MDS Coordinator

Cantex Continuing Care Network is seeking a highly skilled MDS Coordinator to join our team. As an MDS Coordinator, you will play a critical role in ensuring accurate and timely reimbursement for our patients.

The MDS Coordinator will be responsible for ensuring compliance with federal and state regulations, managing quality patient care, and coordinating with the interdisciplinary team to ensure proper reimbursement. This role requires strong communication and organizational skills, as well as the ability to analyze and interpret complex data.

• Maintain compliance with all state and federal Medicaid and/or Medicare rules, regulations, and published interpretations.
• Participate in the assessment of pre-admission paperwork to ensure patients meet qualifying medical necessity determination.
• Coordinate the weekly reimbursement meeting with the interdisciplinary team to ensure proper Medicare and/or Medicaid reimbursement to match care delivery.
• Audit the clinical record to ensure appropriate documentation for actual care delivery. Educate and train staff on documentation guidelines.
• Obtain Medicare qualifying diagnosis(es) on Medicare Part A patients and update diagnosis for each change in diagnosis.
• Initiate and update the physician certifications for each Medicare Part A patient.
• Complete all Minimum Data Set (MDS) assessments within the allotted time frame for each Medicare and/or Medicaid patient.
• Review the 24-hour nursing report to capture possible change in condition of a patient.
• Prepare for all Medicaid audits.
• Track patient benefit days, validate daily census, and coordinate information with the financial manager to ensure accurate billing.
• Achieve at least budgeted rates expectation.
• Support and uphold the patient care management systems as well as the financial management systems.
• Responsible for assuring patient/resident safety.

We offer a highly competitive compensation package, including a 401K plan with match, CEU reimbursement, vacation, sick, holidays, medical, dental, and supplemental insurance plans. If you are a motivated and detail-oriented individual with a passion for healthcare quality assurance, we encourage you to apply for this exciting opportunity.