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Novant Health · 3 weeks ago

Minimum Data Set (MDS) Coordinator, RN

Charlotte, NC

Full-time

Onsite

Mid Level

3+ years exp

Novant Health is seeking an MDS Coordinator to ensure timely, accurate care assessments and claims management for patients. In this role, you will complete and schedule the Minimum Data Set (MDS), coordinate insurance pre-authorizations, and support CMS claims audits while driving quality outcomes and regulatory compliance.

FitnessHealth CareHospitalMedical

Responsibilities

Complete MDS assessments accurately and on time, including baseline, comprehensive, discharge, and significant change assessments.Assess residents on admission and with changes; update care plans, communicate needs to the team, and support skilled care, length of stay, and discharge planning

Assist with admissions, pre-authorizations, and insurance approvals; review referrals and coordinate with the interdisciplinary team on acceptance decisions

Ensure timely Medicare certifications and recertifications; serve as a resource for staff, residents, and families regarding Medicare regulations

Monitor claims for accurate reimbursement; review codes, length of stay, and collaborate with Finance, Nursing, and Rehabilitation on claim accuracy

Enter and transmit MDS data accurately to the State; assist with PBJ submissions and system updates

Support quality assurance initiatives, chart audits, and CMS quality measure monitoring

Apply critical thinking to problem-solving, serve as a resource to the team, and prioritize tasks effectively

Demonstrate professionalism, adaptability, and alignment with Novant Health’s Mission, Vision, and Values

Communicate effectively with team members, leadership, and interdisciplinary staff to ensure smooth operations and patient-centered care

Qualification

MDS experienceRN licensureAAPACN RAC certificationCritical thinkingEffective communicationStaff educatorInterpersonal skillsOrganizational skills

Required

4 Year / Bachelors Degree, required

BSN, required

3 years of current MDS experience within the last 12-18 months, required

Currently licensed as RN in appropriate state, required

Effective interpersonal relationship skills

Commitment to continually improving skills through participation in educational opportunities whether offered as on-the-job, within, or outside the health system to increase knowledge of work-related issues

Recognizes, respects, and successfully works with diversities among staff and others

Effectively serves as a staff educator regarding MDS and Medicare

Ability to see the big picture and act as a systems thinker

Demonstrates effective organizational skills