MDS & Reimbursement Coordinator — Growth & Benefits

Foremost at Sharon; Sharon (MA); On-site; USD 60,000 - 90,000; Full time

Benefits offered by this job

Sign-on bonus

Comprehensive benefits package

Professional growth opportunities

Job summary

Foremost at Sharon in Massachusetts is seeking a Clinical Reimbursement Coordinator to oversee resident assessments and coordinate MDS processes. The role focuses on ensuring regulatory compliance and timely Medicare coverage for new residents.

You will work with nursing and interdisciplinary teams to implement PPS/MDS updates, improve reimbursement workflows, and support residents through accurate documentation and care planning.

Qualifications

• Licensed MA RN or LPN required.
• Minimum 1 year of experience as a MDS Coordinator.
• Strong communication, organizational, and assessment abilities.
• Supportive, collaborative team environment.
• Opportunity for professional growth.
• Comprehensive benefits package offered.

Responsibilities

• Oversee and facilitate completion of resident assessments per Federal and State rules.
• Set assessment schedules and ensure accuracy and timeliness.
• Transmit assessments to the State Department of Health in CT.
• Coordinate resident care plans per regulatory requirements.
• Initiate Medicare coverage for new residents and send denial letters when needed.
• Stay updated on Medicare coverage changes and document required items for reimbursement.
• Coordinate MDS processes and participate in care conferences with the team.
• Complete and review Minimum Data Sets (MDS).
• Educate and assist nursing staff on MDS and related sections.
• Ensure all MDS/PPS updates are implemented and staff trained.
• Cross-train between PPS and OBRA; conduct regular resident interviews as required by MDS.

Skills

Communication skills

Organizational skills

Assessment skills

Education

Massachusetts RN or LPN license

Job description

Foremost at Sharon in Massachusetts is seeking a Clinical Reimbursement Coordinator to oversee resident assessments and coordinate MDS processes. The role focuses on ensuring regulatory compliance and timely Medicare coverage for new residents.

You will work with nursing and interdisciplinary teams to implement PPS/MDS updates, improve reimbursement workflows, and support residents through accurate documentation and care planning.