Reimbursement Coordinator (MDS NURSE)

Taos Healthcare; Taos (NM); On-site; USD 65,000 - 85,000; Full time

Benefits offered by this job

401k

Dental

Health

Life & Vision

Job summary

Taos Healthcare is seeking an MDS Coordinator to oversee timely and accurate completion of the MDS process from admission to discharge, ensuring compliance with federal, state, and certification guidelines. You will coordinate with the nursing leadership and care teams to manage data and documentation across RAI-related activities.

The role requires RN/LVN licensure, SNF nursing experience, and strong knowledge of MDS, OBRA, and care planning.

Qualifications

• Graduate of an approved RN/LVN program and licensed in the state of practice.
• Minimum of 2 years of nursing experience in a Skilled Nursing Facility.
• Excellent knowledge of Case-Mix, the Federal Medicare PPS process, and Medicaid reimbursement.
• Thorough understanding of the OBRA regulations and Minimum Data Set.
• Knowledge of the care planning process.
• Experience with MDS 3.0, preferred.

Responsibilities

• Collaborate with the Interdisciplinary Team to assess resident needs and schedule MDS assessments and care plan reviews.
• Decide with the team on completing or not completing additional MDS assessments based on clinical criteria.
• Coordinate daily stand-up meetings to review resident care and set assessment reference dates.
• Comply with federal and state regulations regarding MDS process completion and coordination.
• Monitor MDS and care plan documentation to ensure accuracy in medical records.
• Maintain current MDS status per state and federal guidelines and update computerized MDS systems.
• Accurately code the MDS via record review, observation, and interviews with staff, residents, and families.
• Perform other duties as assigned.

Skills

Nursing experience

MDS process knowledge

Regulatory knowledge

Education

RN or LVN license

Job description

Benefits

• 401k, Dental, Health, Life & Vision

Job Type: Full-time

Job Details

The MDS Coordinator will be responsible for timely and accurate completion of both the RAI process and care management process from admission to discharge in accordance with company policy and procedures, and Federal, State and Certification guidelines, and all other entities as appropriate- Minimum Data Set, discharge and admission tracking, etc. With direction from the Director of Nursing and VP of Clinical Reimbursement, may coordinate information systems operations and education for the clinical department.

Your Responsibilities

• Works in collaboration with the Interdisciplinary Team to assess the needs of the resident; Provides interdisciplinary schedule for MDS assessments and care plan reviews as required by governing agencies.
• Ensures that the Interdisciplinary team makes decisions for either completing or not completing additional MDS, assessments based on clinical criteria as identified in the most recent version of the RAI User’s Manual.
• Assist with coordination and management of the daily stand up meeting, to include review of resident care and the setting of the assessment reference date(s).
• Complies with federal and state regulations regarding completion and coordination of the RAI process.
• Monitors MDS and care plan documentation for all residents; ensures documentation is present in the medical record to support MDS coding.
• Maintains current MDS status of assigned residents according to state and federal guidelines.
• Maintains the frequent and accurate data entry of resident information into appropriate computerized MDS programs.
• Completes accurate coding of the MDS with information obtained via medical record review as well as observation and interview with facility staff, resident and family members.
• Other duties, responsibilities and activities may change or assigned at any time with or without notice.

Your Qualifications

• Graduate of an approved RN / LVN program and licensed in the state of practice, required.
• Minimum of 2 years of nursing experience in a Skilled Nursing Facility preferred.
• Excellent knowledge of Case-Mix, the Federal Medicare PPS process, and Medicaid reimbursement, as required.
• Thorough understanding of the Quality Indicator process. Knowledge of the OBRA regulations and Minimum Data Set.
• Knowledge of the care planning process.
• Experience with MDS 3.0, preferred.

Taos Healthcare provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.