Interim/Travel MDS Coordinator

About us

Proactive LTC Consulting serves LTC facilities throughout the US through clinical, regulatory and reimbursement consultation services. Our team of experienced post-acute care nurses and therapists provide extensive MDS training, QA review services and remote MDS completion support to client nursing facilities. We are professional, collaborative, and customer-focused. Our goal is to support quality care, compliance and reimbursement accuracy in client facilities.

Our work environment includes:

• Hybrid-Remote work from your Indiana based home office with ability to be onsite in Indiana client nursing facilities approximately 50% of the time
• Flexible working hours
• Team collaboration and support from other Proactive MDS experts
• HIPAA secure technology

The remote support MDS Coordinator provides project based remote MDS completion, MDS coding support, and MDS coding and supportive documentation audit services to ensure MDS accuracy. Services are provided through a combination of remote and onsite activities. Team members in this role support nursing facility clients with MDS completion, and often assist the facility by: training unexperienced facility staff to complete MDS assessment responsibilities, assisting with the hiring process of a permanent MDS Coordinator, providing MDS Coordinator orientation/on boarding support, remote support activities related to MDS coding, billing accuracy, quality measure data tracking, care planning, restorative programming and reimbursement accuracy. Must hold active RN state compact license in good standing with current RAC-CT and/or RAC-CTA credential. Minimum of 5 years of past experience as MDS/RAI Coordinator with consistent work in MDS since onset of PDPM required.

Extensive skills required in written and verbal communication, knowledge and application of RAI guidelines, research, time management and organization, and providing training via 1:1 or small group inservices. Minimum of 5 years SNF/NF experience required as MDS/RAI Coordinator, Clinical Reimbursement Specialist, Regional Reimbursement Director or equivalent, with experience to include managing the RAI process under PDPM. Access to reliable high-speed internet service is necessary. Proficient technical skills including use of Microsoft Office products and experience with a variety of MDS software preferred.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following:

• Registered Nurse (RN) required with current Compact State Licensure in good standing.
• MDS background including serving as RAI coordinator in Medicare/Medicaid licensed facility with Resident Assessment Coordinator Certification (RAC-CT) required ·
• Knowledgeable in SNF/LTC Reimbursement and Billing Regulations, including but not limited to RAI guidelines, Case Mix Index (CMI,) and state nursing facility documentation guidelines.
• Proficient in assigning ICD-10-CM codes. ·Note: Application process includes a skills assessment.
• Maintains clinical & regulatory knowledge in accordance with current geriatric care standards of practice, including but not limited to national association practice standards, state practice acts, state board of health regulations, CMS Requirements of Participation, and payor guidelines ·
• Strong organizational skills with the ability to coordinate multi-site projects, prioritize obligations, and consistently meet deadlines
• Regular Attendance. ·
• Excellent ability to interact and develop professional advisory relationships including skills in verbal communication with a demonstrated ability to share constructive feedback in a manner that motivates growth
• Competence in interpreting data related to reimbursement and quality trends and providing pragmatic action plans to drive performance improvement
• Continually updates knowledge related to computer technology and is currently proficient in Microsoft Office including PowerPoint, Word, and Excel; experienced user of commonly used SNF/NF software platforms including Point Click Care, Matrix, Rehab Optima/NetHealth, Casamba/SMART, AOD, AHT are preferred.
• Completes comprehensive clinical documentation audits of medical records and MDS coding accuracy to ensure compliance with Medicare/RAI guidelines, state (Medicaid) documentation requirements, and standards of care for the conditions being treated
• Creates reports and provides constructive feedback in a professional manner
• Develops useful, innovative tools & resources to guide client clinical, compliance, and reimbursement accuracy efforts
• Provides relevant and engaging MDS related training using company provided materials via 1:1 and small group sessions via web based platform or in person if necessary
• Demonstrates skill in conducting research in follow up to client specific clinical, billing and coding inquiries.
• Assists clients to complete ADR (Additional Documentation Request) and Medicare or other payor claim denial management following company standards.
• Communicates/interacts with client/facility personnel in a professional manner to ensure continued satisfaction with delivery of support services.
• Comply with all Infection Control, Universal Precautions and OSHA standards for healthcare professionals.
• Consistently demonstrate sound judgment and ethical guidance for SNF/long term care practices. ·
• Maintain privacy and confidentiality of clients and is compliant with HIPAA standards.
• Regional travel required 1-3 days/week depending on assigned projects.

Job Types: Full-time, Part-time

Pay: $35.00 - $45.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Flexible schedule
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday

Education:

• Associate (Required)

Experience:

• MDS: 5 years (Required)

License/Certification:

• RAC-CT (Required)
• Compact State Nurse License (Required)

Work Location: Hybrid remote in Indianapolis, IN 46227