Quality Assurance Mds Coordinator
Resume:
COLLEEN JUSTIS
Ocean View, NJ *****
609-***-**** - *********@*****.***
PROFESSIONAL SUMMARY
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. WORK HISTORY
01/2022 to Current Remote MDS Coordinator
Genesis North Cape Center – North Cape May, NJ
● Complied with federal and state regulations for completion and coordination of the RAI process.
● Verified prompt and accurate completion of MDS activities for billing.
● Assessed electronic medical record for required documentation to support MDS coding.
● Completed minimum data set assessments with strong collaboration across business, provider and clinical disciplines.
● Set schedules for staff to start and complete MDS assessments and care plan meetings.
● Completed assessments for residents following OBRA and PDPM guidelines
● IDC coding
● Creating and updating Care Plans
12/2021 to Current MDS Coordinator
Complete Care Courthouse Center – Courthouse, NJ
● Complied with federal and state regulations for completion and coordination of the RAI process.
● Verified prompt and accurate completion of MDS activities for billing.
● Assessed electronic medical record for required documentation to support MDS coding.
● Lead weekly utilization review to go over recent clinical activities.
● Reviewed missing assessment reports and analyzed issues for the leadership team.
● Completed minimum data set assessments with strong collaboration across business, provider and clinical disciplines.
● Set schedules for staff to start and complete MDS assessments and care plan meetings.
● Creating and updating Care Plans
● Participated in quality assurance reviews to verify accuracy and reliability of data.
● Collaborated with medical teams to ensure correct diagnosis coding on MDS
● Managed Insurance reviews, submitting for authorizations, requisition higher level of care
● Creating and issuing NOMNC and ABN
● IDC coding
● Reviewing UBs for Monthly billing
08/2019 to 12/2021 MDS Coordinator
Victoria Manor/Pelican Pointe – North Cape May, NJ
● Complied with federal and state regulations for completion and coordination of RAI process.
● Verified prompt and accurate completion of MDS activities for billing.
● Assessed electronic medical record for required documentation to support MDS coding.
● Led weekly utilization review to go over recent clinical activities.
● Reviewed missing assessment reports and analyzed issues for the leadership team.
● Completed minimum data set assessments with strong collaboration across business, provider and clinical disciplines.
● Set schedules for staff to start and complete MDS assessments and care plan meetings.
● Trained staff in correct techniques for completing and signing MDS assessments.
● Participated in quality assurance reviews to verify accuracy and reliability of data.
● Collaborated with medical teams to ensure correct diagnosis coding
● IDC coding
● Enforced strict data validation rules to maintain accuracy and completeness of clinical data.
● Managed Insurance reviews, submitting for authorizations, requesting higher levels of care
● Creating and Issuing NOMNC/ABN
● Creating and updating Care Plans
● Review UBs for Monthly billing
09/2018 to 08/2019 LPN Team Lead
Complete Care Linwood – Linwood, NJ
● Supervising floor nurses and CNA
● Weekly wound rounds
● Responsible for admissions and discharge planning
● Delivered updates in patient status to charge nurse, recording changes in medical records.
● Educated patients and caregivers on medical diagnoses, treatment options, chronic disease self-management and wound management.
● Offered immediate assistance in emergency
● Monitored patient health conditions to report changes to the assigned physician.
● Reviewed patient history to verify conditions and current medications.
● Developed and implemented individualized patient care plans. 04/2010 to 09/2018 Staff LPN
Genesis HealthCare – NJ
EDUCATION
06/2009 Nursing: Licensed Practical Nursing
Cape May County Technical Schools - Cape May Court House, NJ
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