Regional MDS Coordinator (22699)

Posted 24 Days Ago
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78258, San Antonio, TX, USA
In-Office
Mid level
Healthtech • Professional Services • Pharmaceutical • Telehealth
The Role
The Regional MDS Coordinator ensures proper completion of the Resident Assessment Instrument process, providing clinical oversight and supporting reimbursement across multiple facilities. Responsibilities include documentation validation, education, process improvement, and compliance evaluation.
Summary Generated by Built In

Location: San Antonio, TX

Schedule: Regional role supporting multiple facilities across Texas

Reports to: VP of Reimbursement

 

What We Offer You

• Competitive pay

• Performance‑based 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 Regional MDS Coordinator ensures accurate and compliant completion of the Resident Assessment Instrument (RAI) process to support appropriate Medicare and Medicaid reimbursement across multiple long‑term care facilities. This role provides clinical oversight, documentation validation, and regulatory guidance to ensure accurate MDS 3.0 assessments, optimized Case Mix outcomes, and adherence to federal and state long‑term care standards. The Regional MDS Coordinator also supports facility teams through education, audit readiness, and ongoing process improvement.

Qualifications

Qualifications

• Current RN or LVN license in good standing

• 3–5 years of MDS/RAI experience in a long‑term care setting

• Case Mix Management experience required

• Strong knowledge of MDS 3.0, ICD‑10 coding, PDPM/RUG‑IV, and reimbursement systems

• Current CPR certification

• Excellent verbal and written communication skills

• Proficiency in Microsoft Office and clinical software systems

• Ability to multi‑task and support multiple facilities simultaneously

• Ability to lead, educate, and influence interdisciplinary teams

• Strong organizational skills and attention to detail

• Ability to maintain confidentiality regarding patient, employee, and company information

 

Essential Functions

• Review and coordinate Medicare and Medicaid Case Mix data across assigned facilities

• Validate MDS coding, ICD‑10 coding, and RUG/PDPM groupers for accuracy and compliance

• Conduct detailed documentation reviews to ensure accurate MDS 3.0 completion and appropriate reimbursement

• Assess facility processes and evaluate compliance with company standards and long‑term care regulations

• Provide education and training to licensed and non‑licensed staff on MDS, documentation, and regulatory requirements

• Identify opportunities for improvement and recommend corrective actions

• Support facilities during audits, surveys, and reimbursement reviews

• Promote company philosophy, service excellence, and quality‑of‑care standards

• Assist with additional duties and projects 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.

Skills Required

  • Current RN or LVN license in good standing
  • 3-5 years of MDS/RAI experience in a long‑term care setting
  • Case Mix Management experience
  • Strong knowledge of MDS 3.0, ICD‑10 coding, PDPM/RUG‑IV, and reimbursement systems
  • Current CPR certification
  • Excellent verbal and written communication skills
  • Ability to lead, educate, and influence interdisciplinary teams
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The Company
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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