MDS Coordinator (PCC) LVN (24029)

Cantex Continuing Care Network•Denison, TX

3d•Onsite

About The Position

The MDS Coordinator ensures accurate and compliant completion of the Resident Assessment Instrument (RAI) process to support appropriate Medicare and Medicaid reimbursement. This role oversees MDS assessments, documentation accuracy, care plan coordination, and regulatory compliance. The MDS Coordinator plays a key role in maintaining high-quality resident care, supporting interdisciplinary collaboration, and ensuring reimbursement aligns with clinical delivery and federal/state guidelines.

Requirements

Current, valid Texas nursing license (RN or LVN)
At least 2 years of long-term care experience preferred
Acknowledgement of Completion Certificate through HHSC RUG Online Training for Nursing Facilities
Must complete AANAC RAI Certification within 1 year of employment
Strong communication, documentation, and delegation skills
Ability to read, write, analyze, and interpret clinical documentation, regulations, and technical procedures
Ability to write reports, business correspondence, nursing progress notes, and care-related documentation
Ability to present information effectively to department heads, residents, families, physicians, and regulatory partners

Responsibilities

Maintain compliance with all State and Federal Medicare/Medicaid rules, regulations, and published interpretations
Review pre-admission paperwork to ensure qualifying medical necessity
Attend daily weekday stand-up meetings
Coordinate Weekly Reimbursement Meetings with the Interdisciplinary Team to ensure reimbursement aligns with care delivery
Audit clinical records to ensure documentation accuracy; educate and train staff on documentation guidelines
Obtain and update Medicare-qualifying diagnoses for Medicare Part A residents
Initiate and update physician certifications for Medicare Part A residents
Complete all MDS assessments within required timeframes for Medicare and Medicaid residents
Review 24-hour nursing reports to identify changes in resident condition
Prepare for Medicaid audits and ensure documentation readiness
Track resident benefit days, validate daily census, and coordinate information with the Financial Manager to ensure accurate billing
Achieve budgeted reimbursement rate expectations
Uphold Patient Care Management Systems and Financial Management Systems
Ensure resident safety and compliance with Abuse Prevention policies
Perform other duties as assigned