MDS Systems & Compliance Specialist

Senior Lifestyle Corporation; Chicago (IL); Hybrid; USD 77,000 - 104,000; Full time

Benefits offered by this job

Health benefits

Dental benefits

Vision benefits

Retirement plan

Short-term disability

Long-term disability

Paid time off

DailyPay

Job summary

Senior Lifestyle Corporation seeks a Skilled Systems Specialist in Chicago, IL to bridge clinical technology with MDS oversight and reimbursement workflows. The role focuses on supporting PointClickCare, performing audits, training staff, and validating data to ensure accuracy and regulatory compliance across OBRA, PPS, and CMS reporting.

You will collaborate with system analysts, participate in system enhancements, monitor CMS quality measures, and maintain HIPAA-compliant data integrity while

Qualifications

• Bachelor’s degree or equivalent work experience.
• Experience in SNF/LTC operations, MDS, and reimbursement processes.
• MDS certification preferred (RAC-CT or equivalent).

Responsibilities

• Support MDS and reimbursement processes.
• Promote use of PCC to support documentation accuracy.
• Provide end-user support and training for clinical systems and MDS processes.
• Facilitate system training for new implementations and optimization initiatives.
• Collaborate with system analysts to develop enhancements that improve workflow and clinical outcomes.
• Conduct routine audits of OBRA and PPS (Cert/Recert) assessments to ensure scheduling compliance with CMS regulations.
• Perform random audits of completed MDS assessments to validate accuracy, supporting documentation, and reimbursement optimization.
• Review MR packages prior to submission to reduce risk of denials.
• Provide support for ADRs, denials, and appeal processes as needed.
• Review CMS reports (CASPER, Roster, Admission/Discharge) and reconcile against PCC data to ensure accuracy and identify gaps.
• Monitor CMS QRP Preview Reports to mitigate risk of 2% APU penalty.
• Monitor VBP performance indicators including readmissions, infections, and other CMS quality measures.
• Review Net Health/PointRight alerts to identify coding inconsistencies, missing data, and QM risks.
• Review validation warnings/errors and confirm appropriate corrective action has been taken.
• Support onboarding and training of MDS Coordinators and medical records staff.
• Provide ongoing education related to CMS regulatory updates and RAI Manual changes.
• Maintain data integrity, security, and HIPAA compliance.
• Develop reports and track clinical, regulatory, and reimbursement metrics.
• Perform other duties as assigned.

Skills

MDS coding

Medicare reimbursement

Auditing skills

Training capability

Attention to detail

Communication skills

Education

Bachelor’s degree preferred or work-related experience

Healthcare Administration / Nursing related field

MDS certification preferred (RAC-CT or equivalent)

Tools

PointClickCare (PCC)

EHR systems

CMS reporting tools (CASPER, Roster)

Job description

Senior Lifestyle Corporation seeks a Skilled Systems Specialist in Chicago, IL to bridge clinical technology with MDS oversight and reimbursement workflows. The role focuses on supporting PointClickCare, performing audits, training staff, and validating data to ensure accuracy and regulatory compliance across OBRA, PPS, and CMS reporting.

You will collaborate with system analysts, participate in system enhancements, monitor CMS quality measures, and maintain HIPAA-compliant data integrity while