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MDS Coordinator

Company: Hackensack Meridian Healthcare Post Acute Care Div
Location: Hackensack
Posted on: November 30, 2019

Job Description:

POSITION TITLE: MDS CoordinatorPurpose:The MDS Coordinator is designated by the Care Center to determine the resident's acuity level and document in the resident's medical record.RESPONSIBILITIES/ACCOUNTABILITIES:1 Assesses and determines the level of care on all new admissions;2 Assumes responsibility for all level of care changes within the facility;3 Generates appropriate forms to complete level of acuity change and sends forms to the appropriate agency for processing, as required by state law;4 Participates in communicating changes of acuity level of residents to the Medical Director, Administrator, Admission Director and D.O.N.;5 Attends daily admission meeting, as needed;6 Coordinates interdisciplinary participation in completing the MDS and ensures completion of MDS within days of admission according to Medicare schedule;7 Completes the Resident Assessment Protocol (RAP) form within guidelines;8 Participates in facility's and/or nursing committees as requested;9 Maintains accurate records of resident assessments which are due and communicates with other departments;10 Coordinates the completion of the interdisciplinary plan of care. Facilitator of the care planning team. Notifies all disciplines of the care planning schedule;11 Assumes responsibility for monitoring and reviewing, and transmitting resident data as part of the electronic transmission of MDS;12 Performs any work assignments as may be assigned;13 Teaches staff to enhance their skill level in providing accurate, timely, and appropriate information into the resident assessment system; 14 Maintains all operational documentation as indicated by facility management;15 Concerns his/herself with the safety of all facility residents in order to minimize the potential for fire and accidents. Also ensures that the facility adheres to all legal, safety, health, fire and sanitation codes by being familiar with his/her role in carrying out the facility's fire, safety and disaster plans and by being familiar with current MSDS;16 Ensures that residents and families receive the highest quality of service in a caring and compassionate atmosphere which recognizes the individuals' needs and rights;17 Revenue Optimization:17.1 Tracks Medicare residents to determine continued and appropriate Medicare eligibility and benefit period by predicting subsequent RUGs categories;17.2 Reviews pre-admission intake information to predict RUGs level for Medicare residents and to identify potential cost outliners and communicates findings to Administrator/care team;17.3 Performs concurrent MDS review to insure appropriate RUGs category is achieved through the capture of appropriate clinical information. Identifies opportunities to enhance reimbursement;17.4 Participates in the interdisciplinary team process to communicate opportunities facilitate efficient and effective care plan development and management. Communicates with care team regarding practitioner orders, care plans and changes in condition;17.5 Collaborates with Business Office to review RUGs reports and identify RUGs categorization.18 MDS Schedule and Tracking:18.1 Ensures the accurate and timely completion of all MDS assessments including 5, 14, 60, 90 day, quarterly, annual and significant change;18.2 Maintains an accurate schedule of all MDS assessments to include the proper reference dates throughout the resident's stay;18.3 Completes the admission and discharge tracking form and maintains tracking system for admission/re-entry/discharge.19 Data Entry, Verification, Locking and Transmission:19.1 Responsible for the data entry function to assure accurate data entry and electronic transmission of MDS assessments;19.2 Verifies accuracy of MDS prior to locking;19.3 Verifies electronic transmission of MDS and maintains appropriate records;19.4 MDS data entry and transmission function includes:19.4.1 keying all information from each completed hard copy MDS into Care Center electronic MDS record, 19.4.1.1 locking each MDS, transmitting via the Internet all completed MDS to the State on a monthly basis,20 Billing:20.1 Provides computer print out of resident specific RUGs category to Business Office at the end of the month.21 Quality Control:21.1 Reviews initial and final validation and error reports;21.2 Conducts regular audit of MDS process;21.3 Audits medical record documentation to validate that the documentation supports the MDS coding;21.4 Assesses and evaluates the outcomes of the MDS process to determine additional training, education and monitoring needs.22 Education and Resource:22.1 Serves as the facility resource for MDS/RUGs;22.2 Provides education to the interdisciplinary team as appropriate;22.3 Instructs Facility staff in terminology, language, and format that is required by MDS;22.4 Communicates with Facility Administrator, interdisciplinary team and Business Office regarding any changes in PPS;22.5 Trains backup personnel for MDS's;22.6 Identifies areas of educational need.23 Other Duties23.1 Assists in the preparation of all requests from appropriate State and/or federal regulatory agencies or agents regarding payment of services (reconsideration, denials appeals, etc.);23.2 Maintains all reports and transmission data in a systematic format and stores in a safe, locked area;23.3 Maintains a current and comprehensive knowledge of MDS and Medicare (PPS) reimbursement;23.4 Implements all required forms, procedures and processes relative to job responsibilities;23.5 Performs other related duties as requested.
JOB SKILLS:
1 Must be knowledgeable with all state-specific and Medicare reimbursement regulations.2 Must possess the ability to work independently, problem solve and make decisions as necessary.3 Must possess the ability to positively interact with personnel, residents, family members, visitors, government agencies/personnel, and the general public.4 Must be able to develop and implement programs, policies and procedures, etc., which are necessary for maximizing the reimbursement potential of the facility.5 Must provide annual verification of a negative TB skin test.6 Must be knowledgeable of nursing and medical practices and procedures, as well as law regulations and guidelines that pertain to long-term care.7 Must be able to recognize and identify symptoms and to make decisions quickly in emergencies.8 Must be able to effectively make assessments related to residents' acuity level and subsequent changes in acuity.9 Must have thorough knowledge of nursing theory, techniques and practices.10 Must possess strong organizational abilities and be detail and deadline oriented.
PERFORMS RELATED DUTIES:1 Interacts with residents, families, visitors and employees.2 He/she carries out other tasks as requested in situation where hands-on intervention/participation may be required.

Keywords: Hackensack Meridian Healthcare Post Acute Care Div, Hackensack , MDS Coordinator, Other , Hackensack, New Jersey

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