Full-Time

MDS Coordinator

DCC

Posted on 1/14/2026

Deadline 1/14/27
Diversicare

Diversicare

No salary listed

Athens, TN, USA

In Person

Category
Medical, Clinical & Veterinary (1)
Requirements
  • Must hold current nursing license in the state of employment.
  • Experience in Long Term Care.
  • Computer skills.
  • Knowledge of Medicare, Managed care and RAI Process Required.
  • Participating in the LPN to RN Back to School transition program.
Responsibilities
  • Facilitates the RAI Process under the direction of an R.N. or DNS2.
  • Work in Collaboration with the interdisciplinary team to identify the needs of the patient/resident.
  • Coordinates and conducts the daily Case Management meeting.
  • Ensures timely MDS assessments according to state and federal regulations.
  • Ensures interdisciplinary team completes designated sections of the MDS assessment.
  • Ensures and completes accurate coding of the MDS assessment with information obtained via medical record review, observation and interview with center staff, patients, residents and family members.
  • Ensures documentation is available to support accurate coding of the MDS assessment.
  • Maintains the tracking system of MDS assessment schedules (timeframes and due dates).
  • Facilitates Care Plan conferences with the interdisciplinary team, patient, residents and families.
  • Obtain, review and maintain all State and Federal reports, making appropriate corrections timely.
  • Monitors Quality Measures and ensures that MDSs are accurate to support and reflect the Quality Measures.
  • Provides education related to the RAI Process.
  • Coordinates and completes electronic submission of required documentation to the State data base and other entities per company guidelines and State and Federal regulations.
  • Ensures Medicare and Medicaid regulatory guidelines are completed accurately and timely(i.e.: certifications, denial letters, skilled documentation, coverage criteria, etc…).
  • Provides Managed Care case management at the center level.
  • Reviews Additional Documentation Requests (ADRs) with Health Information Management Coordinator (HIMC) to ensure all documents are available and meet the request.
  • Participates in billing reviews (Triple Check) to ensure claims have supporting MDS assessments documents.
  • Participates in Quality Assurance and Process Improvement Activities.
  • Continues to update knowledge base related to Medicare, Managed Care, Medicaid, RAI Process and computer technology updates.
  • May be required to fulfill the job functions of a direct care nurse as determined by the needs of the patients/residents and center

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