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Debra Rayas
Delta
Summary
Detail-focused MDS Coordinator with over 10 years of experience in executing accurate MDS assessments and maintaining compliance with regulatory standards. Strengths include meticulous documentation practices, effective collaboration with interdisciplinary teams, and a strong focus on patient privacy and reimbursement efficiency.
Overview
19
19
years of professional experience
1
1
Certification
Work History
MDS Coordinator
Stellar Senior Living
Delta, CO
01.2024 - Current
- Executed MDS assessments remotely for multiple skilled nursing facilities in Colorado, ensuring adherence to state and federal regulations.
- Ensured compliance with federal, state, and local regulations by meticulously completing all required documentation for MDS reporting.
- Validated Case Mix Index (CMI) accuracy, ensuring accurate reflection of residents' functional status.
- Conducted regular audits of MDS records, enhancing overall accuracy and consistency in documentation.
- Evaluated medical records and accurately assigned ICD-10 codes to ensure precise primary and current diagnosis listings.
- Collaborated with interdisciplinary teams by telephone or via ZOOM to facilitate accurate data collection and reporting.
- Expedited reimbursement processes by submitting accurate MDS reports within established timeframes, reducing potential delays or denials from Medicare/Medicaid programs.
- Safeguarded patient privacy rights by adhering to HIPAA guidelines while managing sensitive information contained within the Minimum Data Set assessments.
- Participated in quality assurance reviews, confirming data accuracy and reliability across multiple skilled nursing facilities.
MDS/MCR Coordinator
Willow Tree Care Center
Delta, CO
07.2007 - 06.2021
- Completed MDS assessments, ensuring compliance with state and federal regulatory standards.
- Ensured compliance with federal, state, and local regulations by meticulously completing all required documentation for MDS reporting.
- Collaborated with interdisciplinary teams to facilitate accurate data collection and reporting.
- Conducted regular audits of MDS records to maintain accuracy and consistency.
- Reduced errors in MDS coding by providing ongoing staff training and support on regulatory changes and best practices.
- Developed training materials for staff on MDS documentation practices.
- Cultivated positive relationships with external surveyors and regulatory agencies through prompt and professional responses to audit requests, inquiries, or concerns.
- Facilitated comprehensive care conferences to discuss residents'' progress towards achieving their individual goals and adjusting care plans as necessary.
- Expedited reimbursement processes by submitting accurate MDS reports within established timeframes, reducing potential delays or denials from Medicare/Medicaid programs.
- Maintained strong communication lines among interdisciplinary team members, promoting collaboration in addressing resident concerns and developing individualized care plans.
Education
Associate of Science - Nursing
Bakersfield College
Bakersfield, CASkills
- MDS expertise
- Medicare knowledge
- PDPM
- Care planning
- Clinical documentation
- Regulatory compliance
- Documentation accuracy
- Time management
- Analytical thinking
- Attention to detail
- Confidentiality practices
Affiliations
American Association of Post- Acute Care Nursing
Certification
RAC-CT
ICD 10 Coding
Interests
Timeline
MDS Coordinator
Stellar Senior Living
01.2024 - Current
MDS/MCR Coordinator
Willow Tree Care Center
07.2007 - 06.2021
Associate of Science - Nursing
Bakersfield College