MDS Consultant

Complete Care Management; Toms River (NJ); On-site; USD 90,000 - 110,000; Full time

Job summary

Complete Care in Toms River, NJ is seeking an experienced MDS Coordinator PDPM Scrubber to join our corporate team. The role focuses on reviewing MDS assessments, clinical documentation, and PDPM classifications to maximize appropriate reimbursement across our skilled nursing facilities.

You will partner with facility MDS Coordinators, Directors of Nursing, and therapy teams to resolve discrepancies, provide education on MDS accuracy, and conduct audits aligned with CMS and RAI guidelines.

Qualifications

• MDS experience required.
• Knowledge of MDS 3.0, RAI guidelines, PDPM and Medicare reimbursement is essential.
• Experience auditing MDS assessments and identifying reimbursement opportunities is a plus.
• Must be able to work on-site at the corporate office in Toms River, NJ.

Responsibilities

• Review MDS assessments and supporting clinical documentation for accuracy, completeness, and compliance.
• Scrub MDS assessments to identify missed diagnoses and documentation opportunities affecting PDPM reimbursement.
• Analyze PDPM classifications and identify opportunities to maximize appropriate reimbursement.
• Partner with facility MDS Coordinators, Directors of Nursing, therapy teams, and clinical leadership to resolve documentation discrepancies.
• Provide education and guidance to facility teams regarding MDS accuracy, PDPM, and documentation requirements.
• Conduct ongoing reviews to identify trends, errors, and opportunities for improvement.
• Assist with audits and ensure MDS processes align with CMS, RAI, and regulatory requirements.

Skills

MDS experience

PDPM knowledge

Medicare reimbursement

On-site work

Job description

MDS Coordinator PDPM Scrubber

Corporate Office | Toms River, NJ | On-Site

Complete Care is seeking an experienced MDS Coordinator PDPM Scrubber to join our corporate team in Toms River, NJ. This position will play a key role in reviewing MDS assessments, clinical documentation, and PDPM classifications to ensure accuracy, compliance, and the ability to maximize appropriate PDPM reimbursement across our skilled nursing facilities.

Key Responsibilities of MDS Coordinator PDPM Scrubber:

• Review MDS assessments and supporting clinical documentation for accuracy, completeness, and compliance.

• Scrub MDS assessments to identify missed diagnoses, clinical conditions, services, and documentation opportunities that may impact PDPM reimbursement.

• Analyze PDPM classifications and identify opportunities to maximize appropriate PDPM reimbursement.

• Partner with facility MDS Coordinators, Directors of Nursing, therapy teams, and clinical leadership to resolve documentation and coding discrepancies.

• Provide education and guidance to facility teams regarding MDS accuracy, PDPM, and documentation requirements.

• Conduct ongoing reviews to identify trends, errors, and opportunities for improvement.

• Assist with audits and ensure MDS processes align with CMS, RAI, and regulatory requirements.

Qualifications

• MDS experience is required.

• Minimum 2–3 years of hands-on MDS experience in a skilled nursing/post-acute setting required.

• Strong working knowledge of MDS 3.0, RAI guidelines, PDPM, and Medicare reimbursement.

• Demonstrated ability to review and maximize appropriate PDPM reimbursement through accurate clinical documentation and coding.

• Experience auditing MDS assessments and identifying reimbursement opportunities.

• Must be able to work on-site at the Complete Care corporate office in Toms River, NJ.

Why Join Complete Care?

This is an opportunity for an experienced MDS professional to move into a corporate-level position with the ability to influence MDS accuracy, PDPM performance, and reimbursement across multiple skilled nursing facilities.

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