MDS Coordinator
Holyoke, MA ยท On-site
$65K/yr
Will cross train between PPS and OBRA. * Conducts regular resident interviews as required by the MDS * Available to respond to clinical emergencies, regulatory agency visits, surveys and issues ...
Holyoke, MA ยท On-site
$65K/yr
Will cross train between PPS and OBRA. * Conducts regular resident interviews as required by the MDS * Available to respond to clinical emergencies, regulatory agency visits, surveys and issues ...
Holyoke, MA ยท On-site
$65K/yr
Will cross train between PPS and OBRA. * Conducts regular resident interviews as required by the MDS * Available to respond to clinical emergencies, regulatory agency visits, surveys and issues ...
Holyoke, MA ยท On-site
$65K/yr
... MDS/PPS updates are implemented and staff is in-serviced. โข Will cross train between PPS and OBRA. โข Conducts regular resident interviews as required by the MDS โข Available to respond to ...
Holyoke, MA ยท On-site
$65K/yr
... MDS/PPS updates are implemented and staff is in-serviced. โข Will cross train between PPS and OBRA. โข Conducts regular resident interviews as required by the MDS โข Available to respond to ...
Falmouth, MA ยท On-site
$45 - $50/hr
Completes all resident Interviews and PPS MDS assessments within regulatory time frames including CAAs. * Drives the development of the Interdisciplinary Care Plan and updates subsequent MDS ...
Falmouth, MA ยท On-site
$45 - $50/hr
Completes all resident Interviews and PPS MDS assessments within regulatory time frames including CAAs. * Drives the development of the Interdisciplinary Care Plan and updates subsequent MDS ...
Hadley, MA ยท On-site
$33 - $42.25/hr
Completion of all OBRA, PPS and Managed Care MDS * Completion of corresponding Admit MDS Tracking Forms, Death in the Facility Tracking Forms and any Discharge Assessments required per the RAI Manual
Quick apply
Hadley, MA ยท On-site
$33 - $42.25/hr
Completion of all OBRA, PPS and Managed Care MDS * Completion of corresponding Admit MDS Tracking Forms, Death in the Facility Tracking Forms and any Discharge Assessments required per the RAI Manual
Ensure compliance with Medicare, Medicaid, PPS, PDPM, MDS, and regulatory requirements. * Support positive clinical and financial outcomes for residents. Qualifications * Current, active, and ...
Ensure compliance with Medicare, Medicaid, PPS, PDPM, MDS, and regulatory requirements. * Support positive clinical and financial outcomes for residents. Qualifications * Current, active, and ...
$45 - $55/hr
Ensure compliance with Medicare, Medicaid, PPS, PDPM, MDS, and regulatory requirements. * Support positive clinical and financial outcomes for residents. Qualifications * Current, active, and ...
Quick apply
$45 - $55/hr
Ensure compliance with Medicare, Medicaid, PPS, PDPM, MDS, and regulatory requirements. * Support positive clinical and financial outcomes for residents. Qualifications * Current, active, and ...
Deep knowledge of FQHC billing regulations and payer requirements (MassHealth, HSN, Medicare, Medicaid/Medicare ACO's, PPS, wrap payments, capitation, etc.). * Proven experience with pharmacy billing ...
Quick apply
Deep knowledge of FQHC billing regulations and payer requirements (MassHealth, HSN, Medicare, Medicaid/Medicare ACO's, PPS, wrap payments, capitation, etc.). * Proven experience with pharmacy billing ...
Springfield, MA ยท On-site
$105K - $150K/yr
Deep knowledge of FQHC billing regulations and payer requirements (MassHealth, HSN, Medicare, Medicaid/Medicare ACO's, PPS, wrap payments, capitation, etc.). * Proven experience with pharmacy billing ...
Springfield, MA ยท On-site
$105K - $150K/yr
Deep knowledge of FQHC billing regulations and payer requirements (MassHealth, HSN, Medicare, Medicaid/Medicare ACO's, PPS, wrap payments, capitation, etc.). * Proven experience with pharmacy billing ...
Boston, MA ยท On-site
$99K - $266K/yr
Industry/Sector Not Applicable Specialism Management Level Manager & Summary A career within PwC Private will provide the opportunity to help private companies with a range of business advisory needs ...
Boston, MA ยท On-site
$99K - $266K/yr
Industry/Sector Not Applicable Specialism Management Level Manager & Summary A career within PwC Private will provide the opportunity to help private companies with a range of business advisory needs ...
Winchester, MA ยท On-site
$80 - $100/hr
Knowledge of Medicare, Medicaid, PPS, PDPM, MDS and third-party payment * Knowledge of regulatory agencies/licensure standards * Must have minimum 5 years' experience working in geriatrics with ...
Winchester, MA ยท On-site
$80 - $100/hr
Knowledge of Medicare, Medicaid, PPS, PDPM, MDS and third-party payment * Knowledge of regulatory agencies/licensure standards * Must have minimum 5 years' experience working in geriatrics with ...
Boston, MA ยท On-site
$37.25 - $47.50/hr
Complete OBRA MDSs as PPS caseload allows The Bostonian truly appreciates our employees and welcomes you to be the newest addition to our extended family!
Boston, MA ยท On-site
$37.25 - $47.50/hr
Complete OBRA MDSs as PPS caseload allows The Bostonian truly appreciates our employees and welcomes you to be the newest addition to our extended family!
Boston, MA ยท On-site
$77K - $214K/yr
Industry/Sector Not Applicable Specialism Management Level Senior Associate & Summary A career within PwC Private will provide the opportunity to help private companies with a range of business ...
Boston, MA ยท On-site
$77K - $214K/yr
Industry/Sector Not Applicable Specialism Management Level Senior Associate & Summary A career within PwC Private will provide the opportunity to help private companies with a range of business ...
$46 - $54/hr
Complete OBRA MDSs as PPS caseload allows The Bostonian truly appreciates our employees and welcomes you to be the newest addition to our extended family!
Quick apply
$46 - $54/hr
Complete OBRA MDSs as PPS caseload allows The Bostonian truly appreciates our employees and welcomes you to be the newest addition to our extended family!
Dorchester, MA ยท On-site
$36 - $46/hr
Complete OBRA MDSs as PPS caseload allows The Bostonian truly appreciates our employees and welcomes you to be the newest addition to our extended family!
Dorchester, MA ยท On-site
$36 - $46/hr
Complete OBRA MDSs as PPS caseload allows The Bostonian truly appreciates our employees and welcomes you to be the newest addition to our extended family!
Quincy, MA ยท On-site
$46 - $54/hr
Complete OBRA MDSs as PPS caseload allows Hancock Park truly appreciates our employees and welcomes you to be the newest addition to our extended family! INDHP
Quick apply
Quincy, MA ยท On-site
$46 - $54/hr
Complete OBRA MDSs as PPS caseload allows Hancock Park truly appreciates our employees and welcomes you to be the newest addition to our extended family! INDHP
Fitchburg, MA ยท On-site
$55 - $65/hr
Experience with Case Mix Index and PPS scheduling is preferred however not limited to. Recruiter Contact Information: Call-Text-Email Stormie at 469-720-0772| ssickles@qrmhealth.com
Fitchburg, MA ยท On-site
$55 - $65/hr
Experience with Case Mix Index and PPS scheduling is preferred however not limited to. Recruiter Contact Information: Call-Text-Email Stormie at 469-720-0772| ssickles@qrmhealth.com
$55 - $65/hr
Experience with Case Mix Index and PPS scheduling is preferred however not limited to. Recruiter Contact Information: Call-Text-Email Stormie at 469-720-0772| ssickles@qrmhealth.com
Quick apply
$55 - $65/hr
Experience with Case Mix Index and PPS scheduling is preferred however not limited to. Recruiter Contact Information: Call-Text-Email Stormie at 469-720-0772| ssickles@qrmhealth.com
Fitchburg, MA ยท On-site
$1.6K - $2.1K/wk
Experience with Case Mix Index and PPS scheduling is preferred however not limited to. Recruiter Contact Information: Call-Text-Email Stormie at 469-720-0772| ssickles@qrmhealth.com
Fitchburg, MA ยท On-site
$1.6K - $2.1K/wk
Experience with Case Mix Index and PPS scheduling is preferred however not limited to. Recruiter Contact Information: Call-Text-Email Stormie at 469-720-0772| ssickles@qrmhealth.com
Boston, MA ยท On-site
$124K - $335K/yr
Industry/Sector Not Applicable Specialism Management Level Senior Manager & Summary A career within PwC Private will provide the opportunity to help private companies with a range of business ...
Boston, MA ยท On-site
$124K - $335K/yr
Industry/Sector Not Applicable Specialism Management Level Senior Manager & Summary A career within PwC Private will provide the opportunity to help private companies with a range of business ...
Taunton, MA ยท On-site
$100K - $130K/yr
Assess current state and PPS maturity; launch quick wins on safety, quality, and flow. Build relationships and credibility across the leadership team. * 60 Days: Finalize a site-wide Lean roadmap ...
New
Quick apply
Taunton, MA ยท On-site
$100K - $130K/yr
Assess current state and PPS maturity; launch quick wins on safety, quality, and flow. Build relationships and credibility across the leadership team. * 60 Days: Finalize a site-wide Lean roadmap ...
New
$25.1K - $39.6K
16% of jobs
$44.4K is the 25th percentile. Wages below this are outliers.
$39.6K - $54K
27% of jobs
The median wage is $58.7K / yr.
$54K - $68.5K
21% of jobs
$68.5K - $82.9K
7% of jobs
$87.6K is the 75th percentile. Wages above this are outliers.
$82.9K - $97.3K
11% of jobs
$97.3K - $111.8K
5% of jobs
$111.8K - $126.2K
5% of jobs
$126.2K - $140.7K
6% of jobs
$140.7K - $155.1K
1% of jobs
$155.1K - $169.6K
0% of jobs
$169.6K - $184K
0% of jobs
$25.1K
$75K
$184K
A PPS (Prospective Payment System) job typically involves managing and overseeing healthcare reimbursement processes, particularly in Medicare and Medicaid settings. Professionals in this role ensure compliance with regulatory guidelines, calculate payments based on predetermined rates, and work to optimize reimbursement for healthcare providers. They may analyze data, audit claims, and collaborate with medical staff to enhance financial efficiency.
As a PPS Coordinator, your daily tasks often include reviewing patient records to ensure accurate coding, verifying compliance with federal and state reimbursement guidelines, and preparing reports for management. You'll collaborate with clinical departments to clarify documentation and resolve discrepancies, as well as provide guidance on best practices for prospective payment processes. Communication with billing teams and external auditors may also be part of your routine to address questions and ensure claims are processed correctly. The role requires a proactive approach to keeping up with regulatory changes and adapting processes to support optimal reimbursement for your organization.
To thrive as a PPS (Prospective Payment System) Coordinator or Specialist, you need a strong understanding of healthcare reimbursement methodologies, medical billing, and regulatory compliance, often backed by experience in hospital or healthcare finance. Familiarity with coding systems such as ICD-10, DRGs, and EMRs, as well as certifications like RHIA, RHIT, or CCS, is highly valuable in this role. Attention to detail, analytical thinking, and strong communication skills help you interpret regulations and collaborate effectively with clinical and administrative staff. These competencies are crucial for ensuring accurate billing, maximizing reimbursement, and maintaining regulatory compliance in healthcare organizations.
The most popular types of Pps jobs in Massachusetts are:
For Pps jobs in Massachusetts, the most frequently searched job titles are:
The top searched job categories for Pps jobs in Massachusetts are:
Cities in Massachusetts with the most Pps job openings:

$65K/yr
Other
Medical, Dental, Vision, Retirement, PTO
Posted 12 days ago
The primary role of the MDS Coordinator is to coordinate and guide the overall process and tracking of all Medicare/Medicaid case-mix documents, and care assessments in order to assure appropriate reimbursement for services. The position is also responsible for completing concurrent MDS to assure achievement of maximum allowable RUG categories, as well as integrating information from Nursing, Dietary, Social Services, and Rehabilitation departments for appropriate reimbursement.
Schedule & Pay:
Responsibilities:
Qualifications:
Compensation & Benefits:
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