MDS Assessor

Job Description and Responsibilities:

• The MDS Assessor must have solid knowledge and expertise in the MDS OBRA and PDPM process including governmental and state requirements and regulations.
• The MDS Assessor assumes a role to achieve optimal and accurate reimbursement. The MDS Assessor under the supervision of the MDS Coordinator shall be responsible for:
• Assess residents thoroughly according to RAI manual guidelines
• Must have the basic knowledge of billing, cost containment, PDPM hierarchy and associated rates, consolidated billing and denial/expedited review requirements.
• Conducting concurrent MDS reviews to assure achievement of maximum allowable PDPM categories
• He/she will integrate information from all disciplines to ensure appropriate reimbursement.
• Maintaining and transmitting all required data concerning resident’s assessments to the appropriate regulatory agencies as required by regulation.
• Upon completion of the MDS, the MDS assessor will open care plan reviews, for all initial, annual and significant change MDS’s assessments, the MDS team will open the careplans as per the triggered items for the nursing department.
• Ensuring timely and effective coordination, implementation, and scheduled review of the resident’s care plans by the Interdisciplinary Team.
• Ensuring timely completion of MDS prior to monthly billing and triple check for Medicare Part A and HMO’s as per policy.
• Responsible for communicating clinical and reimbursement information to MDS Coordinator for Medicare and HMO information for weekly Utilization Review as per policy.
• Participating in daily PDPM meetings and New Patient Review Process with all Interdisciplinary team members
• Provide thorough and expert skilled need documentation reviews and communicate all discrepancies regarding documentation to the appropriate leadership team members

Educate and coach interdisciplinary team members on skilled documentation requirements

Assist with management of the Case Mix Review and OMIG Review related processes.

MDS Assessor Special Demands:

1. Demonstrate effective Leadership skills

2. Ability to work well with people and communicate verbally in a pleasant and effective manner.

3. Ability to follow oral and written instructions

4. Ability to set priorities and responds to situations in a flexible manner

5. Assist nursing department in emergency situations as needed

6. Participate in annual competency reviews

Education and Experiences:

Must hold a current Registered Nurse License/Licensed Practical Nurse in good standing within the state of employment

Salary and Benefits:

Very Competitive

An Equal Opportunity Employer

INDTHE