MDS Coordinator & Clinical Reimbursement (RN/LPN)

Vantage Care, LLC; New Bedford (MA); On-site; USD 75,000 - 95,000; Full time

Benefits offered by this job

401(k)

Health insurance

Dental insurance

Vision insurance

Life insurance

Vacation

Holidays

Paid Sick Time

Job summary

Vantage Health & Rehab of New Bedford is seeking an experienced MDS Coordinator/Clinical Reimbursement RN/LPN to manage Medicare/Medicaid case-mix documentation and ensure proper reimbursement for services provided. This role coordinates MDS assessments, HIPPS categorization, and collaborates with facility staff to maintain accurate documentation.

Responsibilities include scheduling, concurrent MDS reviews, education on MDS terminology, and development of care plans that support both care

Qualifications

• Must be a graduate of an accredited School of Nursing with current RN/LPN licensure.
• Experience with Medicare/Medicaid reimbursement and MDS completion is highly desirable.
• Must maintain BLS/CPR certification.

Responsibilities

• Maintains the schedule of all MDS assessments and ensures timely submission of MDS, case-mix, OBRA and PDPM assessments.
• Perform concurrent MDS review to optimize HIPPS category through accurate clinical information.
• Collaborate with facility staff to ensure complete documentation supporting MDS coding and reimbursement.
• Communicate case-mix data required for billing to the Business Office (HIPPS, modifiers, state case-mix scores).
• Serve as the nursing center resource for MDS/HIPPS and state case-mix systems; provide education on MDS terminology and format.
• Develop resident-specific care plans to support quality of care and reimbursement.

Skills

RN/LPN licensure

Long term care experience

BLS/CPR certification

MDS understanding

HIPPS knowledge

case management

Medicare/Medicaid reimbursement

Education

RN or LPN degree/licensure

Tools

MDS/HIPPS systems

Job description

Vantage Health & Rehab of New Bedford is seeking an experienced MDS Coordinator/Clinical Reimbursement RN/LPN to manage Medicare/Medicaid case-mix documentation and ensure proper reimbursement for services provided. This role coordinates MDS assessments, HIPPS categorization, and collaborates with facility staff to maintain accurate documentation.

Responsibilities include scheduling, concurrent MDS reviews, education on MDS terminology, and development of care plans that support both care