MDS Coordinator

Excellent wage & benefit package!

Responsible for the coordination of the Resident Assessment Instrument (RAI) process to ensure accurate and timely completion of resident assessments in accordance with Medicare, Medicaid, OBRA and other payor program requirements. Ensures assessments accurately reflect the physical, mental and psychosocial status of each resident; ensures accuracy of RAI to reflect optimal reimbursement for services provided; ensures appropriate documentation to report and support services provided and assessment accuracy, etc.

Essential Functions:
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Coordinate the completion of each resident's MDS in compliance with all State and Federal requirements
Calculate triggers and develop resident assessment protocols for initiation of care plan
Ensure MDSs are completed timely
Accurately identify each resident's level of functioning in accordance with RAI manual guidelines
Ensure each MDS accurately identifies the lowest level of functioning allowable to maximize reimbursement opportunities as allowed by Federal and State Law
Ensure CNAs, nurses and other disciplines have accurately completed required clinical record documentation timely
Coordinate and assist with weekly interdisciplinary care conferences and Medicare meetings
Make necessary referrals to nursing and therapy departments
Maintain MDS and supporting clinical record documentation according to State and Federal requirements and in compliance with center policies/procedures
Review and assess all resident information (including hospital records) to accurately complete MDS scoring
Train nursing staff on responsibilities for timely and accurate clinical record documentation
Development
Ensures Medicare claims relating to MDS pending and therapy pending errors are corrected
Generate MDS audit reports as needed
h3. Implementation
Verified Medicaid billing accuracy
Verifies and maintains accurate billing for HMO and VA residents
Compiles monthly and quarterly Medicare/Medicaid default reports
Ensures MDS submission and report preparation, processing (CASPER, Validation Reports, etc.) and distribution
Identifies MDS/Census and AR errors for corrections for center billing information
Provides training on clinical software and Care Tracker
Complies with laws and regulations applicable to position and act in accordance with Center's Compliance Program
Attends and participates in in-service training, performance improvement ("PI") committees and other meetings as scheduled and directed
Work Environment/Physical Requirements
The responsibilities of this position involve significant physical activities including standing, lifting (up to 50 pounds unassisted), bending, stooping, pushing, pulling and twisting. All employees of nursing homes may be required to provide lifting and transfer assistance to residents. Lifting and/or transferring some residents will require use of a lifting device and /or assistance of other staff.

Required Education and Experience
Current license to practice in the State as an RN (or in process of obtaining RN)
Working knowledge of the MDS assessment cycle and assessment information
Computer proficiency with Microsoft products
Preferred Education and Experience
Experience in a fast-paced environment
Post-acute care or health care experience preferred
Skills, Knowledge and Abilities:
Experience using MDS software computer system and software including proficiency in Microsoft Office Word and an email system.
Strong oral and written communication skills.
Strong organizational and project management skills.
Ability to work with all levels of employees.
Ability to read, write, speak and understand English.
Ability to relate positively, effectively, appropriately with residents/patients, families, community members, volunteers and other center staff.
Working knowledge of the MDS and RAI process with strong interest in Medicare, Medicaid, and other payor reimbursement systems.
Demonstrates basic computer knowledge and ability with an aptitude to learn company applications.

Click "apply" to email your resume or Stop in & see:
Peggy Rahkonen
today at:
1612 N. 37th St.
Superior, WI 54880
or call 715-392-5144

EOEM/F/V/D