MDS Coordinator (RN)

Overview

Life Care Center of Bridgeton is seeking a dedicated and highly skilled MDS Coordinator (Registered Nurse) to join our healthcare team. The ideal candidate will possess a comprehensive understanding of the Minimum Data Set (MDS) process, Medicare and Medicaid regulations, and clinical documentation standards. This role offers an opportunity to lead accurate assessment and documentation efforts, ensuring compliance with federal and state healthcare policies while supporting optimal patient care outcomes. The MDS Coordinator will serve as a vital link between clinical teams, medical records, and regulatory agencies, fostering excellence in long-term care documentation and reimbursement processes.

Duties

• Conduct thorough assessments of residents to gather accurate clinical data for MDS completion, ensuring compliance with CMS (Centers for Medicare and Medicaid Services) regulations.
• Collaborate with interdisciplinary teams to coordinate care planning, discharge planning, and documentation review aligned with clinical documentation standards.
• Ensure timely submission of MDS assessments, care plans, and other required documentation within regulatory deadlines.
• Maintain proficiency in ICD-10/ICD coding, CPT coding, DRG (Diagnosis-Related Group) assignments, and utilization management practices to support appropriate reimbursement.
• Monitor changes in healthcare regulations related to long-term care, HIPAA privacy rules, and state healthcare policies to ensure ongoing compliance.
• Utilize EMR/EHR systems such as Cerner, Epic, or Athenahealth for data entry, documentation review, and reporting purposes.
• Provide education and training to clinical staff on documentation standards, coding practices, and regulatory updates to enhance accuracy and compliance.

Skills

• Extensive knowledge of Epic EMR/EHR systems, Meditech, or similar electronic health record platforms.
• Strong understanding of Medicare regulations, HEDIS measures, NCQA standards, and CMS guidelines for long-term care facilities.
• Critical care experience or ICU background is highly desirable for comprehensive resident assessments.
• Proficiency in medical terminology, anatomy/physiology knowledge, and medical records management.
• Experience with medical coding including ICD-9/ICD-10 codes, CPT codes, DRG assignment, and utilization review processes.
• Familiarity with managed care protocols, health information management practices, and discharge planning procedures.
• Excellent organizational skills with the ability to prioritize tasks efficiently in a fast-paced environment involving inpatient or outpatient settings.
• Strong communication skills for effective collaboration with interdisciplinary teams and external agencies such as HEDIS auditors or state health departments.

Join our team as an MDS Coordinator (RN) to play a pivotal role in enhancing clinical documentation quality while ensuring regulatory compliance and supporting outstanding patient care outcomes across diverse healthcare settings.

Benefits:

• 401(k)
• Dental insurance
• Disability insurance
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Vision insurance

Work Location: In person