MDS Coordinator | PDPM & Medicare Reimbursement Expert

Apex-Healthcare; Clearwater (FL); On-site; USD 65,000 - 85,000; Full time

Job summary

Apex-Healthcare in Clearwater, FL is seeking an experienced MDS Coordinator to oversee resident assessments, Medicare reimbursement, and PDPM accuracy in a Skilled Nursing Facility.

The role emphasizes coordinating the MDS/RAI process, reviewing clinical documentation, ensuring timely ARDs, and collaborating with nursing, therapy, billing, and administration to optimize reimbursement while maintaining compliant practices.

Qualifications

• Previous MDS Coordinator experience in a skilled nursing facility is required.
• Strong knowledge of Medicare reimbursement in the SNF setting is required.
• Solid understanding of PDPM classification and appropriate documentation is essential.
• Experience reviewing clinical documentation to support reimbursement is required.

Responsibilities

• Complete and coordinate MDS assessments accurately and within required timelines.
• Manage the facility’s MDS and RAI process.
• Oversee Medicare-related assessments and documentation.
• Monitor assessment schedules, ARDs, and required completion dates.
• Support accurate PDPM classification and Medicare reimbursement.
• Review nursing, therapy, physician, and interdisciplinary documentation for reimbursement support.
• Identify documentation gaps that could affect skilled coverage or reimbursement.
• Collaborate with nursing, therapy, rehabilitation, billing, and facility leadership.
• Participate in Medicare meetings and reimbursement reviews.
• Monitor skilled residents and Medicare coverage.
• Help ensure documentation supports the services being provided and billed.
• Review clinical indicators that impact reimbursement.
• Coordinate interdisciplinary care planning.
• Maintain compliance with federal, state, CMS, and facility requirements.
• Support audits, surveys, and documentation reviews.
• Educate clinical staff regarding documentation requirements and MDS-related processes.
• Help improve reimbursement accuracy while maintaining compliant clinical practices

Skills

MDS coordination

Medicare reimbursement

PDPM

MDS assessments

RAI process

Documentation review

Attention to detail

Communication

RN/LPN background

Job description

Apex-Healthcare in Clearwater, FL is seeking an experienced MDS Coordinator to oversee resident assessments, Medicare reimbursement, and PDPM accuracy in a Skilled Nursing Facility.

The role emphasizes coordinating the MDS/RAI process, reviewing clinical documentation, ensuring timely ARDs, and collaborating with nursing, therapy, billing, and administration to optimize reimbursement while maintaining compliant practices.