MDS Coordinator

Vierra Communities • Silver Spring, MD

21d • $100,000 - $115,000 • Onsite

About The Position

Admiral Health & Rehab, a Vierra Communities property, is seeking an MDS Coordinator to support resident assessment, care planning, regulatory compliance, and reimbursement processes. The role coordinates the facility’s Resident Assessment Instrument (RAI) process in accordance with state and federal regulations, completes MDS assessments and supporting documentation, and facilitates comprehensive resident care planning with the interdisciplinary team (IDT). The MDS Coordinator also works with health plans, physicians, and facility staff to support insurance approvals and eligibility determinations, interpret applicable rules and coverage guidelines, and address issues related to the skilled nursing facility prospective payment system and quality reporting program.

The coordinator schedules assessment reference dates (ARDs), supports timely completion of MDS sections and Care Area Assessments, transmits assessments through the QIES ASAP System, reviews validation reports, and resolves errors until assessments are accepted. The position also supports resident admissions, discharges, and care as needed, participates in utilization and billing review meetings, completes assigned training, and performs administrative duties including QAPI activities and committee participation. The position is full-time, exempt, and on-site, and requires an active RN or LPN license.

Requirements

• Current, unencumbered, active license to practice as a registered nurse or licensed practical nurse in the state where working.
• Three years of experience as an RN or LPN, including at least one year of supervisory experience.
• Complete Resident Assessment Coordinator (RAC) training within six months of hire.

Nice To Haves

• Experience with MDS completion.
• RAC Certification.

Responsibilities

• Coordinate the facility’s Resident Assessment Instrument (RAI) process in accordance with state and federal regulations.
• Complete MDS assessments and supporting assessments or clinical documentation accurately.
• Implement and continually evaluate each resident’s comprehensive plan of care.
• Schedule and lead interdisciplinary care plan team meetings.
• Audit medical records to verify supporting documentation for MDS-coded items, and provide education to department heads, physicians, and other staff as needed.
• Collaborate with health plans, physicians, and the interdisciplinary team to support insurance approvals and verify resident eligibility and coverage criteria.
• Interpret rules, regulations, and coverage guidelines, and serve as a primary resource for problem solving related to the SNF prospective payment system and quality reporting program.
• Use the current RAI Manual as a resource during assessment coding.
• Schedule payment-assessment ARDs to accurately capture residents’ clinical characteristics for payment classification purposes.
• Schedule ARDs for all OBRA assessments daily, monthly, and as needed.
• Provide the IDT with weekly and as-needed schedules of ARDs and assessment types to facilitate timely completion of MDS sections and CAAs.
• Communicate with IDT members to support timely completion of assessments and report timeliness issues to the Administrator.
• Transmit assessments in accordance with current regulations and as frequently as necessary to obtain timely validation of MDS acceptance into the QIES ASAP System.
• Review and print initial and final validation reports to confirm transmission files.
• Correct fatal errors immediately and retransmit assessments until an accepted validation report is received.
• Address non-fatal errors using the QIES ASAP System MDS 3.0 Provider User’s Guide.
• Ensure the Business Office designee receives initial and final validation reports acknowledging MDS acceptance into QIES ASAP.
• Facilitate completion and updating of resident care plans with the IDT to reflect residents’ current needs.
• Communicate with the IDT to identify residents who may need a Significant Change in Status assessment, using current RAI Manual criteria.
• Participate in resource utilization and/or triple check meetings before billing claims associated with payment assessments.
• Assist with resident admission, discharge, or care as needed.
• Participate in continuing education related to the RAI process and related programs, and complete assigned training and skills competency requirements.
• Perform assigned administrative duties, including QAPI activities and participation in department or committee meetings.

Benefits

• Seven holidays.
• Generous paid time off.
• Medical, dental, and vision coverage.
• Company-paid life and AD&D insurance.
• Voluntary life and AD&D insurance.
• Voluntary short-term and long-term disability insurance.
• Tuition reimbursement.
• 401(k) with immediate enrollment and employer match; full-time, part-time, and PRN employees are eligible.
• Referral bonus program; full-time, part-time, and PRN employees are eligible.

What This Job Offers

• Job Type: Full-time
• Education Level: No Education Listed