In-Office MDS Coordinator: Reimbursement & Care Quality

Spring River Rehabilitation and Care Center; Roswell (NM); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

401K

Health, dental, and vision insurance

Paid time off and holidays

Continuing education and leadership培训

Job summary

Spring River Rehabilitation and Care Center in Roswell, NM, is seeking an experienced MDS Coordinator to oversee the RAI process, MDS assessments, and care planning in an office-based role. You will ensure CMS/state compliance and support accurate reimbursement.

The role emphasizes collaboration with billing, therapy, and nursing teams, maintaining ARD schedules, and leading documentation accuracy initiatives to improve resident outcomes.

Qualifications

• Active RN or LPN license in New Mexico (NM)
• Minimum 2 years of nursing experience, preferably in long-term care
• MDS experience preferred; strong understanding of MDS 3.0, PDPM, and RAI process required
• Knowledge of Medicare/Medicaid reimbursement and Quality Measures
• Experience with audits, reporting, and regulatory compliance preferred
• Proficient in EHR and MDS software systems
• Strong organizational, analytical, and communication skills
• Ability to work independently while collaborating across departments
• High attention to detail and commitment to clinical accuracy

Responsibilities

• Oversee and manage the RAI process including MDS assessments, CAAs, and interdisciplinary care plans
• Ensure accurate and timely completion and submission of all MDS assessments in compliance with CMS and state regulations
• Audit clinical documentation to support accurate coding and reimbursement (Outcome Oriented)
• Maintain ARD scheduling and ensure adherence to regulatory timelines
• Ensure care plans accurately reflect resident needs and services provided
• Support appropriate Medicare and Medicaid reimbursement through accurate PDPM coding
• Collaborate with billing, therapy, and finance teams to ensure alignment and accuracy
• Stay current on CMS regulations, PDPM updates, Quality Measures (QMs), and survey readiness expectations
• Identify and address documentation gaps that may impact compliance or reimbursement
• Track, trend, and analyze case mix index (CMI), Quality Measures, and resident acuity
• Participate in and support QAPI initiatives through data-driven insights and reporting
• Identify trends and implement process improvements to enhance outcomes and compliance
• Lead and participate in interdisciplinary care plan meetings
• Educate nursing and IDT staff on documentation requirements and best practices
• Serve as a resource for clinical documentation, regulatory guidance, and survey preparation
• Promote a culture of accountability, accuracy, and teamwork

Skills

Attention to detail

Organizational skills

Analytical skills

Communication skills

Independent work

Collaboration across departments

Education

Registered Nurse license (RN) or Licensed Practical Nurse (LPN)

Tools

EHR software

MDS software

Job description

Spring River Rehabilitation and Care Center in Roswell, NM, is seeking an experienced MDS Coordinator to oversee the RAI process, MDS assessments, and care planning in an office-based role. You will ensure CMS/state compliance and support accurate reimbursement.

The role emphasizes collaboration with billing, therapy, and nursing teams, maintaining ARD schedules, and leading documentation accuracy initiatives to improve resident outcomes.