Regional MDS Coordinator Job at CONFIDENTIAL
We currently have an open position for a Regional MDS Coordinator for four Northwestern Missouri LTC facilities. This individual will audit and provide guidance, oversight to assessment coordinators related to the MDS and subsequent reimbursement processes for accuracy in assessment completion and maximization of reimbursement through the new Case Mix Classifications starting in the state of Missouri. The Regional Clinical Reimbursement Specialist/MDS Coordinator ensures RAI guidelines are followed in the assigned region with a focus on resident care and maximizing financial reimbursement through the MDS process. Review of MDS assessments on a minimum of a daily/weekly/monthly/quarterly basis including quarterlies, annuals, IPAS, significant changes, and admission assessments to ensure scheduling and completion are following the RAI process and any related state and/or federal regulations to include CAA’s and the care planning process. Quarterly review of admissions/discharges to ensure discharge and/or re-entry assessments are present and dated appropriately. Review of Medicare PPS assessments on a minimum of a quarterly basis including dually coded full assessments to ensure accurate coding on all sections of the MDS with supportive documentation present to maximize financial reimbursement. Review of Medicare assessment scheduling monthly including unscheduled OMRA assessments. Monthly review of skilled certifications/re-certifications to ensure appropriate documentation is present and signed by licensed professional in accordance with federal and/or state regulations. Monthly review of each facility RUG report to review distribution and monitor for any trends including fluctuations in ADL scoring or associated end split. Provide ADL education as needed. Assist facilities in orientation of MDS Coordinator when a vacancy is filled. This is not a remote position and travel is required. This is a fantastic opportunity for the right candidate.
Job Type: Full-time
Schedule:
- 8 hour shift
- Monday to Friday
Experience:
- MDS: 1 year (Preferred)
License/Certification:
- RN (Preferred)
- LPN (Preferred)
Work Location: One location
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