MDS Coordinator

Job Overview
Blue Ash Health & Rehab is seeking a dedicated and knowledgeable MDS Coordinator to join our healthcare team. The ideal candidate will play a crucial role in ensuring compliance with regulatory requirements and enhancing the quality of patient care. This position requires a strong understanding of medical documentation, coding, and patient management processes within various healthcare settings.

Duties

• Conduct comprehensive assessments and evaluations for residents to ensure accurate MDS submissions.
• Collaborate with interdisciplinary teams to develop and implement care plans that meet individual patient needs.
• Review clinical documentation for accuracy and completeness, ensuring compliance with HIPAA and NCQA standards.
• Utilize EMR and EHR systems such as Epic, Cerner, Athenahealth, or eClinicalWorks for effective documentation and data management.
• Perform utilization review and manage cases to optimize patient outcomes in acute care, outpatient, and home care settings.
• Maintain up-to-date knowledge of ICD-9, ICD-10, CPT coding, DRG classifications, and Medicare regulations.
• Provide training and support to staff regarding MDS processes, clinical documentation improvement, and medical coding practices.
• Engage in discharge planning activities to facilitate smooth transitions for patients from inpatient to outpatient or home care environments.

Qualifications

• Proven experience in managed care, critical care, or medical office settings; hospital experience preferred.
• Strong background in nursing or health information management with knowledge of physiology and anatomy.
• Familiarity with clinical documentation improvement processes and utilization management principles.
• Experience with medical records management including documentation review and medical terminology.
• Knowledge of home care services, hospice care, emergency medicine, pediatrics, ICU experience, PICU exposure is a plus.
• Ability to work collaboratively within a team while also demonstrating strong case management skills.
• Proficiency in using various EMR/EHR systems; experience with Epic or Cerner is highly desirable.
• Understanding of MDS regulations and standards related to nursing home or long-term care facilities is essential. Join us in providing exceptional patient care while ensuring compliance with healthcare regulations. We look forward to welcoming a passionate MDS Coordinator who is committed to making a difference in the lives of our patients.