MDS Assistant

MDS Assistant

Department : Nursing / Clinical Reimbursement

Position Summary

The MDS Assistant supports the MDS Coordinator and interdisciplinary team in ensuring accurate, timely, and compliant completion of all Minimum Data Set (MDS) assessments and related documentation required for resident care planning, Medicare / Medicaid reimbursement, and regulatory compliance. This position plays a vital role in gathering, organizing, and entering resident assessment data while assisting in maintaining efficient MDS and care planning systems.

Essential Duties and Responsibilities

Data Collection & Entry

Gather resident information from nursing, therapy, dietary, and social services documentation to support MDS completion.

Accurately input data into PointClickCare (PCC) or other EHR systems.

Ensure all supporting documentation aligns with MDS coding requirements and RAI (Resident Assessment Instrument) guidelines.

Assessment Support

Assist the MDS Coordinator in scheduling, tracking, and submitting all MDS assessments per regulatory timelines (OBRA, PPS, IPA, etc.).

Prepare assessment forms, resident census reports, and case-mix reports as requested.

Verify admission, discharge, and reentry tracking forms for accuracy and completion.

Care Plan Coordination

Support interdisciplinary care plan meetings by preparing draft care plans and ensuring data accuracy.

Update care plans under supervision when new assessments or condition changes occur.

Compliance & Quality Assurance

Help maintain compliance with CMS, state, and company documentation standards.

Participate in audits of MDS accuracy, CAAs, and care plan links.

Ensure timely submission of MDS to QIES / iQIES and maintain submission logs.

Team Collaboration

Communicate regularly with nursing, therapy, and social services to clarify documentation needs.

Assist with training or reminders to staff regarding MDS-related documentation expectations.

Qualifications

Experience :

Prior experience in long-term care, medical records, or billing / reimbursement (MDS) apreferred.

Familiarity with MDS, RAI, and EHR platforms (especially PointClickCare) desirable.

Skills and Abilities :

Strong attention to detail, accuracy, and organization.

Excellent computer and data entry skills.

Ability to meet deadlines and manage multiple priorities.

Team-oriented with good communication and confidentiality awareness.