Obtain and coordinate resident assessment data for Medicare reimbursement
Identify clinical changes and ensure appropriate MDS assessments are performed
Maintain resident assessment schedule in line with regulatory standards
Input and transmit MDS data accurately according to regulations
Coordinate with insurance carriers to meet authorization and clinical update requirements
Prepare required Medicare documentation and maintain weekly UR documentation
Benefits
Opportunity to work in a regulatory-compliant environment
Collaborative role with rehab representatives and external agencies
Impactful position that directly affects resident care and reimbursement
Potential for career advancement within the healthcare facility
Supportive team culture focused on quality patient outcomes
Full Job Description
Summary
MDS Coordinator (RN or LPN)
LPNs with strong MDS experience will be considered
Responsibilities
To obtain and coordinate resident assessment data collection for Medicare reimbursement.
ESSENTIAL FUNCTIONS
Uses clinical assessment skills and chart review to accurately identify resident status. Identifies clinical changes and assures appropriate MDS assessment is performed. Reviews data gathered during pre-admission process for MDS applicability.
In coordination with the rehab representative, maintains resident assessment schedule in accordance with regulatory standards. Recognizes and utilizes opportunities to maximize RUGS classifications.
Inputs MDS data accurately and transmits data according to regulatory standards. Maintains accurate records.
Coordinates with insurance carriers/external agencies to assure that all authorization and clinical update requirements are met. Responds timely and effectively to denial of payment and/or service notification to ensure reimbursement.
Maintains weekly UR documentation and prepares required Medicare documentation.
