Regional MDS & PDPM Optimization Lead

Vivo Healthcare; Sarasota (FL); On-site; USD 90,000 - 120,000; Full time

Job summary

Vivo Healthcare in Florida is seeking a Regional MDS Coordinator to oversee MDS processes, PDPM optimization, and reimbursement integrity across assigned facilities. This role ensures accurate coding, timely submissions, and CMS compliance while supporting facility staff with education and audits.

Responsibilities include maintaining PDPM data, reviewing ARDs and IPAs, monitoring UR sheets, and providing clinical guidance to MDS teams, with travel as needed across the region.

Qualifications

• Active RN license (preferred/required based on organization needs).
• RAC-CT certification preferred.
• Minimum 3–5 years of MDS experience in a skilled nursing facility.
• Strong knowledge of PDPM, CMS regulations, and reimbursement systems.
• Experience with MDS software systems and clinical documentation review.
• Strong analytical, organizational, and communication skills.
• Ability to travel regionally as needed.

Responsibilities

• Oversee MDS processes, PDPM optimization, and reimbursement integrity across assigned facilities.
• Maintain and update the Regional PDPM Review Spreadsheet.
• Review reimbursement drivers and ARDs to determine optimal ARDs; utilize tools as needed.
• Identify opportunities for Interim Payment Assessments (IPAs) and ensure implementation.
• Ensure CMS timeframes for MDS completion and submission are met.
• Verify complete and accurate clinical documentation from hospitals for all admissions.
• Monitor and validate diagnoses for accuracy and alignment with reimbursement and care planning.
• Review and track UR sheets weekly to ensure payer coverage alignment.
• Ensure accurate NOMNC and ABN notices when applicable.
• Provide direct support in completing MDS assessments during staffing shortages or openings.
• Provide RN signature on MDS assessments as required.
• Deliver ongoing education to facility MDS staff and interdisciplinary teams.

Skills

Analytical skills

Organizational skills

Communication skills

Travel readiness

Education

RN license

RAC-CT certification

Tools

MDS software systems

Job description

Vivo Healthcare in Florida is seeking a Regional MDS Coordinator to oversee MDS processes, PDPM optimization, and reimbursement integrity across assigned facilities. This role ensures accurate coding, timely submissions, and CMS compliance while supporting facility staff with education and audits.

Responsibilities include maintaining PDPM data, reviewing ARDs and IPAs, monitoring UR sheets, and providing clinical guidance to MDS teams, with travel as needed across the region.