Clinical Reimbursement Coordinator Skilled Nursing Facility - 3662368

MDS Coordinator / MDS Nurse / Clinical Reimbursement Coordinator Skilled Nursing Facility

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

What We're Looking For

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.

Key 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

Required Qualifications

• 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

The Right Candidate

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.

Apply Today

If you are an experienced MDS Coordinator, MDS Nurse, Resident Assessment Coordinator, RAI Coordinator, or Clinical Reimbursement Coordinator with skilled nursing experience, apply today with your updated resume for confidential consideration.