PDPM MDS Scrubber & Reimbursement Specialist

Complete Care Management; Toms River (NJ); On-site; USD 90,000 - 110,000; Full time

Job summary

Complete Care in Toms River, NJ is seeking an experienced MDS Coordinator PDPM Scrubber to join our corporate team. The role focuses on reviewing MDS assessments, clinical documentation, and PDPM classifications to maximize appropriate reimbursement across our skilled nursing facilities.

You will partner with facility MDS Coordinators, Directors of Nursing, and therapy teams to resolve discrepancies, provide education on MDS accuracy, and conduct audits aligned with CMS and RAI guidelines.

Qualifications

• MDS experience required.
• Knowledge of MDS 3.0, RAI guidelines, PDPM and Medicare reimbursement is essential.
• Experience auditing MDS assessments and identifying reimbursement opportunities is a plus.
• Must be able to work on-site at the 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 and documentation opportunities affecting PDPM reimbursement.
• Analyze PDPM classifications and identify opportunities to maximize appropriate reimbursement.
• Partner with facility MDS Coordinators, Directors of Nursing, therapy teams, and clinical leadership to resolve documentation 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

Medicare reimbursement

On-site work

Job description

Complete Care in Toms River, NJ is seeking an experienced MDS Coordinator PDPM Scrubber to join our corporate team. The role focuses on reviewing MDS assessments, clinical documentation, and PDPM classifications to maximize appropriate reimbursement across our skilled nursing facilities.

You will partner with facility MDS Coordinators, Directors of Nursing, and therapy teams to resolve discrepancies, provide education on MDS accuracy, and conduct audits aligned with CMS and RAI guidelines.