Job Overview
Join Fairview as an MDS Quality & Compliance Coordinator! In this key role, you'll help ensure the accuracy, quality, and compliance of resident assessment and reimbursement processes in a long-term care setting. Working closely with the Administrator, Director of Nursing, and interdisciplinary team, you'll coordinate MDS assessments, monitor quality measures, support regulatory compliance, and drive process improvement initiatives that enhance resident care. This daytime position offers a consistent schedule with 60 hours per pay period and no weekends, making it an excellent opportunity for healthcare professionals who enjoy combining clinical knowledge, data review, and quality improvement to make a meaningful impact.
Responsibilities
- Coordinates and Oversees the MDS/RAI Process
- Supports the MDS process to ensure compliance with federal, state, and organizational requirements.
- Coordinates assessment schedules and monitors completion timelines.
- Maintains systems for tracking assessments, submissions, quality measures, and reimbursement-related requirements.
- Demonstrates effective problem-solving and critical thinking related to MDS processes.
- Provides education, feedback, and guidance to interdisciplinary team members regarding MDS documentation requirements and processes.
- Maintains current knowledge of MDS, RAI, PDPM, and CMS requirements applicable to the role.
- Supports Assessment Completion and Data Integrity
- Collects, reviews, audits, and organizes documentation from the interdisciplinary team to support MDS completion.
- Performs medical record reviews and data mining within electronic medical records and ancillary documentation.
- Identifies missing, incomplete, or inconsistent documentation and follows up with appropriate staff.
- Ensures MDS assessments are scheduled, completed, transmitted, and accepted according to regulatory timelines.
- Assists licensed clinicians in gathering information necessary for comprehensive resident assessments.
- Monitors data integrity and provides feedback to departments regarding documentation accuracy and completeness.
- Maintains required tracking systems and supporting documentation.
- Documents and tracks MDS-related activities within Epic, PCC, and other designated systems.
- Facilitates interdisciplinary communication regarding resident assessments and care planning.
- Participates in care plan development and review processes.
- Supports Utilization Review and reimbursement-related monitoring activities.
- Maintains Medicare and managed care tracking tools and associated documentation.
- Assists with quality measure monitoring and performance improvement initiatives.
- Participates in MDS Quality Assurance and Performance Improvement (QAPI) activities.
- Conducts routine audits of assessment and documentation processes.
- Identifies opportunities for process improvement related to assessment completion, reimbursement, and quality reporting.
- Assists with implementation of process changes necessary to maintain regulatory compliance.
- Supports survey readiness activities related to MDS and quality reporting requirements.
Required Qualifications
- B.S./B.A. or
- Combination Education & Experience
- 2 years healthcare experience in long-term care, post-acute care, rehabilitation, medical records, HIM, MDS, reimbursement, quality, or related field.
Preferred Qualifications
- Experience with MDS/RAI, PDPM, Medicare, managed care, or quality reporting.
- Experience in Rehab field (Physical or Occupational Therapy)
- MN Registered Nurse (RN) License
- RAC-CT or other MDS certification
Benefit Overview
Fairview offers a generous benefit package including but not limited to medical, dental, vision plans, life insurance, short-term and long-term disability insurance, PTO and Sick and Safe Time, tuition reimbursement, retirement, early access to earned wages, and more! Please follow this link foradditional information: https://www.fairview.org/careers/benefits/noncontract
Compensation Disclaimer
The posted pay range is for a 40-hour workweek (1.0 FTE). The actual rate of pay offered within this range may depend on several factors, such as FTE, skills, knowledge, relevant education, experience, and market conditions. Additionally, our organization values pay equity and considers the internal equity of our team when making any offer. Hiring at the maximum of the range is not typical. If your role is eligible for a sign-on bonus, the bonus program that is approved and in place at the time of offer, is what will be honored.
EEO Statement
EEO/Vet/Disabled: All qualified applicants will receive consideration without regard to any lawfully protected status