RN OR LPN MDS Coordinator Clinical Reimbursement Experienced

Vantage Care, LLC; New Bedford (MA); On-site; USD 60,000 - 80,000; Full time

Benefits offered by this job

401(k)

Health insurance

Dental insurance

Vision insurance

Life insurance

Paid Sick Time

Vacation

Holidays

Casual Fridays

Job summary

Vantage Care, LLC in New Bedford is seeking an experienced MDS Coordinator for managing assessments and documenting care plans. This role requires collaboration with staff to ensure timely and accurate submissions for billing and reimbursement.

The ideal candidate will have RN or LPN licensure along with significant knowledge of Medicare/Medicaid services. Join a supportive team that values quality care and provides comprehensive benefits.

Qualifications

• Must possess current RN or LPN licensure in the state of employment.
• Minimum one year of long-term-care clinical nursing experience required.
• Knowledge of Medicare/Medicaid reimbursement and MDS completion highly desirable.

Responsibilities

• Maintain the schedule for MDS assessments and ensure timely submissions.
• Perform concurrent MDS reviews for accurate billing.
• Collaborate with staff for accurate documentation.
• Communicate case-mix data to the Business Office.

Skills

MDS assessment management

HIPPS knowledge

Clinical information capture

Nursing documentation

Education

Graduate of an accredited School of Nursing (RN/LPN)

Job description

MDS Coordinator / Clinical Reimbursement (RN/LPN)

Location: Vantage Health & Rehab of New Bedford
200 Hawthorn Street, New Bedford, MA 02740

Responsibilities

• Maintain the schedule of all MDS assessments including reference dates and ensure timely submission of case‑mix, OBRA, and PDPM required assessments.
• Perform concurrent MDS review to ensure appropriate HIPPS category, capture appropriate clinical information, and identify opportunities to enhance reimbursement.
• Collaborate with facility staff to ensure accurate and complete documentation for coding of MDS assessments and prevent revenue recoupment from audits.
• Communicate case‑mix data required for billing to the Business Office including HIPPS categories, modifiers, state case‑mix scores, etc.
• Serve as the nursing center resource for MDS/HIPPS and state case‑mix systems, providing staff education and instruction on MDS terminology and format.
• Ensure development of accurate and resident‑specific care plans to support quality of care and reimbursement.

Qualifications

• Graduate of an accredited School of Nursing with current RN or LPN licensure in the state of employment.
• Minimum one year of long‑term‑care clinical nursing experience.
• Knowledge of Medicare/Medicaid reimbursement, MDS completion, clinical resource utilization and/or case management highly desirable.
• Current BLS/CPR certification (excluding ALFs/ILFs).

Benefits

• 401(k)
• Health insurance
• Dental insurance
• Vision insurance
• Life insurance
• Vacation
• Holidays
• Paid Sick Time
• Casual Fridays

Vantage Care requires evidence of COVID‑19 vaccination for all personnel and affiliates present at a facility. Exemptions are provided in accordance with applicable federal and state laws.

Vantage Care is an equal employment opportunity employer. All employment decisions are based on merit, qualifications, and competence and are not influenced or affected by race, color, religion, age, gender, national origin, ancestry, marital status, military status, veterans’ status, disability, sexual orientation, gender identity or expression, or any other characteristics protected by federal, state, or local law.