

MDS Coordinator optima care at castle hill Union City, NJ Job Details Full-time From $100,000 a year 3 hours ago Benefits Health insurance Dental insurance Paid time off Qualifications Collaborate with healthcare professionals Anatomy knowledge Accreditation standards (regulatory compliance area) Regulatory compliance State healthcare regulations

MDS ICD-9 ICD-10

Case management Clinical documentation Clinical documentation improvement Managing patient records Medical terminology Full Job Description Job Summary We are seeking a dedicated and detail-oriented MDS Coordinator to join our healthcare team. In this vital role, you will oversee the comprehensive assessment and documentation of patient care needs within skilled nursing facilities, hospitals, or outpatient settings. Your expertise will ensure accurate completion of Minimum Data Set (MDS) assessments, facilitating optimal care planning, regulatory compliance, and reimbursement processes. The ideal candidate will possess strong clinical knowledge, exceptional organizational skills, and a passion for improving patient outcomes through meticulous documentation and case management. Responsibilities Conduct thorough MDS assessments in accordance with federal and state regulations, including Medicare and Medicaid requirements. Collaborate with interdisciplinary teams to gather clinical information, ensuring accurate reflection of patient status and needs. Review medical records, clinical documentation, and coding details such as CPT (Current Procedural Terminology), ICD-9/10 (International Classification of Diseases), DRG (Diagnosis-Related Group), and other health information to support precise assessment completion. Manage utilization review and utilization management processes to optimize patient care while maintaining compliance with NCQA standards. Utilize electronic health record (EHR) systems such as Epic, Cerner, Athenahealth, or eClinicalWorks to document assessments and update patient records efficiently. Facilitate discharge planning, hospice care coordination, and transition of care activities for inpatient, outpatient, or home care settings. Ensure adherence to HIPAA regulations by maintaining confidentiality and security of medical records and documentation. Requirements Proven experience with MDS coordination in long-term care facilities, hospitals (Level I or Level II trauma centers), or outpatient clinics. Strong knowledge of clinical documentation improvement strategies, medical terminology, anatomy, physiology, and medical coding including

ICD-10/CPT

coding systems. Familiarity with EMR/EHR systems such as Epic, Cerner, Athenahealth, or eClinicalWorks is essential. Experience with managed care programs like Medicare and Medicaid is highly preferred. Critical care experience or ICU background enhances understanding of acute patient needs; nursing or nursing home experience is a plus. Knowledge of healthcare regulations including HIPAA standards and NCQA accreditation requirements. Excellent organizational skills with the ability to review complex medical records efficiently while maintaining attention to detail. Strong communication skills for collaborating with multidisciplinary teams across inpatient, outpatient, hospice, or home health settings. Join us in making a meaningful difference by ensuring precise patient assessments that support quality care delivery! We are committed to fostering a dynamic environment where your expertise enhances patient outcomes while advancing your professional growth in healthcare documentation management.

Pay:

From $100,000.00 per year

Benefits:

Dental insurance Health insurance Paid time off

Work Location:

In person