RN MDS Coordinator

Job Opportunity: MDS/Reimbursement Coordinator

Sign on bonus AND relocation assistance!

Our client is a respected not for profit healthcare organization committed to providing high-quality resident care through clinical excellence, regulatory compliance, and continuous quality improvement. They value collaboration, accountability, and a resident-centered approach.

What Our Client Needs

Our client is seeking an experienced MDS/Reimbursement Coordinator to oversee the MDS process, Medicare reimbursement activities, regulatory compliance, and quality improvement initiatives. This role partners with interdisciplinary teams to support accurate documentation, maximize quality star rating reimbursement, and maintain compliance with federal and state requirements.

Who You Are

You are an organized, detail-oriented nursing professional with strong clinical judgment and expertise in MDS coordination who understand star ratings, Medicare regulations, and long-term care documentation. You thrive in a collaborative environment, communicate effectively across departments, and are committed to maintaining high standards of resident care and regulatory compliance.

What You'll Do

• Coordinate and oversee all aspects of the Resident Assessment Instrument (RAI) and Minimum Data Set (MDS) process.
• Complete, review, submit, and validate MDS assessments in accordance with regulatory timelines.
• Determine Medicare Skilled Nursing eligibility and coordinate ongoing coverage reviews and documentation.
• Collaborate with nursing, therapy, social services, admissions, billing, finance, and interdisciplinary teams to ensure accurate documentation and reimbursement.
• Monitor Quality Measures, Quality Indicators, CASPER reports, and performance improvement data to support quality outcomes.
• Facilitate Quality Assurance and Performance Improvement (QAPI) activities, meetings, reporting, and follow-up initiatives.
• Develop and deliver education for staff related to MDS documentation, Medicare requirements, and reimbursement practices.
• Audit MDS and Medicare processes to ensure compliance with federal, state, and organizational standards.
• Coordinate resident care conferences, assessment schedules, certification and recertification activities, and clinical documentation reviews.
• Support billing accuracy through reimbursement reviews, Medicare audits, appeals, and interdisciplinary communication.
• Participate in regulatory surveys, quality initiatives, and special projects as assigned.
• Provide clinical support as needed.

This position includes participation in an administrative on-call rotation and may require collaboration across multiple clinical and operational departments.

What You'll Need

• Current nursing license in good standing, as required.
• Experience coordinating MDS assessments and Medicare reimbursement in a long-term care or skilled nursing environment.
• Strong knowledge of MDS, RAI process, Medicare regulations, Quality Measures, and regulatory compliance.
• Experience with interdisciplinary care planning and quality improvement initiatives.
• Excellent organizational, analytical, and communication skills.
• Ability to manage multiple priorities while meeting regulatory deadlines.
• Proficiency with electronic health records and clinical documentation systems.
• Commitment to ethical practice, resident-centered care, and continuous improvement.

What They Offer

• $8k Sign on bonus
• 8 holidays, 15 vacation days, 10 personal/sick days
• 403b match
• An opportunity to play a key role in clinical quality and reimbursement operations.
• A collaborative interdisciplinary team environment.
• Professional growth through quality improvement and leadership initiatives.
• The ability to make a meaningful impact on resident outcomes and organizational success.

Equal Opportunity Statement

Our client believes that diversity fuels innovation, strengthens teams, and drives success. They are committed to fostering a workplace where every individualregardless of backgroundfeels valued, respected, and empowered to thrive. Discrimination or harassment of any kind is strictly prohibited.

Our client does not discriminate based on race, color, religion, sex, sexual orientation, gender identity or expression, national origin, ethnicity, age, disability, veteran status, marital status, or any other characteristic protected by applicable laws. Their commitment extends beyond compliance; they actively cultivate an inclusive culture where diverse perspectives are welcomed, and every employee has an equal opportunity to contribute and succeed.