MDS Coordinator - Nivram Management

Job Summary

The MDS Coordinator will assist MDS and restorative teams regarding proper assessment of residents within their designated facilities. Responsible for assuring compliance with federal and state guidelines regarding RAI process and promoting proper clinical reimbursement for services rendered. RN MDS NURSE preferred but LPN are considered (with at least 1 year of experience.).

Essential Job Functions

Every effort has been made to make your job description as complete as possible. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related or is a logical assignment to the position.

Primary Functions

1.    Evaluate facility compliance to federal regulations and targets for utilization.

2.    Identify areas of concern and assist the facility to formulate effective action plans such as missing and late assessments from IDT.

3.    Review resident clinical records for supporting documentation on MDS coding, utilization, errors, assessments, and accurate transmission.

4.    Completion of MDS assessment timely.

Job Responsibilities

1.    Participate in weekly Medicare/PA meetings on the same day and time each week or as scheduled.

2.    Monitor and complete all Medicare admission/discharges assessments timely.

3.    Review hospital records, records from previous placement, interview family/POA, or collect all pertinent information about the resident upon admission and input them in the system accordingly, to include medical diagnoses, previous surgeries, other pertinent medical procedures, etc.

4.    Provide education to the staff on Medicare rules and regulations as needed.

5.    Review ABN tracking form, NOMNOC to ensure they are served timely and are in the file or scanned and uploaded to PCC under misc.

6.    Ensure Physician certification process is followed and in compliance.

7.    Review all Medicare charting to ensure skilled need is documented for therapy and nursing daily.

8.    Review Documentation to ensure Med B supporting documentation is present to include nursing documentation prior to therapy referral, MD order must be in place prior to therapy evaluation and clarification of order must be completed by nursing staff.

9.    Ensure PDPM process is followed within CMS guidelines.

10. Ensure all supporting documentation is present prior to coding MDS.

11. Ensure timely submission/transmission of MDS and make sure they are reconciled in PCC and must be accepted or completed category.

12. Communicate and collaborate with Therapy Company, Administrators, Directors of Nursing, Restorative Nursing, and Compliance specialists to resolve any issues.

13. Other duties as assigned by the Administrator, Director of Nursing, and Regional MDS Consultant.

14. All other concerns, questions, will need to be reported immediately to Regional MDS Consultant such as late MDS assessments due to other disciplines untimely completion of their respective sections, etc.