Senior Director of Clinical Reimbursement Operations

Company: MDS Solutions
Location: Kansas City
Posted on: June 1, 2025

Job Description:

OverviewMDS Solutions, a division of Key Rehabilitation, is looking for fun, energetic, and self-driven team members to join our remote MDS division as a Senior Director of Clinical Reimbursement Operations.The Senior Director of Clinical Reimbursement Operations (SDCRO) is responsible for overseeing and managing MDS Coordinators and financial operations within the division of MDS Solutions. The SDCRO will manage MDS coordination and client relations related to RAI assessments, reimbursement optimization, and Care Plan development in accordance with applicable laws, regulations, and company standards. They will provide ongoing education and training to the MDS Coordinators to ensure skills are current with reimbursement policies and federal quality reporting programs. The SDCRO will conduct audits for compliance and reimbursement optimization to ensure optimal client outcomes. They perform well independently or as part of a team, utilizing clinical, analytical, communication, and customer service skills, along with sound judgment and professionalism.What do we offer you?

• Creative, fun, and flexible working environment
• Competitive salaries and bonuses
• Promotion, transfer, and advancement opportunities
• Meaningful work and job satisfaction
• Reasonable working hours
• CE opportunities
• Paid time off
• Comprehensive health, dental, and life insurance
• 401K with discretionary match
• Mileage and licensure reimbursements
• Flexible Spending Account and HSAResponsibilities
• Provide supervision for MDS Solutions staff, including hiring, performance management, and terminations.
• Manage scheduled billing hours for each MDS Coordinator under supervision, providing ongoing feedback.
• Assist the Director of Education with orientation and onboarding of new MDS coordinators; track all training activities.
• Identify training and performance needs of MDS coordinators and develop targeted improvement plans.
• Conduct regular audits of MDS coordinators to ensure coding and care planning meet standards.
• Maintain client relations through meetings and reports to review operational performance and satisfaction.
• Advise VP of Consulting Operations on client concerns and follow through with corrective actions.
• Stay current with clinical standards, MDS changes, regulations, reimbursement policies, and quality reporting programs.
• Collaborate with VP of Consulting Operations to establish reasonable billable hours expectations.
• Assist in other related duties as directed by VP of Consulting Operations.Qualifications
  • Bachelor's degree in nursing or therapy discipline
  • Minimum 5 years clinical experience, with 3+ years in RAI process
  • Current and unrestricted RN or Therapist (OT, PT, SLP) license
  • Current RAC-CT certification
  • Strong critical thinking, clinical judgment, and knowledge of quality improvement
  • Intermediate skills in Microsoft Office; ability to learn billing software
  • Leadership and interpersonal skills
  • Knowledge of PDPM and State Case Mix Reimbursement
  • Understanding of Medicare, Managed Care, and applicable regulations
  • Effective communication and customer service skills
  • Initiative, creativity, and presentation skills
  • Reliable transportation, valid driver's license, ability to operate a vehicle
  • Occasional travel requiredKey Rehab is an equal opportunity employer/service provider.
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Keywords: MDS Solutions, Saint Joseph , Senior Director of Clinical Reimbursement Operations, Executive , Kansas City, Missouri