MDS Coordinator

Eden Senior Care, LLC; Kingston (Luzerne County); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Health, Dental, and Vision benefits

Vacation/Holiday/Sick time

401k with company match

Tuition Reimbursement

Job summary

Edenbrook Second Avenue, part of the Eden East Network, seeks an experienced MDS Coordinator to manage MDS/RAI activities, coding, and reimbursement processes. The role involves coordinating with families, case managers, and insurers to ensure accurate PDPM outcomes and ongoing care planning.

Candidates should hold an LPN or RN license in PA (RN preferred) with 3+ years in MDS-related duties, and proficiency with PCC, Excel, Teams, and Zoom.

Qualifications

• Current license as LPN or RN in Pennsylvania; RN preferred.
• Strong knowledge of the MDS process and RAI.
• 3+ years' experience preferred in MDS/reimbursement.
• Familiarity with ICD-10 coding, Medicare Manual guidance, RAI Manual.
• Excellent written and oral communication; highly organized.

Responsibilities

• Support clinical reimbursement processes and lead RNAC in the facility.
• Schedule and complete MDS activities; ensure timely updates.
• Handle new admission authorizations and communications with families/insurers.
• Code ICD-10 for new admissions and update for LTC population.
• Participate in resident care plan development and reviews.
• Educate IDT on MDS needs and PDPM scoring; run utilization meetings.

Skills

MDS process

RAI

ICD-10 coding

Communication skills

Documentation accuracy

Education

LPN or RN license in PA

Tools

Point Click Care (PCC)

Excel

Teams

Zoom

Job description

Edenbrook Second Avenue is a proud member of the Eden East Network, a leading provider of post-acute rehabilitation and long-term care. We are committed to delivering excellence in care through a holistic approach that nurtures the mind, body, and soul. Join our compassionate and dedicated team in making a difference in the lives of our residents and staff.
Position: MDS Coordinator
Salary is negotiable and based on experience and skill set. Looking for someone with MDS experience.
Candidates must be well-versed in MDS, RAI, and Clinical Reimbursement. Prior experience with Point Click Care (PCC) preferred.
Essential Duties And Responsibilities

• Supporting clinical reimbursement processes, with the goal of serving as the lead RNAC in the facility.
• MDS scheduling, set up and completion
• New admission authorizations, updates, communication with family/insurance providers, communication with case managers
• ICD 10 coding for all new admissions and continual updating for LTC population
• Participate in the implementation, updating and review of the resident care plan
• Attend/communicate with family\'s and residents on current plan of care, insurance needs, and discharge needs - attend care conferences
• Educate IDT on needs of the MDS, Assessments and Skilled care service requirements
• Run Utilization Review Meetings and ensure PDPM scores and rates are validated
• Review and Educate IDT/Staff to ensure proper documentation is maintained
• Maintain Insight/Participation to facility Quality Measures and QAPI process
• Chart Reviews/Audits as needed
• Assist IDT during Survey process

Qualifications

• Current license as a Licensed Practical Nurse (LPN) or Registered Nurse (RN) in Pennsylvania, with RN preferred.
• Strong knowledge of the MDS process
• 3+ years\' experience preferred.
• Strong knowledge of ICD 10 coding/coding guidelines, Medicare Chapter 8 Manual, RAI Manual
• Possesses good organization skills-
• Excel document, Teams, or Zoom platform experience a plus!
• Excellent in written and oral communication skills.

Benefits

• Health, Dental, and Vision benefits
• Vacation/Holiday/Sick time
• 401k with company match
• Tuition Reimbursement
• Supportive working environment and culture

Keywords MDS, Reimbursement. RAI, Minimum Data Set, Medicare, Insurance, Medicaid, RNAC, AANAC, RAC-CT, RNAC-CE