MDS Coordinator: PDPM Scrubber & Reimbursement Expert

Complete Care Careers; Toms River (NJ); On-site; USD 85,000 - 115,000; Full time

Job summary

Complete Care seeks an experienced MDS Coordinator PDPM Scrubber to join our corporate team in Toms River, NJ. This on-site role reviews MDS assessments, clinical documentation, and PDPM classifications to ensure accuracy, compliance, and maximize reimbursement across our skilled nursing facilities.

The ideal candidate has 2–3 years of hands-on MDS experience, strong knowledge of MDS 3.0, RAI guidelines, and Medicare reimbursement, and can educate facility teams on PDPM requirements and coding

Qualifications

• MDS experience is required.
• Minimum 2–3 years of hands-on MDS experience in a skilled nursing/post-acute setting required.
• Strong working knowledge of MDS 3.0, RAI guidelines, PDPM, and Medicare reimbursement.
• Demonstrated ability to maximize appropriate PDPM reimbursement through accurate clinical documentation and coding.
• Experience auditing MDS assessments and identifying reimbursement opportunities.
• Must be able to work on-site at the Complete Care corporate office in Toms River, NJ.

Responsibilities

• Review MDS assessments and supporting clinical documentation for accuracy, completeness, and compliance.
• Scrub MDS assessments to identify missed diagnoses, clinical conditions, services, and documentation opportunities that may impact PDPM reimbursement.
• Analyze PDPM classifications and identify opportunities to maximize appropriate PDPM reimbursement.
• Partner with facility MDS Coordinators, Directors of Nursing, therapy teams, and clinical leadership to resolve documentation and coding discrepancies.
• Provide education and guidance to facility teams regarding MDS accuracy, PDPM, and documentation requirements.
• Conduct ongoing reviews to identify trends, errors, and opportunities for improvement.
• Assist with audits and ensure MDS processes align with CMS, RAI, and regulatory requirements.

Skills

MDS experience

PDPM knowledge

Documentation review

Auditing

Team collaboration

Tools

CMS regulations

Job description

Complete Care seeks an experienced MDS Coordinator PDPM Scrubber to join our corporate team in Toms River, NJ. This on-site role reviews MDS assessments, clinical documentation, and PDPM classifications to ensure accuracy, compliance, and maximize reimbursement across our skilled nursing facilities.

The ideal candidate has 2–3 years of hands-on MDS experience, strong knowledge of MDS 3.0, RAI guidelines, and Medicare reimbursement, and can educate facility teams on PDPM requirements and coding