MDS Coordinator or Clinical Reimbursement Coordinator

4 months ago

Windsor, United States Windsor Health & Rehabilitation Center LLC Full time

We are seeking an MDS Coordinator or Clinical Reimbursement Coordinator (CRC) to join our team You will work alongside other medical professionals to provide exceptional care to patients. An MDS coordinator (Minimal Data Set) is responsible for gathering information on a healthcare facility's current and future patients for future assessment, including physical and mental states. MDS coordinators assess charts and communicate with health care teams to create applicable clinical care plans for their current and incoming residents.

Requirements

Responsibilities:

  • Determine potential Patient Driven Payment Method (PDPM) and expense associated with a potential admission
  • Participate in the admission process of prospective residents in terms of their nursing needs and appropriate prospective reimbursement level
  • Complete and assure the accuracy of the MDS process for all residents
  • Maintain current working knowledge of Medicare criteria, serving as a resource for nursing staff and communicate changes in regulations
  • Monitor Case Mix Index (CMI) scores, looking for potential risks and/or changes that may affect Medicaid reimbursement
  • Monitor Medicare assessment schedules and nursing documentation to ensure accuracy and timely submission
  • Assist physicians to provide ongoing patient care
  • Ensure patients maintain physical, mental, and dietary health
  • Communicate patient health status or changes to other medical personnel
  • Provide preventive health care suggestions to patients and interdisciplinary team
  • Participate in standardized health care programs and seminars and education
?Qualifications:
  • Previous experience as a MDS coordinator
  • RAC Certification is a plus
  • Knowledge of Resource Utilization Groups (RUGs), PDPM and Case Mix index
  • Current and valid state Registered Nurse license
  • Ability to build rapport with patients and staff
  • Excellent written and verbal communication skills
  • Ability to thrive in fast-paced environment

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