Job Description

Join Novant Health as an MDS Coordinator and play a vital role in ensuring timely, accurate care assessments and claims management for our patients. In this full-time role, you will complete and schedule the Minimum Data Set (MDS), coordinate insurance pre-authorizations, attend key interdisciplinary meetings, and support CMS claims audits, all while helping drive quality outcomes and regulatory compliance. We’re looking for a nurse with a BSN , at least three years of MDS experience , and ideally AAPACN RAC certification , who thrives in a collaborative, detail-oriented environment. This Monday–Friday, 8:00 a.m.–4:30 p.m., 40-hour position offers the opportunity to make a meaningful impact while growing your career with Novant Health.

• Education: 4 Year / Bachelors Degree, required. BSN, required.
  
• Experience: 3 years of current MDS experience within the last 12-18 months, required.
• Licensure/certification/registration: Currently licensed as RN in appropriate state, required. AANAC Certification, preferred.
• Additional skills 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.

• 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.

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