MDS RN

MDS & Assessment Coordination Role Overview

• Complete and coordinate all MDS assessments (admission, quarterly, annual, significant change).
• Ensure accuracy and timely submission of MDS assessments in compliance with CMS guidelines.
• Participate in interdisciplinary team meetings related to resident assessments.
• Care Planning:
  • Collaborate with nursing, therapy, and other departments to develop individualized care plans.
  • Ensure care plans reflect residents’ current needs, goals, and preferences.
  • Update care plans based on assessment findings and changes in condition.
• Regulatory Compliance:
  • Maintain compliance with all federal, state, and facility regulations related to MDS and care planning.
  • Prepare for surveys and audits by ensuring documentation is complete and accurate.
  • Stay updated on CMS/RUG/PDPM guidelines and changes.
• Clinical Documentation:
  • Review medical records to ensure supporting documentation aligns with MDS coding.
  • Educate nursing staff on proper documentation practices.
  • Identify and correct discrepancies in clinical documentation.
• Reimbursement & Quality Measures:
  • Monitor case mix index (CMI) and reimbursement trends.
  • Assist in maximizing reimbursement through accurate coding.
  • Track and report quality measures and outcomes.
• Collaboration & Communication:
  • Serve as a liaison between nursing, therapy, and billing departments.
  • Communicate effectively with physicians and other healthcare professionals.
  • Participate in Quality Assurance and Performance Improvement (QAPI) activities.