Healthcare MDS Coordinator
3 weeks ago
The premier not-for-profit, Life Care retirement community in the greater Houston region.
We offer a competitive salary and benefits package, including medical, dental and vision coverage, 401k with match, PTO, tuition reimbursement, and meal programs.
Job Title: MDS CoordinatorWe seek an experienced professional to join our team as an MDS Coordinator. The ideal candidate will possess excellent clinical skills, strong leadership abilities, and exceptional communication skills.
Responsibilities:- Maintain current knowledge of Medicare/Medicaid guidelines and regulations.
- Conduct pre-admission assessments for residents seeking admission to our nursing center.
- Evaluate residents for meeting criteria for Medicare payment, including clinical eligibility and availability of Medicare days.
- Supervise interdisciplinary teams in completing comprehensive resident assessments, including Minimum Data Set (MDS), Care Area Assessments (CAA), and CAA Guidelines.
- Schedule and certify on-time completion of RAI process for all Medicare and non-Medicare assessments, according to state and federal guidelines.
- Monitor resident health status to identify significant changes and complete re-assessment process.
- Analyze MDS assessments prior to final submission to Center for Medicare/Medicaid Services (CMS) using standard organizational software.
- Transmit RAI data to CMS on a scheduled basis.
- Upload and submit MDS data to QAPI software on a routine and consistent basis.
- Communicate with billing personnel to ensure Medicare billing accuracy and timeliness.
- Supervise interdisciplinary teams in developing plans of care for each resident based on assessments.
- Provide education for interdisciplinary teams, licensed nurses, and unlicensed staff to document services provided according to plan of care.
- Conduct regular audits of services provided by internal and external providers for accuracy and timeliness of documentation to validate billing.
- Bachelor's degree in Nursing.
- Registered Nursing license in good standing.
- Experience with CMS Resident Assessment Instrument process.
- Knowledge of OBRA/Federal/State regulations.
- Three years of MDS experience in Long-Term Care setting preferred.
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