Responsibilities

Oversee the full Minimum Data Set (MDS) assessment process to ensure accuracy, timeliness, and regulatory compliance
Optimize RUGS/PDPM reimbursement outcomes through precise clinical documentation and coding practices
Conduct ongoing audits of MDS submissions to ensure consistency, accuracy, and CMS compliance
Partner closely with nursing, therapy, and interdisciplinary teams to ensure complete and accurate resident assessments
Monitor and improve clinical documentation workflows to enhance quality and reimbursement capture
Ensure adherence to all CMS guidelines, RAI manual updates, and survey requirements
Provide training and ongoing support to clinical staff on MDS processes and documentation best practices
Lead responses to audit findings, regulatory inquiries, and compliance reviews related to MDS accuracy
Track and report on MDS performance metrics, completion rates, and reimbursement trends
Serve as the internal subject matter expert for all MDS and reimbursement-related processes

Requirements

Active Registered Nurse (RN) license in good standing preferred
Significant hands-on experience with MDS coordination and completion in a skilled nursing or long-term care setting
Deep knowledge of PDPM, RAI process, and CMS reimbursement systems
Proven ability to ensure documentation accuracy and compliance in a high-volume clinical environment
Strong analytical skills with a detail-oriented, audit-ready mindset
Experience collaborating effectively with interdisciplinary clinical teams
Strong communication skills with the ability to train and influence clinical staff
Ability to operate independently while managing multiple priorities in a regulated healthcare environment