MDS Coordinator or Clinical Reimbursement Coordinator
Description:
Job Description
Description:
We are seeking an MDS Coordinator or Clinical Reimbursement Coordinator (CRC) to join our team! You will work alongside other medical professionals to provide exceptional care to patients. An MDS coordinator (Minimal Data Set) is responsible for gathering information on a healthcare facility's current and future patients for future assessment, including physical and mental states. MDS coordinators assess charts and communicate with health care teams to create applicable clinical care plans for their current and incoming residents.
Requirements:
Responsibilities:
Determine potential Patient Driven Payment Method (PDPM) and expense associated with a potential admission
Participate in the admission process of prospective residents in terms of their nursing needs and appropriate prospective reimbursement level
Complete and assure the accuracy of the MDS process for all residents
Maintain current working knowledge of Medicare criteria, serving as a resource for nursing staff and communicate changes in regulations
Monitor Case Mix Index (CMI) scores, looking for potential risks and/or changes that may affect Medicaid reimbursement
Monitor Medicare assessment schedules and nursing documentation to ensure accuracy and timely submission
Assist physicians to provide ongoing patient care
Ensure patients maintain physical, mental, and dietary health
Communicate patient health status or changes to other medical personnel
Provide preventive health care suggestions to patients and interdisciplinary team
Participate in standardized health care programs and seminars and education
?Qualifications:
Previous experience as a MDS coordinator
RAC Certification is a plus
Knowledge of Resource Utilization Groups (RUGs), PDPM and Case Mix index
Current and valid state Registered Nurse license
Ability to build rapport with patients and staff
Excellent written and verbal communication skills
Ability to thrive in fast-paced environment
Full-time