RN MDS Coordinator at Legacy Pointe at UCF – OVIEDO, Florida

• Overseeing the complete Resident Assessment Instrument (RAI) process to ensure full regulatory compliance
• Maintaining the master assessment calendar for OBRA, PPS, and insurance-driven assessments
• Ensuring accurate clinical coding and documentation to support reimbursement and quality outcomes
• Reviewing assessments for completeness prior to submission and resolving discrepancies with the interdisciplinary team
• Evaluating resident documentation to confirm skilled coverage criteria for Medicare and managed care reimbursement
• Collaborating with billing, finance, and administrative teams to ensure assessment-driven reimbursement accuracy
• Conducting routine audits of clinical records, therapy documentation, and nursing notes to validate billing integrity
• Leading Care Area Assessments (CAAs) and supporting individualized, current care plans reflective of resident needs
• Facilitating collaboration across nursing, therapy, dietary, social services, and providers for consistent documentation inputs
• Participating in care plan meetings to review resident progress, discharge planning, and ongoing skilled needs
• Monitoring Quality Measures (QMs), Five-Star indicators, and other MDS-driven reports to support QAPI efforts
• Supporting facility readiness for state survey and CMS audits through ongoing documentation review and staff coaching
• Providing oversight of clinical review for incoming admissions to ensure appropriate Skilled Nursing placement
• Educating staff on documentation practices that impact MDS accuracy, reimbursement, and compliance
• Participating in leadership meetings and operational initiatives as assigned by the Senior Director of Health Services

• Current and active Registered Nurse (RN) license in the State of Florida (preferred)
• Minimum of 35 years experience in Skilled Nursing or Long-Term Care
• Minimum of 2 years MDS/RAI experience strongly preferred
• Strong working knowledge of PPS, PDPM, OBRA, Medicare, and managed care documentation requirements
• Excellent organizational, leadership, and interdisciplinary coordination skills
• High attention to detail, audit capability, and ability to meet strict deadlines
• Proficiency with electronic medical records and clinical documentation systems
• Ability to maintain confidentiality and uphold HIPAA and ethical standards
• Physical ability to meet the demands of the role, including standing, walking, lifting, and assisting residents as required

Important Notice: Applicants for this position will be required to complete a background screening through the Care Provider Background Screening Clearinghouse, per House Bill 531 (2025). Learn more here: https://info.flclearinghouse.com