Registered Nurse / MDS Coordinator

Overview
Join our dynamic healthcare team as a Registered Nurse / MDS Coordinator, where you will play a vital role in ensuring exceptional patient care through meticulous assessment, documentation, and coordination. This position offers an exciting opportunity to leverage your nursing expertise and clinical documentation skills to improve patient outcomes and streamline medical management processes. You will be at the forefront of compliance with healthcare standards, utilizing advanced electronic health record (EHR) systems and medical coding knowledge to support quality care delivery across inpatient, outpatient, and long-term care settings.

Duties

• Lead the comprehensive assessment and development of Minimum Data Set (MDS) evaluations to ensure accurate patient classification and appropriate care planning.
• Coordinate interdisciplinary team efforts for discharge planning, hospice care, and case management to optimize patient transitions across care settings.
• Review and interpret medical records, documentation, and clinical data using EMR systems such as Cerner, Athenahealth, or eClinicalWorks to ensure accuracy and completeness.
• Apply ICD-10/ICD-9/ICD coding, CPT coding, DRG assignment, and utilization review processes aligned with Medicare, NCQA standards, and healthcare regulations.
• Conduct clinical documentation improvement initiatives to enhance the quality of medical records while maintaining HIPAA compliance.
• Collaborate with physicians and healthcare providers on utilization management strategies for acute care, ICU, PICU, Level I Trauma Center cases, and primary care services.
• Support medical management activities including utilization review, coding audits, and health information management to ensure optimal reimbursement and compliance.

Requirements

• Valid RN license with current registration in the relevant state or jurisdiction.
• Proven experience in MDS coordination within nursing homes or long-term care facilities; hospital experience is highly desirable.
• Strong knowledge of Epic EMR systems or similar EHR platforms such as Cerner or Athenahealth.
• Expertise in ICD-10/ICD-9/ICD coding, CPT coding, DRG assignment, and Medicare regulations related to inpatient and outpatient services.
• Critical care experience including ICU or Level II trauma center background preferred; familiarity with acute care environments is essential.
• Demonstrated ability in medical documentation review, physiology knowledge, anatomy understanding, and medical terminology proficiency.
• Experience with managed care programs, utilization review/management processes, discharge planning, hospice care, emergency medicine, outpatient services, pediatrics or primary care is advantageous.
• Knowledge of HIPAA regulations and health information management standards necessary for maintaining patient confidentiality. Join us to make a meaningful impact on patient lives through expert clinical documentation and coordinated care! We are committed to fostering a supportive environment that values your expertise while offering opportunities for professional growth in diverse healthcare settings.

Job Type: Full-time

Pay: From $35.00 per hour

Benefits:

• Dental insurance
• Disability insurance
• Employee assistance program
• Health insurance
• Life insurance
• Paid time off
• Retirement plan
• Vision insurance

Work Location: In person