MDS Solutions - Director of Clinical Reimbursement Consulting

MDS Solutions; Indianapolis (IN); Remote; USD 80,000 - 120,000; Full time

Job summary

An innovative healthcare provider is seeking a Director of Clinical Reimbursement Consulting to lead a dynamic team in optimizing reimbursement processes. This role involves overseeing clinical reimbursement specialists, providing training, and ensuring compliance with federal standards. The ideal candidate will possess strong clinical and analytical skills, along with exceptional communication abilities. Join a forward-thinking organization that values flexibility, employee well-being, and offers a comprehensive benefits package to support your career growth. Make a meaningful impact in the healthcare industry while enjoying a fulfilling work environment.

Benefits

Competitive Salaries

Bonus Opportunities

Health, Dental, and Life Insurance

401K with Matching

Generous Paid Time Off

Flexible Spending Account

Health Savings Account

Continuing Education Opportunities

Mileage Reimbursement

Work-Life Balance

Qualifications

• 5+ years of clinical experience with RAI process.
• Current RN license and RAC-CT certification required.

Responsibilities

• Oversee MDS Coordinators and Clinical Reimbursement Specialists.
• Provide training and ensure compliance with federal standards.

Skills

Clinical Reimbursement Expertise

Analytical Skills

Communication Skills

Customer Service

Critical Thinking

Education

Bachelor's Degree in Nursing

Tools

RAI Process Knowledge

HIPAA Compliance

Job description

MDS Solutions - Director of Clinical Reimbursement Consulting

Join to apply for the MDS Solutions - Director of Clinical Reimbursement Consulting role at MDS Solutions.

4 weeks ago Be among the first 25 applicants.

Get AI-powered advice on this job and more exclusive features.

MDS Solutions, a division of Key Rehabilitation, is seeking a dynamic, self-driven team member for our remote MDS division as the Director of Clinical Reimbursement Consulting.

The Director of Clinical Reimbursement Consulting (DCRC) oversees MDS Coordinators and Clinical Reimbursement Specialists within MDS Solutions. Responsibilities include performing billable consulting services such as MDS coordination, RAI assessments, Care Plan development, PDPM, Case Mix reimbursement optimization, and Quality Measure analysis. The DCRC provides training and education to ensure accurate reimbursement and compliance with federal quality reporting standards. This role requires strong clinical and analytical skills, excellent communication, customer service, and sound professional judgment.

About Us

At Key Rehab, we are innovating rehab services with a unique approach. We provide a broad range of services, utilize top-tier systems, and operate in strategic locations to maximize results for patients and support our clients' goals. We prioritize clear communication, leverage deep industry experience, and deliver effective, affordable therapy. Our reputation is built on excellent patient care, satisfied clients and staff, and strong management.

We value both exceptional patient care and employee well-being. We are dedicated to compassionate, results-driven therapy, offering flexibility and comprehensive benefits to support your career growth. Whether accommodating family, travel, home projects, or savings, we tailor solutions to your lifestyle. Join us for a rewarding career where you are valued and supported.

Our work environment is creative, engaging, and flexible, complemented by a comprehensive benefits package.

• Competitive salaries with bonus opportunities
• Opportunities for promotion, transfer, and advancement
• Meaningful, fulfilling work with high job satisfaction
• Reasonable hours promoting work-life balance
• Continuing education opportunities
• Generous paid time off
• Health, dental, and life insurance
• 401K with matching
• Mileage and licensure reimbursements
• Flexible Spending Account (FSA) and Health Savings Account (HSA)

The role includes:

• Serving as a trusted advisor on reimbursement systems and processes
• Assessing, planning, developing, and implementing tailored reimbursement systems
• Providing technical consultation and interim MDS management support
• Staying current with regulations, QM measures, and the RAI process
• Delivering high-quality services, including reimbursement optimization and education
• Identifying training needs and conducting targeted sessions
• Maintaining confidentiality and HIPAA compliance

Minimum qualifications

• Bachelor's degree in Nursing from an accredited institution
• At least 5 years of clinical experience, including 3+ years with the RAI process
• Current, unrestricted RN license
• RAC-CT certification
• Strong critical thinking, decision-making, and professional judgment skills
• Proven leadership and interpersonal skills

Key Rehab is an equal opportunity employer/service provider.