MDS Coordinator (PCC) LVN

Cantex Continuing Care Network•Pearland, TX

4d•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. The role oversees MDS assessments, documentation accuracy, care plan coordination, and regulatory compliance. The MDS Coordinator supports high-quality resident care, interdisciplinary collaboration, and reimbursement that aligns with clinical delivery and federal and state guidelines.

Requirements

Current, valid Texas nursing license as an RN or LVN.
Acknowledgement of Completion Certificate through HHSC RUG Online Training for Nursing Facilities.
Must complete AANAC RAI Certification within one 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.

Nice To Haves

At least two years of long-term care experience preferred.

Responsibilities

Maintain compliance with State and Federal Medicare and 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 for documentation accuracy and 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 MDS assessments for Medicare and Medicaid residents within required timeframes.
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.