MDS Coordinator (PCC) LVN (24970)

Paycom - ATS; El Paso (TX); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Competitive pay

Bonus opportunities

Health, dental, vision insurance

401(k) with company match

PTO/Sick leave

Job summary

Edgemere Estates in El Paso, TX seeks an experienced MDS Coordinator to oversee RAI processes and ensure compliant Medicare/Medicaid reimbursement. You will manage MDS assessments, care-plan coordination, and regulatory compliance to maintain high-quality resident care.

The role emphasizes interdisciplinary collaboration, accurate documentation, and timely submissions, with opportunities for professional development and growth within a supportive team environment.

Qualifications

• Current Texas nursing license (RN or LVN)
• Completion of HHSC RUG Online Training for Nursing Facilities
• AANAC RAI Certification within 1 year of employment

Responsibilities

• Maintain compliance with State and Federal Medicare/Medicaid rules.
• Review pre-admission paperwork for medical necessity.
• Coordinate Weekly Reimbursement Meetings with Interdisciplinary Team.
• Audit clinical records for documentation accuracy and staff training.

Skills

Strong communication

Documentation

Delegation skills

Clinical documentation literacy

Regulatory interpretation

Education

Texas nursing license (RN/LVN)

HHSC RUG Online Training certificate

AANAC RAI Certification (within 1 year)

Job description

Job Details: Job Location: Skilled Nursing at Edgemere Estates - El Paso, TX 79935, Position Type: Full Time, Job Category: Nursing , Location: El Paso, TX

Schedule: Full-time role with standard business hours

Reports to: Administrator / Director of Nursing

What We Offer You

• Competitive pay
• Performance‑based bonus opportunities
• Comprehensive health, dental, and vision insurance
• Additional supplemental benefits (life insurance, disability, accident, etc.)
• 401(k) with company match
• Generous paid time off (PTO/Sick)
• Clear career growth and advancement opportunities
• A supportive and vibrant company culture
• Many more employee perks and benefits

Job Summary

The MDS Coordinator ensures accurate and compliant completion of the Resident Assessment Instrument (RAI) process to support appropriate Medicare and Medicaid reimbursement. This role oversees MDS assessments, documentation accuracy, care plan coordination, and regulatory compliance. The MDS Coordinator plays a key role in maintaining high‑quality resident care, supporting interdisciplinary collaboration, and ensuring reimbursement aligns with clinical delivery and federal/state guidelines.

Qualifications: Qualifications

• Current, valid Texas nursing license (RN or LVN)
• At least 2 years of long‑term care experience preferred
• Acknowledgement of Completion Certificate through HHSC RUG Online Training for Nursing Facilities
• Must complete AANAC RAI Certification within 1 year of employment
• Strong communication, documentation, and delegation skills
• Ability to read, write, analyze, and interpret clinical documentation, regulations, and technical procedures
• Ability to write reports, business correspondence, nursing progress notes, and care‑related documentation
• Ability to present information effectively to department heads, residents, families, physicians, and regulatory partners

Essential Functions

• Maintain compliance with all State and Federal Medicare/Medicaid rules, regulations, and published interpretations
• Review pre‑admission paperwork to ensure qualifying medical necessity
• Attend daily weekday stand‑up meetings
• Coordinate Weekly Reimbursement Meetings with the Interdisciplinary Team to ensure reimbursement aligns with care delivery
• Audit clinical records to ensure documentation accuracy; educate and train staff on documentation guidelines
• Obtain and update Medicare‑qualifying diagnoses for Medicare Part A residents
• Initiate and update physician certifications for Medicare Part A residents
• Complete all MDS assessments within required timeframes for Medicare and Medicaid residents
• Review 24‑hour nursing reports to identify changes in resident condition
• Prepare for Medicaid audits and ensure documentation readinessTrack resident benefit days, validate daily census, and coordinate information with the Financial Manager to ensure accurate billing
• Achieve budgeted reimbursement rate expectations
• Uphold Patient Care Management Systems and Financial Management Systems
• Ensure resident safety and compliance with Abuse Prevention policies
• Perform other duties as assigned

We are an Equal Opportunity Employer. We offer an excellent benefit plan to include 401(k) with match, CEU reimbursement, vacation, sick time, holidays, medical, dental, and supplemental insurance plans, as well as a highly competitive compensation package.

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