Medical Data Specialist

2 weeks ago

Oswego, New York, United States Oswego Health Full time
Job Title: MDS Coordinator

Oswego Health is seeking a highly skilled and detail-oriented MDS Coordinator to join our team. As a key member of our healthcare team, you will be responsible for ensuring the timely completion of accurate assessments and interdisciplinary care plans that meet Federal and State guidelines.

Key Responsibilities:
  • Coordinate the Resident Assessment Instrument (RAI) process to ensure timely and complete Minimum Data Set (MDS) and care plans.
  • Ensure compliance with Federal and State guidelines for RAI and MDS documentation.
  • Participate in training and education of interdisciplinary team members on RAI process and quality measures.
  • Complete initial, quarterly, annual, significant change, and special MDS and care plans in accordance with State and Federal guidelines.
  • Ensure timely electronic submission of MDS to facility's chosen scrubber and iQIES.
  • Accurately report resident conditions and services provided in accordance with Federal and State guidelines to maximize quality measure ratings and reimbursement.
  • Understand and maximize Case Mix Index (CMI).
  • Responsible for educating skilled nursing staff on MDS processes and documentation requirements.
  • Partner with departments, including therapy and finance, to ensure accurate and timely billing for areas related to MDS.
  • Perform medical record review as requested by CMS/HMOs using their guidelines.
  • Schedule and conduct weekly care plans.
  • Attend interdisciplinary team meetings as appropriate.
  • Develop an appropriate care pathway and timely communication of needed information to the resident, family, other healthcare professionals, and third-party payers.
  • Select the correct reason for assessment and Assessment Reference Date (ARD).
  • Review state validation reports and ensure appropriate follow-up action is taken.
  • Schedule MDS to maximize reimbursement.
  • Complete accurate coding of the MDS with information obtained via medical record review, observation, and interview with facility staff, resident, and family members.
  • Follow Seneca Hill Manor facility policies/procedures as they pertain to specific duties.
  • Maintain MDS and care conference schedules.
  • Complete assigned assessments to facilitate MDS completion.
  • Check hospital records and MD/NP documentation on website for pertinent information regarding MDS.
Requirements:
  • Current license to practice as RN in New York State.
  • One year of skilled nursing facility, long-term care experience, rehabilitation nursing, or other healthcare-related facility experience.
  • Previous experience in completing Minimum Data Set (MDS), Resident Assessment Instrument (RAI) process, and/or Care Plans.
  • Maintain current RAC-CT certification.
Working Conditions:
  • Requires attendance of seminars, workshops, conferences when appropriate.
  • Actively participates in in-service programs (12 hours annually), Quality Assurance programs, and CQI, cross-training; attends all mandatory classes as required; completes unit-specific competencies.
  • Requires attendance of various meetings and participation on committees as required.
  • Prolonged periods of sitting at a desk and working on a computer.
  • Must be able to lift up to 15lbs at times.
  • Occasionally requires assignments to other units/shifts as hospital needs require.
  • Complies with DOH requirements for annual health assessments and required immunizations.

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