MDS Coordinator RN or LPN

Principal Duties and Responsibilities

• Maintains and communicates compliance of the OBRA & PPS regulatory date requirements and timely transmits all the required MDS’ and RAI/PPS per state and federal regulation.
• Leads and monitors the activity of all facility RAI processes for timely completion of all elements (i.e. MDS, CAAS, Care Planning, Transmissions, and error follow-up).
• Captures PPS/MDS processes for maximization of Medicare reimbursement and maintains compliance with related regulations.
• Sets reference dates according to the CMS’ MDS Manual and maintain schedules for timely completion of assessments.
• Coaches, mentors, and teaches Interdisciplinary Team (IDT) in RAI process and Prospective Payment System process to promote proficiency and increase efficiency and accuracy in designated roles.
• Participates in communication with the Accounts Receivable departments regarding completion of RAI processes as it relates to billing.
• Leads PPS/Medicare meetings for efficiencies and completeness.
• Exhibits proficiency with ICD Coding regulations and guidelines and acts as a super-user of Point Click Care software.
• Provides reports to the facility monthly QAPI including QMs, 5 Star, and Reimbursement outcomes with tracking, trending and analysis.
• Communicate with IDT on ways to impact better 5 Star scores through improving coding practices with MDS, Care Planning, and Survey readiness.
• Assists and validates the 5 Star scoring through the coding of the MDS.
• Affords assistance to the facility IDT in determining and addressing MDS accuracy issues related to the Quality Measures.
• Validates final RUG levels for billing.
• Demonstrates understanding of OBRA RUGs as it impacts other government reports.
• Observes for resident safety and initiates reporting and documentation procedures as needed related to falls, abuse, or neglect.
• Adheres to Standard Precautions and infection control procedures.
• Assists in the dining room during assigned meals.
• Performs guardian angel assignments weekly and turn into the administrator.
• Performs other tasks as required.

Education, Training, and Experience

• Licensed Registered Nurse in the State of Michigan required.
• Five years of clinical experience encompassing two years of experience in long term care preferred.
• Experience in management and knowledge of the Resident Assessment Instrument (RAI) process is preferred.
• Prefers AANAC certification.

Specific skills, knowledge, and abilities

• Effectively communicates with the IDT by mentoring and evaluating the activities and performance of the RAI Process.

Other Special Requirements

• Manual dexterity required to operate modern office equipment.
• Ability to travel as needed or assigned.