MDS Consultant

Complete Care, Inc.; Toms River (NJ); Hybrid; USD 85,000 - 110,000; Full time

Job summary

Complete Care, Inc. in Toms River, NJ, is seeking an MDS Coordinator PDPM Scrubber to join our corporate team onsite. You will review MDS assessments, scrub for PDPM opportunities, and collaborate with nursing, therapy, and leadership to ensure accurate documentation and reimbursement.

The role emphasizes maximizing PDPM reimbursement and ensuring compliance with CMS and RAI guidelines. On-site at the corporate office, you will guide facility teams and drive continuous improvement across

Qualifications

• MDS experience is required.
• 2–3 years of hands-on MDS experience in a skilled nursing/post-acute setting is required.
• Strong knowledge of MDS 3.0, RAI guidelines, PDPM, and Medicare reimbursement.
• Ability to 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.

Responsibilities

• 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.

Skills

MDS experience

PDPM

Medicare reimbursement

Auditing MDS

Collaboration

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.

#LI-LA1

#CC2024