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Apploi is seeking an MDS Coordinator for an in-person position in Illinois. The role ensures accurate Medicare/Medicaid MDS documentation, PPS/PBPM alignment, and integrated care planning to support appropriate reimbursement.
The candidate will oversee MDS assessments, plan development, and interdisciplinary coordination with nursing, dietary, social, and physician services, while managing restorative nursing program alignment.
The MDS Coordinator is responsible for the accurate and timely completion of all Medicare/Medicaid case-mix and care plan documentation in order to assure appropriate reimbursement for care and services provided within the Facility. Conducts continual Minimum Data Set (MDS) and care plan reviews to assure completeness, thoroughness, and achievement of the optimal allowable Patient Driven Payment Model (PDPM) and Resource Utilization Group (RUG) categorization. Oversees the overall process and tracking of MDS/Prospective Payment System (PPS) documentation and submission, care plan documentation, and the restorative nursing program. He/she will integrate nursing, dietary, social recreation, restorative, rehabilitation and physician services to ensure appropriate assessment and reimbursement.