Minimum Data Set (MDS) Coordinator

Job DescriptionJob DescriptionRN - (MDS) CoordinatorSalary: $95,000 – $105,000 / yearPosition Type: Full-TimeLocation: [City, State / On-site]Department: Nursing / Clinical ServicesPosition OverviewWe are seeking an experienced and detail-oriented MDS Coordinator (RN) to oversee the Minimum Data Set (MDS) assessment process and ensure accurate clinical documentation, Medicare/Medicaid reimbursement, and regulatory compliance.In this role, you will lead the interdisciplinary assessment process, drive optimal reimbursement through precise clinical reporting, and maintain compliance with CMS regulations, state requirements, and facility policies.Key ResponsibilitiesMDS & Care Planning ManagementComplete and submit accurate MDS 3.0 assessments according to the CMS schedule (admission, quarterly, annual, and significant change assessments).Lead the Interdisciplinary Team (IDT) to develop, review, and update comprehensive, individualized care plans for residents.Ensure all clinical documentation accurately reflects the care, services, and resident conditions to support appropriate reimbursement.Regulatory Compliance & Quality AssuranceMaintain strict adherence to federal and state long-term care regulations and CMS guidelines.Participate in Quality Assurance and Performance Improvement (QAPI) meetings and audits to track clinical outcomes and compliance metrics.Monitor Triple Check processes to ensure alignment between clinical notes, therapy logs, and billed services before billing submission.Financial Optimization & ReimbursementManage Patient-Driven Payment Model (PDPM) scoring, ensuring proper clinical category assignment, NTA scores, and therapy utilization.Collaborate with nursing, therapy, social services, and billing departments to capture changes in resident condition promptly.Review and analyze Quality Measures (QMs) to identify areas for improvement and maintain high facility star ratings.Education & LeadershipProvide ongoing training to clinical and restorative staff on documentation best practices, MDS updates, and coding requirements.Serve as the primary point of contact for external audits, ADRs (Additional Documentation Requests), and survey teams regarding MDS documentation.Qualifications & SkillsEducation: Graduate of an accredited School of Nursing (BSN preferred).Licensure: Active, unencumbered Registered Nurse (RN) license in the state of practice. (LPN with extensive MDS expertise may be considered based on state regulations).Experience:Minimum 2–3 years of experience as an MDS Coordinator in a skilled nursing facility (SNF) or long-term care environment.In-depth knowledge of CMS MDS 3.0, PDPM, and Medicare/Medicaid reimbursement systems.Certifications: RAC-CT (Resident Assessment Coordinator-Certified) strongly preferred.Technical Skills: Proficiency with Electronic Health Record (EHR) systems (e.g., PointClickCare, MatrixCare) and CMS submission software.Key Competencies: Strong organizational skills, analytical mindset, high attention to detail, and excellent interdisciplinary communication skills.Benefits & CompensationBase Salary: $95,000 – $105,000 per year (commensurate with experience and certification)Comprehensive Health, Dental, and Vision InsurancePaid Time Off (PTO) and Holidays401(k) Retirement Plan with MatchContinuing Education Units (CEU) Reimbursement & RAC-CT Renewal SupportCareer Advancement OpportunitiesHow to ApplyInterested in learning more about this opportunity? Contact Brian Harris at Prosperity Placement Solutions for additional details or to discuss the position confidentially:Contact: Brian HarrisCompany: Prosperity Placement SolutionsPhone: 941-999-4291Email: View email address on click.appcast.io: