MDS Coordinator RN/ LVN

Job Summary

We are seeking a dedicated and detail-oriented MDS Coordinator to oversee the comprehensive assessment and documentation process within skilled nursing, inpatient rehabilitation, or long-term care facilities. The ideal candidate will possess a strong background in clinical documentation, medical coding, and healthcare management, with expertise in utilizing electronic health record (EHR) system (Point Click Care). As an MDS Coordinator, you will play a vital role in ensuring compliance with regulatory standards, optimizing patient care documentation, and supporting clinical teams to deliver high-quality services. This position offers an opportunity to contribute to improved patient outcomes through meticulous case management and accurate medical record review.

Responsibilities

• Conduct thorough assessments of patient records to accurately complete the Minimum Data Set (MDS) in accordance with CMS regulations and NCQA standards.
• Collaborate with interdisciplinary teams including nursing, therapy, and medical staff to gather relevant clinical information for documentation review.
• Ensure compliance with HIPAA regulations by maintaining confidentiality and security of all medical records and documentation.
• Utilize EMR/EHR systems such as Epic, Cerner, or Athenahealth to input data, track progress, and generate reports related to patient care and documentation accuracy.
• Perform utilization review and management activities by analyzing clinical data to support appropriate level of care decisions across inpatient, outpatient, home care, or hospice settings.
• Apply CPT coding, ICD-9/ICD-10 coding standards, and DRG classifications to facilitate accurate billing and reimbursement processes.
• Assist in discharge planning by coordinating with case management teams to ensure seamless transitions of patient care between facilities or settings.
• Maintain knowledge of Medicare requirements, managed care policies, and regulatory updates affecting long-term care documentation practices.

Skills

• Proficiency in EMR/EHR systems Point Click Care.
• Strong understanding of medical terminology, anatomy, physiology, and clinical documentation improvement strategies.
• Knowledge of ICD coding (ICD-9/ICD-10), CPT coding, DRG assignment, and healthcare reimbursement methodologies including Medicare policies.
• Experience with utilization review/management within acute care or hospital environments;
• Background in nursing or health information management with familiarity in medical records review and compliance standards such as NCQA standards.
• Excellent organizational skills with the ability to manage multiple priorities efficiently while maintaining attention to detail.
• Effective communication skills for collaborating across multidisciplinary teams and providing education on documentation best practices. Join our team as an MDS Coordinator to ensure precise clinical documentation that enhances patient outcomes while supporting regulatory compliance and operational excellence

Job Type: Part-time

Pay: From $39.00 per hour

Work Location: In person

Salary : $39