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Director Of Reimbursement Jobs in Decatur, GA (NOW HIRING)

McLane Company

Director of Operations

Austell, GA

Additional benefits: pet insurance, maternity/paternity leave, employee assistance programs, discount programs, tuition reimbursement program, and more! What you'll do as a Director of Operations:

McLane Company

Director of Operations

Austell, GA · On-site

Additional benefits: pet insurance, maternity/paternity leave, employee assistance programs, discount programs, tuition reimbursement program, and more! What you'll do as a Director of Operations ...

Flanagan Law, P.C.

Director of Operations

Atlanta, GA · On-site

$85K - $120K/yr

Education Reimbursement READ THIS CAREFULLY - THIS IS PART OF THE PROCESS We are intentional about ... You are stepping into this firm as Director of Operations. What would your focus be in your first ...

TransPerfect

Director of Rehabilitation

Atlanta, GA · On-site

$50 - $55/hr

Join the TransPerfect family as a Director of Rehabilitation at Lenbrook, Atlanta's premier Life ... Yearly CEU allowance and licensure reimbursement * Clinical mentorship and preceptorship program

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All JobsOf Reimbursement JobsDirector Of Reimbursement JobsDirector Of Reimbursement Jobs in Decatur, GA

Director Of Reimbursement information

See Decatur, GA salary details

$55.1K

$116.3K

$164.4K

How much do director of reimbursement jobs pay per year?

As of Sep 8, 2026, the average yearly pay for director of reimbursement in Decatur, GA is $116,273.00, according to ZipRecruiter salary data. Most workers in this role earn between $91,500.00 and $139,000.00 per year, depending on experience, location, and employer.

What are the biggest challenges a director of reimbursement typically faces when working with payers and regulatory agencies?

One of the main challenges for a Director of Reimbursement is staying current with frequently changing payer policies and complex regulatory requirements. They must navigate negotiations with insurance companies while ensuring that billing, coding, and reimbursement procedures are compliant with federal and state laws. Collaboration with finance, compliance, and clinical teams is essential to resolve discrepancies and optimize reimbursement processes. Effective communication and adaptability are key to managing these evolving demands and maintaining healthy revenue cycles.

What are the key skills and qualifications needed to thrive as a director of reimbursement, and why are they important?

To thrive as a Director of Reimbursement, you need expertise in healthcare reimbursement methodologies, policy analysis, and financial management, typically supported by a bachelor’s or master’s degree in business, finance, or a related field. Familiarity with claims processing systems, Medicare/Medicaid regulations, and data analytics tools is essential, along with certifications such as Certified Professional Coder (CPC) or HFMA credentials. Strong leadership, communication, and problem-solving skills help navigate complex payer relationships and lead cross-functional teams. These skills and qualities are crucial to maximizing revenue, ensuring regulatory compliance, and guiding organizations through evolving reimbursement landscapes.

What is the difference between Director Of Reimbursement vs Reimbursement Manager?

AspectDirector Of ReimbursementReimbursement Manager
CredentialsBachelor's degree; often advanced certifications in healthcare or financeBachelor's degree; relevant certifications preferred
Work EnvironmentStrategic leadership in healthcare organizations, overseeing reimbursement policiesOperational role focusing on claims processing and reimbursement procedures
Industry UsageUsed in large healthcare systems, hospitals, and insurance companiesCommon in healthcare facilities, insurance firms, and billing companies

The Director Of Reimbursement typically holds a higher strategic and leadership role, overseeing reimbursement policies and compliance at an organizational level. In contrast, the Reimbursement Manager focuses more on day-to-day operations related to claims and billing processes. Both roles require relevant healthcare or finance credentials, but the director position involves broader oversight and policy development.

What job categories do people searching Director Of Reimbursement jobs in Decatur, GA look for?

The top searched job categories for Director Of Reimbursement jobs in Decatur, GA are:

What cities near Decatur, GA are hiring for Director Of Reimbursement jobs?

Cities near Decatur, GA with the most Director Of Reimbursement job openings:

Director Of Reimbursement jobs near you
Infographic showing various Director Of Reimbursement job openings in Decatur, GA as of August 2026, with employment types broken down into 100% Full Time. Highlights an 77% In-person, and 23% Remote job distribution, with an average salary of $133,947 per year, or $64.4 per hour.

MDS Reimbursement Director

NurseCare Buckhead

Atlanta, GA • On-site

Full-time

Re-posted 27 days ago

Job description

We are seeking a MDS Director of Reimbursement to strategically lead our clinical reimbursement team. Our goal is to be a resource to a resource to our communities, providing short-term rehabilitation for a short stay with long term success in addition to providing a variety of skilled services
Job Summary:

The MDS Director of Reimbursement is responsible for overseeing Clinical Reimbursement initiatives for the company. Manage and evaluate clinical reimbursement staff in the company. Track, trend and identify arears of improvement as well as opportunities for growth. Ensure that reimbursement structures are managed, evaluated, and capture accurate resource utilization at all the facilities levels. Partner with the Clinical, Financial and Rehab teams to develop and enhance clinical reimbursement tools and systems.

Essential Duties and Responsibilities:
  • Develop and implements case management and clinical reimbursement programs.
  • Review weekly/monthly RUG distribution/reimbursement reports. assist in identification of trends
  • Provide instruction to the Facility MDS Coordinators on the RAI Processes and Systems.
  • Track, trend and analyze current RUG scores. end splits. CMI on a weekly and monthly basis and report to the management team.
  • Assist the VP of Clinical Services in developing a plan of action to improve the clinical reimbursement / RAJ functions and processes at the Facilities level.
  • Serve as the subject matter expert for the Company on all areas related to Clinical Reimbursement and RAI.
  • Serve as the Corporate Liaison with V. P. of Rehab, reviewing RUGs utilization, Forecasts, ADL Index and Reimbursement Utilization.
  • Collaborate with the Company Chief Compliance Officer to ensure adherence to company's policies and procedures plus Federal and State Regulations.
  • Partner with Medical Review to ensure that accurate ADR information is submitted to the fiscal intermediaries.
  • Maintain Current information on OBRA regulations, licensure requirements, and other regulatory and agency standards.
  • Assesses the knowledge, skills, techniques, procedure and performance of the nursing MDS and staff as it relates to coding of the MDS and related assessments.
  • Trains the MDS staff on the appropriate CAAs and trigger worksheets and assessment reference dates.
  • Serves as the subject matter expert for the company on all areas related to clinical reimbursement.
  • Assist in identification development and implementation of education opportunities.
  • Routinely visits facilities to review, monitor and audit the quality of coding to reflect nursing care provided to residents.
  • Coordinate with other functional executives and managers to properly scope projects, coordinate their execution across functions and develop training and educational programs as required. Manage change control.
  • Participate in the recruitment, evaluation and retention of MDS Staff.
Qualifications :
  • RN/Therapist or completion of a Bachelor's Degree in a Health Care or related field, consistent with the duties to be performed.
  • Five to Ten years of Clinical Reimbursement or MOS experience.
  • Current knowledge of computer technology and systems.
  • Extensive knowledge of MOS and back-up documentation required and extensive knowledge of state grouper and calculator field relative to MOS and state payment.
  • Extensive knowledge of Medicare reimbursement, RUG IV systems, compliance and edibility.
  • Strong project management skills with a record of successful project execution. Competence in computer technology and systems needed to manage Medicare/State Case Mix systems.
  • Five years' .experience in Long Term Care Management .
  • Communicate effectively with staff, doctors, and corporate leadership, utilizing diplomacy and discretion.
  • Travel to other facilities required.

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