Job Title:
MDS Coordinator
Company: Pride Health
Location: New York City, NY
Created: 2026-05-12
Job Type: Full Time
Job Description:
Director of Clinical Documentation & Reimbursement (MDS) - Full TimeLocation: Bronx, NYJob Type: FTE/PermanentA leading senior care campus in the Bronx is seeking an experienced Director of Clinical Documentation & Reimbursement to lead the MDS and HIM departments. This leadership role is responsible for overseeing the RAI process, ensuring regulatory compliance, and driving reimbursement accuracy through strong clinical documentation and data analysis.Position OverviewThis role provides operational and strategic leadership for Clinical Documentation (MDS) and Health Information Management (HIM). The Director will ensure compliance with all federal and NYS regulations related to the RAI process while optimizing Medicare, Medicaid, and Managed Care reimbursement through accurate documentation, education, and quality monitoring.Key ResponsibilitiesLead and oversee MDS and HIM teamsEnsure full compliance with RAI process and NYS DOH standardsDrive Medicare/Medicaid and Managed Care reimbursement strategyAnalyze MDS data to support Quality Assurance & Performance Improvement (QAPI)Develop and implement facility-wide education on MDS updates, payment reforms, and quality measuresAudit documentation practices to ensure accuracy and regulatory adherenceCollaborate with department leaders to enhance quality of care through clinical data insightsQualificationsBSN required; MSN preferredActive NY RN license requiredMinimum 3 years of SNF reimbursement and RAI process experiencePRI Assessor certification preferred; RAC-CT preferredStrong knowledge of Medicare, Medicaid, and NYS nursing regulationsExperience with data extraction, analysis, and quality metrics (QM, QRP, VBP)Proven leadership, analytical, and project management skillsExcellent communication and team leadership abilitiesCompensation & BenefitsAnnual Salary: $150,000Comprehensive benefits package including health insurance, retirement plans, PTO, and professional developmentInterested? Apply Today!If you have strong MDS leadership experience and a passion for quality, compliance, and reimbursement optimization in a SNF setting, we'd love to connect with you.Submit your resume now for immediate consideration.