MDS Coordinator

6 days ago

Buffalo New York, United States Elderwood Full time
About the Role

Elderwood is seeking a skilled Registered Nurse (RN) to fill the position of MDS Coordinator (RN). This role is responsible for overseeing the completion of Medicare PPS MDS and OBRA assessments for both subacute and long-term care facilities.

Key Responsibilities
  • Completes and/or oversees completion of all Medicare PPS MDS and/or OBRA assessments for both subacute and long-term care.
  • Establishes the schedule for completion of the Medicare required assessments to maximize reimbursement and RUGs categories for each individual assessment.
  • Acts as support/liaison to the business office coordinator and/or designee in determining eligibility for Medicare and tracking Medicare days in the facility.
  • Serves as facility contact with Managed Care providers to ensure appropriate authorization and reimbursement for facility services provided.
  • Participates and collaborates with Medical Records and Therapy staff in preparing records for CMS and various entities for pre and post-pay record reviews, ADR requests, and appeals processes.
  • Manages NYS RUGs III case mix for Medicaid reimbursement.
  • Completes occasional travel between facilities and Elderwood Learning Center.
  • Supervises MDS Coordinator(s), if designated.
  • Demonstrates knowledge and understanding of all policies and procedures and ability to reference them.
  • Performs other duties as assigned by supervisor, management staff, or Administrator.
Requirements
  • Licensed Professional Nurse (RN licensure preferred) with current license in state employed.
  • Prior experience with MDS 3.0 scheduling, coding, and submission requirements preferred.
  • Experience with PointClickCare preferred.
  • Experience with Patient Driven Payment Model (PDPM) and Case Mix Index (CMI) preferred.
  • Experience with state Medicaid program, Medicare/PPS program, Managed Care programs, RUGs III, and RUGs IV classification and reimbursement systems, Part A coverage.
  • Excellent verbal and written communication skills.
  • Self-motivated, highly organized, and dedicated.
  • Willing to train the right candidate.
Equal Opportunity Employer

Elderwood is an equal opportunity employer. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status, or any other protected Federal, State/Province, or Local status unrelated to the performance of the work involved.

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