MDS Coordinator - RN
Location: Longview, Texas
Description: Heritage at Longview Healthcare Center is presently looking of MDS Coordinator - RN right now, this position will be placed in Texas. More complete informations about this position opportunity please read the description below. Heritage at Longview Healthcare Center is looking for a QUALIFIED MDS Coordinator to join our team. This FULL TIME position offers a competitive salary, great benefits, and i! ncludes vacation and PTO.
Under the direction of the Director of Resident Assessment or Administrator if the DRA position is currently occupied by an LPN and the RAC is an RN.
Responsible for the coordination of the Resident Assessment Instrument (RAI) process to ensure accurate and timely completion of resident assessments in accordance with Medicare, Medicaid, OBRA and other payor program requirements. Ensures assessments accurately reflect the physical, mental and psychosocial status of each resident; ensures appropriate documentation to report and support services provided and assessment accuracy. Communicates effectively with other members of the interdisciplinary team.
Follows all policies and procedures.
Essential Job Duties and Responsibilities
1. Ensures timely, accurate, and complete assessment of the resident's health and functional status during the entire assessment period.**
2. Participates in the pre-admission proce! ss to ensure essential information needed for MDS/Case Mix opt! imization is obtained from the referral source(s).
3. Ensures accurate and timely completion of all Medicare/Medicaid case-mix documents in order to assure appropriate reimbursement for services provided within the facility.
4. Works in collaboration with the facility Director of Rehab to ensure the most appropriate assessment reference date (ARD) is utilized for Medicare/Managed Care Assessments.
5. Tracks Medicare customers to determine continued and appropriate Medicare eligibility and benefit period through regular communications with Corporate Clinical Reimbursment department and Business Office.
6. Ensures that additional requirements of the Medicare Program are met, such as Physician certification and re-certification.
7. Performs concurrent MDS review to assure appropriate RUGs category is achieved through the capture of appropriate clinical information. Identifies opportunities to enhance reimbursement.
8. Participates in the interdisciplina! ry team process to communicate opportunities, facilitate efficient and effective care plan development and management.
9. Ensures the accurate and timely completion of all MDS assessments including PPS 5, 14, 30, 60, 90 day, and unscheduled, Admission ,quarterly, annual and significant change.**
10. Collaborates with the interdisciplinary team to identify significant change in status and implementation of Significant Change in Status MDS. **
11. Maintains an accurate schedule of all MDS assessments to include the proper reference dates throughout the resident's stay.
12. Tracks, records and analyzes all default days and rectifies if appropriate. Implements corrective action to prevent further default action.
13. Performs Modifications/Inactivations of assessments in accordance with CMS Correction Policy.**
14. Conducts regular audit of MDS process including validation of coding documentation, evaluating outcomes, and utilization of Data Integrity Aud! it reports per company policy.
15. Ensures the timely electronic su! bmission of all Minimum Data Sets and secures back-up personnel to complete this process.
16. Reviews the validation reports and ensures that appropriate follow-up action is taken.
17. Communicates with the Business Office and Administrator on a regular basis regarding RUG distribution, default days/unassigned days, case mix index ( if applicable) and their reimbursement impact.
18. Participates in month end Triple Check and other meetings per Encore policy.
19. Assists in the preparation and timely submission of any Additional Development Requests (ADRs), Reconsideration and Administrative Law Judge (ALJ)
20. Functions as an RAI and Clinical Reimbursment resource to the facility staff.
21. Assists in the orientation and training of new associates on the RAI process and ensures the dissemination of any new or updated materials regarding the RAI and/or Federal and State regulations.
Other Duties
1. Maintains current knowledge of reimburse! ment regulations.
2. Maintains data in an organized, easily retrievable manner.
3. Maintains good personal hygiene and follows dress code requirements.
4. Communicates regularly with the Director of Resident Assessment /Regional Clinical Reimbursement Manager to discuss identified clinical reimbursement issues.
5. Other duties as assigned or needed
1. Must be a graduate of an accredited school of nursing with current R.N. or LPN** licensure in the state in TX.
2. Minimum of two years health care experience.
3. Experience with MDS completion, reimbursement, clinical resource utilization and/or case management is highly desirable.
4. Ability to work flexible work hours to support business requirements.
5. Competency with standard office software applications as well as software applications related to MDS/RAI processes.
6. High initiative and ability to efficiently and effectively lead interdisciplinary teams and coordinate and man! age RAI process.
7. Ability to utilize both local and corporate res! ources in the execution of job responsibilities.
8. Must have LTC experience
EOE m/f/d/v
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If you were eligible to this position, please email us your resume, with salary requirements and a resume to Heritage at Longview Healthcare Center.
Interested on this position, just click on the Apply button, you will be redirected to the official website
This position starts available on: Sun, 28 Jul 2013 10:06:17 GMT
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