Reimbursement Coordinator (MDS NURSE)
Company: Taos Healthcare
Location: Taos
Posted on: March 18, 2023
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Job Description:
Taos Healthcare - Job Type: Full-time
Benefits: -Benefits:
401k, Dental, Health, Life & Vision
Job Details
The MDS Coordinator will be responsible for timely and accurate
completion of both the RAI process and care management process from
admission to discharge in accordance with company policy and
procedures, and Federal, State and Certification guidelines, and
all other entities as appropriate- Minimum Data Set, discharge and
admission tracking, etc. With direction from the Director of
Nursing and VP of Clinical Reimbursement, may coordinate
information systems operations and education for the clinical
department.
Your Responsibilities
--- Works in collaboration with the Interdisciplinary Team to
assess the needs of the resident; Provides interdisciplinary
schedule for MDS assessments and care plan reviews as required by
governing agencies.
--- Ensures that the Interdisciplinary team makes decisions for
either completing or not completing additional MDS, assessments
based on clinical criteria as identified in the most recent version
of the RAI User's Manual.
--- Assist with coordination and management of the daily stand up
meeting, to include review of resident care and the setting of the
assessment reference date(s).
--- Complies with federal and state regulations regarding
completion and coordination of the RAI process.
--- Monitors MDS and care plan documentation for all residents;
ensures documentation is present in the medical record to support
MDS coding.
--- Maintains current MDS status of assigned residents according to
state and federal guidelines.
--- Maintains the frequent and accurate data entry of resident
information into appropriate computerized MDS programs.
--- Completes accurate coding of the MDS with information obtained
via medical record review as well as observation and interview with
facility staff, resident and family members.
--- Other duties, responsibilities and activities may change or
assigned at any time with or without notice.
Your Qualifications
--- Graduate of an approved RN / LVN program and licensed in the
state of practice, required.
--- Minimum of 2 years of nursing experience in a Skilled Nursing
Facility preferred.
--- Excellent knowledge of Case-Mix, the Federal Medicare PPS
process, and Medicaid reimbursement, as required.
--- Thorough understanding of the Quality Indicator process.
Knowledge of the OBRA regulations and Minimum Data Set.
--- Knowledge of the care planning process.
--- Experience with MDS 3.0, preferred.
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Keywords: Taos Healthcare, Santa Fe , Reimbursement Coordinator (MDS NURSE), Healthcare , Taos, New Mexico
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