MDS Quality & Compliance Coordinator

Fairview Health Services•Minneapolis, MN

About The Position

The MDS Quality & Compliance Coordinator helps ensure the accuracy, quality, and compliance of resident assessment and reimbursement processes in a long-term care setting. Working closely with the Administrator, Director of Nursing, and interdisciplinary team, the coordinator oversees MDS assessments, monitors quality measures, supports regulatory compliance, and contributes to process improvement initiatives that enhance resident care. The position is daytime, works 60 hours per pay period, and does not require weekends.

Requirements

B.S./B.A. or a combination of education and experience.
Two years of healthcare experience in long-term care, post-acute care, rehabilitation, medical records, HIM, MDS, reimbursement, quality, or a related field.

Nice To Haves

Experience with MDS/RAI, PDPM, Medicare, managed care, or quality reporting.
Experience in the rehabilitation field, such as physical or occupational therapy.
Minnesota Registered Nurse (RN) license.
RAC-CT or other MDS certification.

Responsibilities

Support the MDS process to ensure compliance with federal, state, and organizational requirements.
Coordinate assessment schedules and monitor completion timelines.
Maintain tracking systems for assessments, submissions, quality measures, and reimbursement-related requirements.
Apply problem-solving and critical thinking to MDS processes.
Educate, guide, and provide feedback to interdisciplinary team members on MDS documentation requirements and processes.
Maintain current knowledge of MDS, RAI, PDPM, and applicable CMS requirements.
Collect, review, audit, and organize interdisciplinary documentation to support MDS completion.
Review medical records and mine data from electronic medical records and ancillary documentation.
Identify missing, incomplete, or inconsistent documentation and follow up with appropriate staff.
Ensure assessments are scheduled, completed, transmitted, and accepted within regulatory timelines.
Assist licensed clinicians in gathering information for comprehensive resident assessments.
Monitor data integrity and provide departments with feedback on documentation accuracy and completeness.
Maintain required tracking systems and supporting documentation.
Document and track MDS-related activities in Epic, PCC, and other designated systems.
Facilitate interdisciplinary communication about resident assessments and care planning.
Participate in care plan development and review.
Support utilization review and reimbursement monitoring activities.
Maintain Medicare and managed care tracking tools and associated documentation.
Assist with quality measure monitoring and performance improvement initiatives.
Participate in MDS Quality Assurance and Performance Improvement (QAPI) activities.
Conduct routine audits of assessment and documentation processes.
Identify process improvement opportunities related to assessment completion, reimbursement, and quality reporting.
Assist with implementing process changes needed to maintain regulatory compliance.
Support survey readiness activities related to MDS and quality reporting requirements.