MDS Coordinator (PCC) LVN (23445)

Reposted 16 Hours Ago
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75093, Plano, TX, USA
In-Office
Junior
Healthtech • Professional Services • Pharmaceutical • Telehealth
The Role
Coordinate MDS/RAI assessments to ensure appropriate Medicare/Medicaid reimbursement and regulatory compliance. Audit clinical records, obtain and update physician certifications and diagnoses, track benefit days and census, educate staff on documentation, lead weekly reimbursement meetings, prepare for audits, and support patient safety and financial systems.
Summary Generated by Built In

$10,000 SIGN-ON BONUS!!!

 

Location: Plano, TX

Schedule: Full-time role with standard business hours

Reports to: Administrator / Director of Nursing


What We Offer You

• Competitive pay

• Performancebased bonus opportunities

• Comprehensive health, dental, and vision insurance

• Additional supplemental benefits (life insurance, disability, accident, etc.)

• 401(k) with company match

• Generous paid time off (PTO/Sick)

• Clear career growth and advancement opportunities

• A supportive and vibrant company culture

• Many more employee perks and benefits


Job Summary

The MDS Coordinator ensures accurate and compliant completion of the Resident Assessment Instrument (RAI) process to support appropriate Medicare and Medicaid reimbursement. This role oversees MDS assessments, documentation accuracy, care plan coordination, and regulatory compliance. The MDS Coordinator plays a key role in maintaining high‑quality resident care, supporting interdisciplinary collaboration, and ensuring reimbursement aligns with clinical delivery and federal/state guidelines.

Qualifications

Qualifications

• Current, valid Texas nursing license (RN or LVN)

• At least 2 years of longterm care experience preferred

• Acknowledgement of Completion Certificate through HHSC RUG Online Training for Nursing Facilities

• Must complete AANAC RAI Certification within 1 year of employment

• Strong communication, documentation, and delegation skills

• Ability to read, write, analyze, and interpret clinical documentation, regulations, and technical procedures

• Ability to write reports, business correspondence, nursing progress notes, and carerelated documentation

• Ability to present information effectively to department heads, residents, families, physicians, and regulatory partners


Essential Functions

• Maintain compliance with all State and Federal Medicare/Medicaid rules, regulations, and published interpretations

• Review preadmission paperwork to ensure qualifying medical necessity

• Attend daily weekday standup meetings

• Coordinate Weekly Reimbursement Meetings with the Interdisciplinary Team to ensure reimbursement aligns with care delivery

• Audit clinical records to ensure documentation accuracy; educate and train staff on documentation guidelines

• Obtain and update Medicarequalifying diagnoses for Medicare Part A residents

• Initiate and update physician certifications for Medicare Part A residents

• Complete all MDS assessments within required timeframes for Medicare and Medicaid residents

• Review 24hour nursing reports to identify changes in resident condition

• Prepare for Medicaid audits and ensure documentation readiness

• Track resident benefit days, validate daily census, and coordinate information with the Financial Manager to ensure accurate billing

• Achieve budgeted reimbursement rate expectations

• Uphold Patient Care Management Systems and Financial Management Systems

• Ensure resident safety and compliance with Abuse Prevention policies

• Perform other duties as assigned



We are an Equal Opportunity Employer. We offer an excellent benefit plan to include 401(k) with match, CEU reimbursement, vacation, sick time, holidays, medical, dental, and supplemental insurance plans, as well as a highly competitive compensation package.


#Corp

Skills Required

  • Current, valid Texas nursing license (RN or LVN)
  • Acknowledgement of Completion Certificate through the HHSC RUG Online Training for Nursing Facilities
  • Complete AANAC RAI Certification within 1 year of employment
  • Ability to effectively communicate, direct, and delegate tasks
  • Ability to read, write, analyze, and interpret business periodicals, professional journals, technical procedures, or governmental regulations
  • Ability to write reports, business correspondence, nursing/patient progress notes, and nursing procedures
  • Ability to effectively present information and respond to questions from department heads, patients, family members, physicians, and the public
  • At least 2 years of long-term care (LTC) experience
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The Company
HQ: Carrollton, TX
1,247 Employees
Year Founded: 1978

What We Do

Cantex Continuing Care Network provides a comprehensive continuum of care, including skilled nursing, rehabilitation, home health, hospice, and pharmacy services, focused on promoting recovery and enhancing patient quality of life.

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