Medical Coder

DaMar Staffing; Watertown (WI); On-site; USD 110,000 - 150,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

401(k)

STD

LTD

Job summary

DaMar Staffing is seeking an experienced Director of Clinical Reimbursement MDS to lead reimbursement programs across skilled nursing facilities. This onsite role requires an active RN license and RAC-CT certification, with 3–5+ years of MDS and clinical reimbursement experience.

You will oversee MDS accuracy, optimize reimbursement, ensure regulatory compliance, and mentor MDS coordinators and clinical staff.

Qualifications

• Active RN license required.
• RAC-CT certification required.
• 3–5+ years of MDS and clinical reimbursement experience in a skilled nursing setting.
• Strong knowledge of Medicare/Medicaid reimbursement and regulatory requirements.
• Proven ability to lead and mentor clinical teams.
• Analytical, organizational, and communication skills.

Responsibilities

• Oversee and support the accurate and timely completion of MDS assessments
• Provide guidance, training, and mentorship to MDS Coordinators and clinical staff
• Monitor and analyze reimbursement metrics (including CMI) to identify trends and opportunities
• Conduct audits of MDS and reimbursement practices to ensure accuracy and compliance
• Partner with clinical and operational leaders to improve quality outcomes and financial performance
• Ensure adherence to current Medicare and Medicaid regulations
• Serve as a subject matter expert on MDS, ICD coding, and reimbursement best practices
• Support denials management and appeals processes
• Track and evaluate Quality Measures (QMs) and their impact on performance ratings
• Lead education initiatives related to regulatory changes and reimbursement strategies

Skills

Active RN license

RAC-CT certification

MDS reimbursement experience

Leadership & mentoring

Medicare/Medicaid regulatory knowledge

Job description

DIRECTOR OF CLINICAL REIMBURSEMENT

Job Title: Director Reimbursement, MDS

Location: Waukesha County, Wi (Onsite)

Type: Full-Time, Permanent/Direct Hire

Benefits: Health, Dental and Vision insurances, 401(k), STD, LTD, etc.

We are seeking an experienced Director, Clinical Reimbursement MDS to lead and support clinical reimbursement processes across multiple skilled nursing facilities. This role is responsible for ensuring accurate MDS completion, optimizing reimbursement, and maintaining compliance with federal and state regulations while supporting strong clinical outcomes.

Key Responsibilities

• Oversee and support the accurate and timely completion of MDS assessments
• Provide guidance, training, and mentorship to MDS Coordinators and clinical staff
• Monitor and analyze reimbursement metrics (including CMI) to identify trends and opportunities
• Conduct audits of MDS and reimbursement practices to ensure accuracy and compliance
• Partner with clinical and operational leaders to improve quality outcomes and financial performance
• Ensure adherence to current Medicare and Medicaid regulations
• Serve as a subject matter expert on MDS, ICD coding, and reimbursement best practices
• Support denials management and appeals processes
• Track and evaluate Quality Measures (QMs) and their impact on performance ratings
• Lead education initiatives related to regulatory changes and reimbursement strategies

Qualifications

• Active Registered Nurse (RN) license
• RAC-CT certification required
• 3–5+ years of MDS and clinical reimbursement experience in a skilled nursing setting
• Strong knowledge of Medicare/Medicaid reimbursement, CMI, and regulatory requirements
• Proven ability to lead, mentor, and support clinical teams
• Strong analytical, organizational, and communication skills
• Ability to manage multiple priorities in a fast-paced environment