Top 6 Regional mds Jobs in Bloomingdale, Il

Vice President of MDS/Clinical Reimbursement
Alpine Healthcare —Evanston, IL
- $120,000 - $125,000 a year
- Full-time
- RN License
- Home Health
- Pediatrics
- Travel reimbursement
- Disability insurance
Quick Apply
Regional Admissions Director
THRYVE Healthcare —Chicago, IL
- $80,000 - $90,000 a year
- Full-time
- Skilled nursing facility
- Marketing
- High school diploma or GED
- Disability insurance
- Health insurance
Quick Apply
12d
Medical Licensing Specialist (Contract)
Galileo —Chicago, IL
- $25 an hour
- Full-time
- Remote
- Mid-level
- Organizational skills
- 2 years
- Continuing education credits
Quick Apply
1d
MDS Coordinator
Nivram Management —Lincolnwood, IL
- Full-time
- Skilled nursing facility
- RN License
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
Dialysis Clinical Manager Registered Nurse - RN
Fresenius Medical Care —Cicero, IL
- $99,000 - $166,000 a year
- Full-time
- Nursing
- RN License
- Administrative experience
- Health insurance
- Dental insurance

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Vice President of MDS/Clinical Reimbursement

Alpine Healthcare
Evanston, IL

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Job Details

Full-time
$120,000 - $125,000 a year

Benefits

Travel reimbursement
Disability insurance
Health insurance
Dental insurance
401(k)
Paid time off
Employee assistance program
Vision insurance
Life insurance

Qualifications

Medicare
Utilization review
CMS
Physiology knowledge
CMS regulatory compliance
Health insurance knowledge
Utilization management
Clinical documentation
Health information regulatory compliance
Leading team collaboration initiatives
Centers for Medicare & Medicaid Services (CMS) billing regulations
Medicaid
Clinical documentation improvement
Productivity software
Clinical documentation standards
Managing medical billing & coding team teams

Full Job Description

Job Overview

We are seeking a dynamic and highly experienced Vice President of MDS/Clinical Reimbursement to lead our organization’s efforts in managing and optimizing Medicare and Medicaid reimbursement strategies related to the Minimum Data Set (MDS) and clinical documentation. This pivotal role requires a strategic thinker with deep expertise in healthcare reimbursement policies, clinical documentation standards, and coding systems. The Vice President will oversee all aspects of clinical reimbursement processes , will travel to multiple facilities throughout the Chicagoland area/suburbs and ensure compliance with federal and state regulations, enhance revenue cycle management, and foster collaboration across clinical, coding, and billing teams. The ideal candidate will be energized by driving operational excellence and advancing our commitment to delivering exceptional patient care while maximizing reimbursement efficiency.

Duties

Lead the development and implementation of comprehensive MDS/clinical reimbursement strategies aligned with Medicare, Medicaid, and other payer requirements.
Oversee clinical documentation improvement initiatives to ensure accurate, complete, and compliant medical records that support optimal reimbursement outcomes.
Manage coding operations involving CPT (Current Procedural Terminology), ICD-9, ICD-10, DRG (Diagnosis-Related Group), and other medical coding standards to ensure precise billing practices.
Collaborate with health information management teams to maintain adherence to HIPAA regulations, CMS guidelines, and state healthcare policies.
Drive utilization management efforts by analyzing inpatient and outpatient data, optimizing case management processes, and supporting discharge planning for diverse care settings including acute care, long-term care, home care, hospice, and outpatient services.
Lead cross-functional teams in conducting documentation reviews, coding audits, and compliance assessments to uphold clinical documentation standards across EMR/EHR systems such as Epic, Cerner, Athenahealth, eClinicalWorks, and others.
Stay abreast of evolving healthcare regulations related to Medicare/Medicaid reimbursement policies, NCQA standards, long-term care regulations, and hospital accreditation requirements to ensure organizational compliance.

Qualifications

Active Illinois RN license
Extensive experience in regional oversight of MDS, PDPM, and clinical reimbursement within multi-site skilled nursing facilities
Multi-site leadership experience required
Deep knowledge of CMS regulations, documentation standards, and reimbursement audits
Proven ability to lead teams, influence outcomes, and drive performance at a regional or corporate level
Extensive experience in managed care environments with a strong background in Medicare and Medicaid reimbursement policies.
Proven expertise in regional oversight of MDS processes within long-term care facilities or skilled nursing settings.
In-depth knowledge of CPT coding, ICD-9/10 coding systems, DRG assignment, and utilization review procedures.
Demonstrated ability to lead clinical documentation improvement programs aligned with healthcare quality standards such as NCQA or CMS guidelines.
Familiarity with EMR/EHR systems including Epic, Cerner, Athenahealth or eClinicalWorks; proficiency in Microsoft Office Suite is essential.
Strong understanding of health regulation policies including HIPAA, CMS regulations, state healthcare laws, and long-term care regulations.
Exceptional leadership skills with experience managing multidisciplinary teams across inpatient and outpatient settings including nursing homes, hospitals (Level I & II trauma centers), pediatric units (PICU), emergency departments (Level I Trauma Center), hospice programs or primary care clinics.
Critical thinking skills combined with physiology knowledge and expertise in medical terminology for effective documentation review and case management.

Join us as we elevate clinical reimbursement practices through innovative leadership! This role offers an exciting opportunity to shape the future of healthcare finance while ensuring compliance excellence across diverse patient care environments.

Pay: $120,000.00 - $125,000.00 per year

Benefits:

401(k)
Dental insurance
Disability insurance
Employee assistance program
Health insurance
Life insurance
Paid time off
Vision insurance

Work Location: On the road

Quick Apply

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regional mds jobs in bloomingdale, il

Vice President of MDS/Clinical Reimbursement

Regional Admissions Director

Medical Licensing Specialist (Contract)

MDS Coordinator

Dialysis Clinical Manager Registered Nurse - RN

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