LPN Charge Nurse/MDS Coordinator

We are seeking a highly skilled and detail-oriented MDS Coordinator (Must have active FL RN or LPN Nursing License) to join our healthcare team. The ideal candidate will possess comprehensive knowledge of the Minimum Data Set (MDS)/PDPM process, clinical documentation, and regulatory compliance standards. As an essential member of our interdisciplinary team, the MDS Coordinator will oversee the accurate collection, review, and submission of resident data to ensure optimal reimbursement, quality reporting, and compliance with federal and state regulations. This role offers an opportunity to contribute significantly to patient care quality and operational efficiency within a dynamic healthcare environment.

Responsibilities

• Coordinate the comprehensive assessment and documentation of resident conditions in accordance with MDS guidelines, ensuring accuracy and completeness.
• Collaborate with nursing staff, physicians, case managers, and other healthcare professionals to gather pertinent clinical information for MDS completion.
• Review medical records, clinical documentation, and coding details—including ICD-10 codes—to support precise data entry and compliance with SNF Medicare and other payer requirements.
• Ensure timely submission of MDS assessments in alignment with regulatory deadlines while maintaining adherence to state-specific regulations.
• Utilize EMR (Electronic Medical Record) systems such as Point Click Care or similar to document assessments within the electronic health record (EHR)
• Conduct ongoing education for staff on documentation improvement strategies, utilization management, and coding updates related to ICD coding systems.
• Monitor quality metrics related to clinical documentation improvement (CDI), discharge planning, hospice care, and case management processes to optimize patient care outcomes.
• Maintain strict compliance with HIPAA regulations while managing sensitive medical records and ensuring confidentiality throughout all documentation processes.

Qualifications

• Proven experience in managed care settings or hospital environments with a strong understanding of inpatient and outpatient clinical workflows.
• Extensive knowledge of Point Click Care, Simple  LTC or similar EMR Systems
• Familiarity with ICD-10 coding standards, DRG assignment, and utilization review processes.
• Background in medical office administration or health information management with a focus on medical documentation review.
• Strong understanding of SNF Medicare regulations, discharge planning procedures, and hospice care protocols.
• Excellent organizational skills coupled with the ability to interpret complex medical terminology and physiology knowledge for accurate data collection.