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Calvado Care in Buffalo, NY seeks an experienced Regional MDS Coordinator to lead MDS accuracy and PDPM compliance across multiple facilities. The role emphasizes audit readiness and education, driving quality outcomes and regulatory adherence.
The position requires in-person visits, RN licensure, and strong knowledge of CMS regulations, with travel as needed. You will collaborate with interdisciplinary teams to improve QM, VBP, NHQI metrics and Five-Star ratings.
This position is not a remote role, will consider LPN
The MDS Coordinator is responsible for overseeing the accuracy, timeliness, and compliance of the Minimum Data Set (MDS) process across multiple facilities within the WNY region. This role ensures optimal clinical reimbursement under PDPM while maintaining regulatory compliance through auditing, education, and interdisciplinary collaboration. This position serves as a key leader in driving quality outcomes, audit readiness, and consistent MDS practices throughout the company.
Oversee MDS completion, accuracy, and timeliness across assigned facilities
Ensure proper PDPM coding, including accurate capture of high audit MDS Items
Review Assessment Reference Date (ARD) management and scheduling practices
Monitor CMI trends and reimbursement opportunities through weekly/monthly meetings
Ensure alignment between clinical documentation and reimbursement outcomes
Support facilities in improving metrics including, but not limited to QM, VBP, QRP, NHQI
Conduct routine and focused MDS/compliance audits (internal and external readiness
Ensure documentation supports MDS coding and is defensible under audit
Monitor: Medicare Certifications, Physician documentation and orders, timely Interview completion (BIMS, PHQ-2 to 9, Pain, etc.)
Lead corrective action plans and QAPI initiatives related to audit findings
Prevent common audit risks (e.g., missing documentation, late assessments, unsupported coding, incomplete care plans)
Provide support during both internal & external audits, including but not limited to: OMIG, RAC, MAC, and other regulatory reviews
Assist in document retrieval, validation, and organization
Review and preparation of audit response packets
Collaboration with facility leadership and corporate teams during audit processes
Participation in audit calls, exit conferences, and follow-up actions
Provide ongoing education to: MDS Coordinators, Nursing, Social Work, Therapy (PT/OT/SLP), Interdisciplinary Team (IDT)
Translate RAI Manual and CMS regulations into practical, role‑specific guidance for SNFs
Lead In‑services, create or update educational tools as needed (guides, PowerPoints, workflows, audit summaries)
Facilitate communication between Nursing, Therapy, Social Services, Dietary, and Physicians
Ensure IDT participation in: UR Meetings, Care planning, IDT Section GG determination, Triple Check Process, QAPI, Medical Meetings
Promote interdisciplinary accountability in documentation and care plan integration
Analyze MDS workflows, submission timelines, and error rates
Utilize data analytic tools and analyze data trends related to QM, Five-Star ratings, QRP, VBP and NHQI programs
Implement process improvements to enhance efficiency and accuracy