Susan Wilson
Sulligent,AL
Summary
Detail-oriented MDS Auditor with proven skills in compliance, audit planning, and continuous improvement. Committed to ensuring accurate documentation and enhancing reimbursement processes through meticulous audits.
Overview
21
21
years of professional experience
1
1
Certification
Work History
MDS Auditor Part-time
CES
06.2024 - Current
- Reviewed and updated resident records to ensure accurate reporting and compliance with state regulations.
- Assessed electronic medical record for required documentation to support MDS coding.
- Established regular review processes to evaluate the accuracy and completeness of MDS records, leading to proactive identification of potential issues before they are submitted.
- Complete MDS assessments/care plans to cover as needed.
MDS Coordinator
Vanguard Healthcare Services LLC
02.2005 - Current
- Coordinate comprehensive assessments and care plans for residents in compliance with regulatory standards.
- Facilitate interdisciplinary meetings to enhance communication among healthcare team members.
- Ensured timely completion of all MDS assessments, maintaining full compliance with federal and state regulations.
- Maintained up-to-date knowledge on CMS guidelines and changes to ensure accuracy in reporting and reimbursement processes.
- Verified prompt and accurate completion of MDS activities for billing.
- Monitored changing regulations related to RAI/MDS requirements, keeping staff informed about updates that impact their daily work routines.
- Conducted audits of current MDS records to identify discrepancies and improve record accuracy, enhancing reimbursement rates for the facility.
MDS Auditor Specialist
CES
06.2022 - 10.2023
- Monitored compliance with regulatory standards and facilitated audits for continuous improvement.
- Mentored and trained staff on best practices in MDS documentation, fostering a culture of continuous improvement.
- Conducted regular audits of MDS documentation to ensure accuracy and adherence to state and federal guidelines.
- Coordinated with billing department to facilitate appropriate reimbursement based on accurate completion of resident assessments.
- Complied with federal and state regulations for completion and coordination of RAI process.
Education
Licensed Pratical Nursing Program - Nursing
Bevill State Community College
Fayette, AL10-1995
Skills
- Attention to detail
- Team collaboration
- Audit reporting
- Compliance standards
- Audit planning
Certification
RAC-CT - current
RAC-CTA - current
ICD-10 coding for SNF/PDPM - current
Timeline
MDS Auditor Part-time
CES
06.2024 - Current
MDS Auditor Specialist
CES
06.2022 - 10.2023
MDS Coordinator
Vanguard Healthcare Services LLC
02.2005 - Current
Licensed Pratical Nursing Program - Nursing
Bevill State Community College