Clinical Reimbursement Coordinator – Skilled Nursing Facility - 3662368

Apex Healthcare•Sarasota, FL

6d•Onsite

About The Position

A skilled nursing facility in Sarasota, Florida is seeking an experienced MDS Coordinator to oversee resident assessments, Medicare reimbursement processes, PDPM accuracy, and clinical documentation. This is not an entry-level MDS opportunity. We are specifically looking for someone who has worked as an MDS Coordinator within a skilled nursing facility and understands how accurate assessments, documentation, coding, and timing directly impact Medicare reimbursement and facility revenue. Candidates may also have experience under titles such as: MDS Nurse RN, MDS Coordinator, Resident Assessment Coordinator, RAI Coordinator, Clinical Reimbursement Coordinator, Medicare / MDS Coordinator, Reimbursement Nurse. The ideal candidate understands both the clinical and reimbursement side of MDS. You should be comfortable reviewing clinical documentation, identifying skilled services, managing assessment schedules, supporting accurate PDPM classification, and helping ensure the facility captures appropriate Medicare reimbursement based on the care and services provided. We are looking for someone who understands that strong MDS performance goes beyond completing assessments. The right candidate understands how MDS accuracy, PDPM, skilled documentation, assessment timing, and interdisciplinary communication affect Medicare reimbursement within a skilled nursing facility. If you have successfully handled MDS and Medicare reimbursement responsibilities in a SNF and understand how to protect reimbursement through accurate, compliant documentation, we want to speak with you.

Requirements

Previous MDS Coordinator experience in a skilled nursing facility required
Strong knowledge of Medicare reimbursement in the SNF setting
Strong working knowledge of PDPM
Experience completing and coordinating MDS assessments
Knowledge of the RAI process and assessment scheduling
Experience reviewing clinical documentation for reimbursement support
Understanding of Medicare skilled coverage and documentation requirements
Strong attention to detail and organizational skills
Ability to work closely with nursing, therapy, billing, and administration
Strong communication and problem-solving skills
RN or LPN/LVN background preferred based on facility requirements

Responsibilities

Complete and coordinate MDS assessments accurately and within required timelines
Manage the facility’s MDS and RAI process
Oversee Medicare-related assessments and documentation
Monitor assessment schedules, ARDs, and required completion dates
Support accurate PDPM classification and Medicare reimbursement
Review nursing, therapy, physician, and interdisciplinary documentation for completeness and reimbursement support
Identify documentation gaps that could affect skilled coverage or reimbursement
Collaborate with nursing, therapy, rehabilitation, billing, and facility leadership
Participate in Medicare meetings and reimbursement reviews
Monitor skilled residents and Medicare coverage
Help ensure documentation supports the services being provided and billed
Review clinical indicators that impact reimbursement
Coordinate interdisciplinary care planning
Maintain compliance with federal, state, CMS, and facility requirements
Support audits, surveys, and documentation reviews
Educate clinical staff regarding documentation requirements and MDS-related processes
Help improve reimbursement accuracy while maintaining compliant clinical practices