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 and accurate clinical documentation. In this multifaceted position, you will coordinate comprehensive assessments, manage Medicare and Medicaid documentation, and collaborate with interdisciplinary teams to optimize patient outcomes. Your expertise in medical coding, utilization review, and clinical documentation will drive quality improvement initiatives and compliance with industry standards. This role offers an energetic environment dedicated to advancing healthcare excellence through meticulous case management and innovative practices.

Responsibilities

• Lead the development and completion of Minimum Data Set (MDS) assessments in accordance with federal regulations and facility policies to support patient care planning and reimbursement processes.
• Oversee clinical documentation review, ensuring accuracy, completeness, and compliance with HIPAA, NCQA standards, and other regulatory requirements.
• Coordinate discharge planning, hospice care referrals, and transition of care to promote seamless patient experiences across inpatient, outpatient, home care, and emergency settings.
• Utilize EMR (Electronic Medical Record) systems such as Cerner, Epic, Athenahealth, or eClinicalWorks to document patient information efficiently and accurately.
• Conduct utilization review and management activities to optimize resource use while maintaining high-quality care standards for acute care, ICU, PICU, trauma centers, and other specialized units.
• Collaborate with physicians, case managers, coding specialists, and other healthcare professionals to ensure precise ICD-10/ICD-9/ICD coding and CPT coding for billing accuracy.
• Support clinical documentation improvement initiatives by analyzing medical records for completeness and providing education on medical terminology, anatomy knowledge, physiology concepts, and medical records management.

Qualifications

• Valid Registered Nurse (RN) license with current state licensure.
• Proven experience in MDS coordination within skilled nursing facilities or long-term care environments.
• Strong knowledge of ICD coding (ICD-10/ICD-9), CPT coding, DRG assignment, Medicare regulations, and utilization management processes.
• Experience working with EMR/EHR systems such as Cerner, Epic, Athenahealth or similar platforms.
• Background in managed care settings or hospital environments including ICU, trauma centers (Level I or Level II), or emergency medicine is highly desirable.
• Familiarity with clinical documentation improvement strategies and health information management standards.
• Excellent understanding of medical terminology, anatomy, physiology concepts related to inpatient/outpatient care settings.
• Ability to navigate complex medical records while ensuring compliance with HIPAA regulations.
• Strong organizational skills with attention to detail in documentation review and case management activities. Embark on a rewarding career where your expertise directly impacts patient outcomes while fostering a culture of continuous improvement!

Pay: From $32.00 per hour

Benefits:

• Dental insurance
• Health insurance
• Paid time off
• Travel reimbursement

Work Location: In person

Salary : $32