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SalaryJob Summary:
The overall purpose of the Regional MDS Coordinator position is to ensure appropriate reimbursement of Medicare and/or Medicaid Patients through the Patient Assessment Instrument (RAI) process. Assists in the management of quality Patient care on a continuing basis in accordance with federal and state standards.
Qualifications:
Must have a current RN/LVN license
3 - 5 years MDS/RAI experience required
Case Mix Management experience required in a long term care setting
Must maintain current CPR certification
Excellent verbal and written communication skills
Excellent computer software skills
Ability to multi-task and oversee multi-facility functions on a daily basis
Ability to direct and lead staff of multiple facilities
Essential Functions:
Review and coordinate Medicaid and Medicare Case Mix data for the region
Validate MDS coding, ICD-10 coding and RUG groupers
Conduct detailed review of documentation to assist in accurate MDS 3.0 completion to ensure the appropriate level of reimbursement through accurate resident assessment
Assess current processes and evaluate compliance with company standards, as well as Long Term Care regulations
Provide education to licensed and non-licensed staff
Identify opportunities and make recommendations as needed
Continuing Education:
Attends in-service and continuing education programs required for maintenance of professional certification or licensure.
Attends continuing education programs as necessary.
Current AANAC Certification
Physical Demands:
Ability to communicate in English via phone, in writing and verbally in conversation with different levels of staff, Resident families and any outside customers.The physical demands described are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is frequently required to stand and walk. The employee is occasionally required to sit, use hands or fingers, handle, or feel; reach with hands and arms, talk or hear and taste or smell. The employee must occasionally lift and/or move up to 50 pounds. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception, and ability to adjust focus. Ability to utilize a computer, phone, etc. for extended periods of time.
While performing the duties of this job, the employee is occasionally exposed to blood or other body fluids, fumes or airborne particles and toxic or caustic chemicals. The noise level in the work environment is usually moderate.
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