Regional MDS Coordinator New York

Premier Healthcare LLC - Regional MDS CoordinatorPosition SummaryThe Regional MDS Coordinator is responsible for overseeing the accuracy, timeliness, and compliance of the Minimum Data Set (MDS) process across multiple facilities within the NY region (total of 8 facilities). This role ensures optimal clinical reimbursement under PDPM while maintaining regulatory compliance through auditing, education, and interdisciplinary collaboration. This position serves as a key leader in driving quality outcomes, audit readiness, and consistent MDS practices across the region.Regional MDS Coordinator Required QualificationsRegistered Nurse (RN) requiredRAC-CT or RAC-CTA certification preferredMinimum 3–5 years of MDS experiencePrior multi-facility or regional experience preferredStrong knowledge of RAI Manual, PDPM, CMS regulations and audit processesProficient in using laptops, mobile devices; well-versed in standard office software applicationsMust be a road warrior, willing to do regular in-person visits to facilities including unscheduled emergency situations Regional MDS Coordinator Skills & CompetenciesStrong analytical and audit skillsExcellent communication and teaching ability (adult learning principles)Leadership and ability to influence interdisciplinary teamsHigh attention to detail and regulatory awarenessAbility to translate complex regulations into practical workflowsReporting StructureReports to: Corporate Clinical Reimbursement - Compliance OfficerCollaborates regularly with Nursing Home Administrators (NHA), Directors of Nursing (DON), MDS Coordinators and Therapy and IDT leadersSuccess MetricsImproved MDS accuracy and reduced error ratesIncreased CMI where appropriateAudit outcomes (reduced denials, improved defensibility)QRP compliance, contribute to VBP and NHQI improved quintilesImproved Quality Measures and Five-Star ratingsEducation completion and competency validation across facilities Regional MDS Coordinator Key Responsibilities1. MDS & PDPM OversightOversee MDS completion, accuracy, and timeliness across assigned facilitiesEnsure proper PDPM coding, including accurate capture of high audit MDS ItemsReview Assessment Reference Date (ARD) management and scheduling practicesMonitor CMI trends and reimbursement opportunities through monthly meetings2. Compliance & Audit ReadinessConduct routine and focused MDS/compliance audits (internal and external readinessEnsure documentation supports MDS coding and is defensible under auditMonitor: Medicare Certifications, Physician documentation and orders, timely Interview completion (BIMS, PHQ-2 to 9, Pain, etc.)Lead corrective action plans and QAPI initiatives related to audit findingsPrevent common audit risks (e.g., missing documentation, late assessments, unsupported coding, incomplete care plans)3. Audit Support to FacilitiesProvide support during both internal &external audits, including but not limited to: OMIG, RAC, MAC, and other regulatory reviewsAssist in document retrieval, validation, and organizationReview and preparation of audit response packetsCollaboration with facility leadership and corporate teams during audit processesParticipation in audit calls, exit conferences, and follow-up actions4. Education & Training (Core Function)Work with Corporate to deliver ongoing education to: MDS Coordinators, Nursing, Social Work, Therapy (PT/OT/SLP), Interdisciplinary Team (IDT)Translate RAI Manual and CMS regulations into practical, role-specific guidance for SNFsLead In-services on various topics as directed by CorporateCreate or update educational tools as needed (guides, PowerPoints, workflows, auditsummaries)5. Interdisciplinary CollaborationFacilitate communication between Nursing, Therapy, Social Services, Dietary, and PhysiciansEnsure IDT participation in: UR Meetings, Care planning, IDT Section GG determination, Triple Check Process, QAPI, Medical MeetingsPromote interdisciplinary accountability in documentation and care plan integration6. Systems & Process ManagementMonitor MDS workflows, submission timeliness, and error ratesUtilize data analytic tools such as SimpleLTC, PointRight and experience in EMRs such as PointClickCare & SigmaCareAnalyze data trends related to QM, Five-Star ratings, QRP, VBP and NHQI programsImplement process improvements to enhance efficiency and accuracy7. Quality & Reimbursement OptimizationIdentify and accurate capture of PDPM driversEnsure alignment between clinical documentation and reimbursement outcomesSupport facilities in improving metrics including, but not limited to QM, VBP, QRP, NHQ

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