drjobs MDS Coordinator

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Job Location drjobs

West Allis, WI - USA

Monthly Salary drjobs

Not Disclosed

drjobs

Salary Not Disclosed

Vacancy

1 Vacancy

Job Description

If youre passionate about ensuring residents receive the highest quality care and optimal reimbursement for services provided this opportunity is for you!
We currently have an opening for a FullTime MDS Coordinator (RN). In this unique position youll ensure that resident assessments are completed accurately and on time meeting Medicare Medicaid OBRA and other payer requirements. Youll work closely with the interdisciplinary team to ensure that assessments reflect the physical mental and psychosocial wellbeing of each resident while maintaining documentation that supports services and ensures the best possible reimbursement. If youre a detailoriented communicator who thrives in a collaborative environment and values compliance wed love to have you on board!
This position is onsite 1stshift and Monday through Friday. If youre interested in working with an interdisciplinary team of professionals where you are a valued team member and are encouraged to sharpen your skills and share your expertise with our less seasoned nursing staff this opportunity is for you!
We Offer a Competitive Wage and a Comprehensive Benefit Package to Eligible Employees that Includes:
Insurance (health dental vision life shortterm disability accident etc.
Flexible Spending Accounts and Health Savings Account
Educational Opportunities for career advancement
403b Retirement Plan and Roth IRA
Employee Assistance Program
Employee Referral Program
Paid Time Off
Education Requirements:
  • Wisconsin RN License
  • 12 years of experience/training
Essential Functions of the Job:
RAI Process
  • Participates in preadmission process to gather essential information for MDS/Case Mix optimization and recommends admission decisions while collaborating with the Rehab Coordinator for accurate Medicare assessments.
  • Ensures timely and accurate completion of MDS assessments (initial quarterly and annual) collaborating with the interdisciplinary team and addresses significant changes in status and modifications per CMS correction policies.
  • Coordinates and tracks Medicare PPS/OBRA assessments provides staff training on reimbursement systems stays updated on regulations and ensures compliance with EHSI standards and state/federal guidelines.
Case Management:
  • Manages Medicare Part A and B certification/recertification oversees communication with Managed Care VA and other payors and ensures proper reimbursement by evaluating care from preadmission to discharge.
  • Monitors compliance with Medicare Medicaid and other benefit programs reviews documentation for accuracy tracks claims denials and assists with ADRs reconsiderations and ALJ hearings to ensure reimbursement and regulatory compliance.
Nursing Administration:
  • Communicates regularly with the D.O.N. and V.P./Administrator on clinical reimbursement issues provides education to staff on coding and documentation and supports orientation and training of employees.
  • Ensures compliance with safety standards maintains professional development with ongoing CEUs attends mandatory inhouse education and stays current in professional organizations related to subacute care.
  • Manages Medicare denial letters and appeals oversees resident restorative programs in collaboration with therapists and maintains a record of attendance and professional conduct according to facility standards.
What you can expect from us upon our receipt of your application:
  • HR will contact you within 12 business days of your application submission
  • Complete 12 interview(s) and meet with immediate supervisor and mentor
  • Upon receiving the job offer complete onboarding paperwork through Paycor
  • Paid NewHire Orientation
  • Continuous training from mentor


Required Experience:

IC

Employment Type

Full Time

Company Industry

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