MDS Coordinator RN
4 weeks ago
Follow and uphold the company Code of Conduct
Facilitate Daily PPS and Weekly Medicare meeting
Knowledge of and compliance with HIPAA guidelines
Knowledge of and ability to download reports from Point Right
Knowledge of and ability to download state and federal reports from Internet
Participate in Monthly Billing Reconciliation meeting
Complete MDS's per schedule as required for Medicare, Managed care and OBRA schedules
Initiate/Update Care plans as required
Ensure compliance with State, Federal, and Point Right transmissions and make modifications as needed
Facilitate and coordinate with other disciplines to maintain care plan development and ongoing updates per MDS schedule
Provide updates as required per Managed Care contract guidelines
Communicate promptly with facility team/regional consultant any issues or concerns
Completion and issuance of denial letters, coordination of Medicare certification completion, review of skilled nursing documentation (including CNA documentation) to support skilled needs
Serve as the center resource for MDS/PPS; and state Medicaid reimbursement.
Manage Medicare appeals process, and participate in Administrative Law Judge hearings as needed.
Implement and participate in the company processes developed to appropriately maximize reimbursement Position Requirements: Graduate of an approved RN program
Current RN license in the state and credentials as required
Prior experience in Medicare reimbursement and/or MDS experience preferred
Knowledge of Managed Care reimbursement systems
Word processing and computer skills
Excellent oral and written communication skills
Excellent ability to maintain an effective, friendly working relationship with others
Basic mathematic ability; ability to use calculator
Knowledge of quality improvement process, how it affects the 5 Star report, and ability to identify issues or trends and implement corrective action plans as needed
Knowledge of the 5 Star report
Excellent attention to detail; well organized
Ability to provide one-on-one or small group education related to identified areas of need
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MDS Coordinator RN
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MDS Coordinator RN
1 week ago
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MDS Coordinator RN
1 week ago
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MDS Coordinator RN
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MDS Coordinator
4 days ago
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MDS Coordinator RN
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MDS Coordinator RN
1 week ago
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MDS Coordinator
3 weeks ago
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MDS Coordinator
1 week ago
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MDS Coordinator
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RN MDS Coordinator
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MDS Coordinator
3 days ago
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Mds Coordinator
4 weeks ago
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