RN MDS Coordinator

Job Summary

Life Care Center of Seneca is seeking a highly skilled and detail-oriented Registered Nurse (RN) MDS Coordinator to oversee the comprehensive assessment and documentation process for residents in long-term care and skilled nursing facilities. The ideal candidate will possess extensive experience in clinical documentation, medical coding, and utilization management, ensuring compliance with Medicare, Medicaid, and CMS regulations. As an RN MDS Coordinator, you will play a pivotal role in optimizing patient care documentation, facilitating accurate reimbursement, and supporting quality improvement initiatives. Your expertise in electronic health record (EHR) systems and healthcare regulations will be instrumental in maintaining the highest standards of clinical accuracy and regulatory compliance.

Duties

• Conduct thorough assessments of residents using Minimum Data Set (MDS) tools to ensure accurate and complete documentation aligned with clinical standards.
• Review medical records, clinical documentation, and coding to ensure consistency with Medicare and Medicaid requirements, including ICD-10, ICD-9, CPT coding, and DRG classifications.
• Collaborate with interdisciplinary teams—including nursing, therapy, social services, and physicians—to develop individualized care plans that meet regulatory standards such as NCQA and CMS guidelines.
• Manage the entire MDS process from initial assessment through to timely submission, ensuring adherence to federal and state healthcare regulations.
• Utilize EMR/EHR systems such as Cerner, Epic, Athenahealth, or eClinicalWorks to document patient information accurately while maintaining compliance with HIPAA and other privacy laws.
• Facilitate utilization review and management activities to optimize patient care while supporting reimbursement strategies aligned with Medicare regulations.
• Conduct ongoing staff education on clinical documentation improvement (CDI), coding standards, and regulatory updates to enhance documentation quality across departments.
• Support discharge planning processes by providing comprehensive documentation review to ensure seamless transitions of care within acute or outpatient settings.

Qualifications

• Valid RN license with current registration in the applicable state; experience in long-term care or skilled nursing facilities preferred.
• Extensive knowledge of MDS 3.0 processes, CMS regulations, Medicare/Medicaid policies, and long-term care standards.
• Proficiency in electronic health record (EHR) systems such as Cerner, Epic, Athenahealth, or eClinicalWorks; experience with EMR/EHR management is essential.
• Strong understanding of medical terminology, physiology, anatomy, and clinical documentation standards necessary for accurate coding and assessment.
• Demonstrated expertise in ICD-10/ICD-9 coding systems, CPT coding procedures, DRG assignment, and utilization management practices.
• Critical care experience or ICU background is advantageous; inpatient hospital experience highly valued.
• Familiarity with health regulation policies including HIPAA privacy rules and state healthcare regulations governing long-term care environments.
• Excellent organizational skills with the ability to review complex medical records efficiently while maintaining attention to detail under tight deadlines.
• Strong communication skills for effective collaboration across multidisciplinary teams and ongoing staff training initiatives.

Join our dedicated team committed to delivering exceptional resident care through precise documentation practices and regulatory excellence!

Benefits:

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

Work Location: In person