MDS Coordinator

Job Summary
We are seeking a highly organized and detail-oriented MDS Coordinator to join our healthcare team. The ideal candidate will be responsible for managing and coordinating the Minimum Data Set (MDS) assessments, ensuring compliance with regulatory standards such as NCQA and CMS guidelines. This role requires a strong understanding of clinical documentation, medical coding, and healthcare management systems, with experience in inpatient, outpatient, or long-term care settings. The MDS Coordinator will play a vital role in optimizing patient care documentation, facilitating discharge planning, and supporting quality improvement initiatives within a fast-paced clinical environment.

Duties

• Conduct comprehensive reviews of medical records to ensure accurate and complete documentation aligned with MDS requirements.
• Coordinate and facilitate the completion of MDS assessments for residents or patients across various care settings including nursing homes, hospitals, or hospice care.
• Collaborate with interdisciplinary teams to gather necessary clinical information related to patient care, physiology, anatomy, and medical management.
• Utilize EMR/EHR systems such as Cerner, Athenahealth, eClinicalWorks, and others to document findings accurately and efficiently.
• Ensure compliance with HIPAA regulations and maintain patient confidentiality during all documentation review processes.
• Support discharge planning activities by reviewing clinical data and coordinating with case management teams to optimize patient transitions.
• Assist in maintaining adherence to regulatory standards such as NCQA standards and Medicare requirements related to utilization review and management.
• Apply medical coding expertise including CPT, ICD-9/10, DRG, and ICD coding to support accurate billing and reimbursement processes.
• Participate in clinical documentation improvement initiatives aimed at enhancing the quality of medical records and supporting reimbursement accuracy.
• Stay current on healthcare regulations, including hospital experience requirements such as Level I Trauma Centers or Level II Trauma Centers, ICU experience, PICU, Emergency medicine protocols, and outpatient services.

Skills

• Proficiency with EMR/EHR systems such as Cerner, Athenahealth, eClinicalWorks, and other health information management platforms.
• Strong knowledge of medical terminology, anatomy, physiology, nursing practices, and clinical documentation standards.
• Experience with managed care environments including Medicare and Medicaid regulations.
• Familiarity with ICD-10/ICD-9 coding systems, CPT coding, DRG assignments, and utilization review processes.
• Ability to interpret complex medical records and ensure compliance with HIPAA standards.
• Excellent organizational skills with attention to detail for documentation review and case management activities.
• Effective communication skills for collaborating with multidisciplinary teams across inpatient, outpatient, hospice care, or primary care settings.
• Knowledge of hospital operations including ICU experience or trauma center protocols is a plus.
• Prior experience in nursing home settings or home care environments is advantageous. This position offers an opportunity to contribute significantly to patient care quality while working within a dynamic healthcare environment that values expertise in clinical documentation improvement and health information management.

Job Type: Full-time

Pay: $85,000.00 - $95,000.00 per year

Benefits:

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

Work Location: In person

Salary : $85,000 - $95,000