Position Title: M.D.S. COORDINATOR
Position Summary
· Responsible for the coordination of the Resident Assessment Instrument (RAI), the electronic transmission of RAI data to the state Bulletin Board in accordance with State and Federal regulations and facility policies.
· Facilitates communication between the Interdisciplinary Team.
· Ongoing education of those preparing the M.D.S.
Essential Duties & Responsibilities
I. RAI Preparation and Process
A. Schedules completion of RAI following State and Federal guidelines.
B. Notifies Interdisciplinary Team members with distribution of schedules showing dates of assessment schedules.
C. Assists in completion of RAI as needed.
D. Assists with data input into the RAI computer system.
E. Supervises the completion of the RAI by the Interdisciplinary Team.
F. Modification to assessment schedule to ensure appropriate RUG score for each individual resident.
G. Screens each Minimum Data Set (MDS) for accuracy before finalizing, locking, and signing.
H. Transmits RAI data to the state weekly or as needed.
I. Tracks Validation Reports, Monthly and Quarterly Reports from the state.
II. Medicare Review and Coverage
A. Active interaction with the Interdisciplinary Team in daily conference to evaluate each resident’s status and needs relative to Medicare skilled coverage and potential for RUG category changes.
B. Assist Interdisciplinary staff with Medicare review via chart audit in order to ensure that:
1. Change of condition RAIs are initiated when appropriate;
2. Review chart documentation, including nursing and ancillary progress notes, care plans, and CNA notes, reflects the need for the care and services the resident receives;
3. Medicare coverage is discontinued when resident no longer meets criteria.
III. Other Duties
A. Ensures RAI/MDS software is functioning properly and is in contact with software vendor to ensure that facility is using the most current version of software.
B. Clarification of Medicare Certification/Re-Certification forms for different disciplines. Assist with the completion and maintenance of the Resident Roster and the Census and Condition Reports.
C. Works closely with the state RAI/MDS automation coordinator.
D. Coordinates with the billing department on assessment schedules for effective date of assessments and clarification of billing assessment codes to complete the billing cycle in a timely manner.
E. Utilizes the Internet for research and information gathering for changes in the RAI and Medicare process.
F. Acts as a liaison to the Interdisciplinary Team.
H. Performs other duties incidental to the position and as delegated by the Director of Nursing.
#WWH
Skills Required
- Licensed Registered Nurse (RN)
- Knowledge and experience with Resident Assessment Instrument (RAI) / Minimum Data Set (MDS)
- Experience using RAI computer systems and transmitting data to the state bulletin board
- Knowledge of Medicare skilled coverage, RUG scoring, and conducting Medicare chart audits
- Ability to coordinate and communicate with the Interdisciplinary Team and provide staff education
- Familiarity coordinating with billing departments regarding assessment schedules and billing codes
- Ability to work with software vendors and ensure RAI/MDS software is current
- Proficiency using the Internet for research and regulatory updates
What We Do
Optalis Health and Rehabilitation delivers exceptional post-acute care across Ohio and Michigan. The company provides comprehensive services, including specialized rehabilitation programs, 24/7 skilled nursing, and personalized assisted living options, all designed to promote optimal recovery and independence. With a dedicated clinical team and patient-centered approach, they create seamless transitions from hospital to home while providing compassionate support at every stage of healing.
