MDS Coordinator: Reimbursement & Care Quality Lead

Cantex; Groves (TX); On-site; USD 70,000 - 90,000; Full time

Benefits offered by this job

Competitive pay

Performance-based bonus opportunities

Health, dental, and vision insurance

Life insurance, disability, etc.

401(k) with company match

Paid time off (PTO/Sick)

Career growth opportunities

Supportive company culture

Many more employee perks

Job summary

Cantex in Groves, TX is seeking a dedicated MDS Coordinator to ensure accurate completion of the RAI process for Medicare/Medicaid reimbursement. This role oversees MDS assessments, documentation accuracy, care plan coordination, and regulatory compliance to support high-quality resident care.

Responsibilities include maintaining compliance with state/federal rules, coordinating reimbursement meetings, auditing records, and training staff on documentation guidelines. Equal opportunity employer.

Qualifications

• Texas nursing license (RN or LVN) required.
• Minimum 2 years of long-term care experience.
• Certificate via HHSC RUG Online Training for Nursing Facilities.
• Must complete AANAC RAI Certification within 1 year.
• Strong communication and documentation skills.
• Ability to read/write analyze clinical documentation and regulations.
• Ability to prepare reports and care-related documentation.
• Ability to present information to department heads, residents, families, physicians, and regulatory partners.

Responsibilities

• Maintain compliance with all State and Federal Medicare/Medicaid rules, regulations, and interpretations.
• Review pre-admission paperwork to ensure medical necessity.
• Attend daily weekday stand-up meetings.
• Coordinate Weekly Reimbursement Meetings with the Interdisciplinary Team.
• Audit clinical records and educate staff on documentation guidelines.
• Obtain and update Medicare-qualifying diagnoses for Part A residents.
• Initiate and update physician certifications for Part A residents.
• Complete all MDS assessments within required timeframes for Medicare/Medicaid.
• Track resident census and coordinate information with the Financial Manager.

Skills

RN or LVN license

Long-term care experience

AANAC RAI Certification within 1 year

HHSC RUG Training

Communication skills

Documentation skills

Regulatory knowledge

Job description

Cantex in Groves, TX is seeking a dedicated MDS Coordinator to ensure accurate completion of the RAI process for Medicare/Medicaid reimbursement. This role oversees MDS assessments, documentation accuracy, care plan coordination, and regulatory compliance to support high-quality resident care.

Responsibilities include maintaining compliance with state/federal rules, coordinating reimbursement meetings, auditing records, and training staff on documentation guidelines. Equal opportunity employer.