Dynamic MDS Consultant excelling in Medicare and Medicaid reimbursement improvement and MDS assessment completion. Skilled in analyzing patient data to enhance reimbursement outcomes while fostering effective communication and collaboration within the skilled nursing facility interdisciplinary team. Possessing meticulous attention to detail, a high achiever committed to continuous learning and skill improvement, ensuring client satisfaction.
Overview
2
2
years of professional experience
Work History
MDS Coordinator
Dynamic Reimbursement Services
03.2023 - Current
MDS scheduling and completion coverage
Conducted training sessions for several MDS coordinators on MDS completion and their roles, in addition to continuous interdisciplinary staff education at the facility.
Maintained up-to-date knowledge on CMS guidelines and changes to ensure accuracy in reporting and reimbursement processes.
Responsible for improving residents' Medicaid and Medicare reimbursement across many facilities by improving PDPM and CMI state-by-state RUG scores.
Identifying triggers for Quality Measures, reviewing for coding accuracy, and appropriately setting MDSs to enhance the facility's 5-star rating. Proficient in reviewing quality improvement reports and using simpleLTC software.
Reviewed hospital and medical records meticulously to ensure residents are coded for all appropriate treatments and diagnoses, enhancing reimbursement.
Led weekly facility interdisciplinary meetings, and email correspondence, focused on individualized resident clinical categories, resulting in Medicare and Medicaid reimbursement improvement for PDPM and CMI scores.
Built strong relationships with the facility's MDS coordinators and interdisciplinary team.
Conducted audits of current MDS records to identify discrepancies and enhance record accuracy to ensure CMS audit compliance.
Director of Distributed Radiology (DR) at Strategic Administrative and Reimbursement Services, LLCDirector of Distributed Radiology (DR) at Strategic Administrative and Reimbursement Services, LLC