... PDPM coding and reimbursement Monitor Medicare and Medicaid billing accuracy Provide staff education on documentation best practices Stay current with CMS and regulatory updates Qualifications ...
... PDPM coding and reimbursement Monitor Medicare and Medicaid billing accuracy Provide staff education on documentation best practices Stay current with CMS and regulatory updates Qualifications ...
MDS Director - Full-Time/Part-Time/Casual All Shifts
Mineral Point, WI · On-site
$34.50 - $44/hr
... PDPM coding and reimbursement • Monitor Medicare and Medicaid billing accuracy • Provide staff education on documentation best practices • Stay current with CMS and regulatory updates ...
MDS Director - Full-Time/Part-Time/Casual All Shifts
Mineral Point, WI · On-site
$34.50 - $44/hr
... PDPM coding and reimbursement • Monitor Medicare and Medicaid billing accuracy • Provide staff education on documentation best practices • Stay current with CMS and regulatory updates ...
MDS Director - Full-Time/Part-Time/Casual All Shifts
Mineral Point, WI · On-site
$34.50 - $44/hr
... PDPM coding and reimbursement • Monitor Medicare and Medicaid billing accuracy • Provide staff education on documentation best practices • Stay current with CMS and regulatory updates ...
MDS Director - Full-Time/Part-Time/Casual All Shifts
Mineral Point, WI · On-site
$34.50 - $44/hr
... PDPM coding and reimbursement • Monitor Medicare and Medicaid billing accuracy • Provide staff education on documentation best practices • Stay current with CMS and regulatory updates ...
The Educator provides overall educational support and coding quality assurance activities to both internal and external stakeholders as it relates to Medicare Advantage, ACA/Exchange and Medicaid ...
The Educator provides overall educational support and coding quality assurance activities to both internal and external stakeholders as it relates to Medicare Advantage, ACA/Exchange and Medicaid ...
Revenue Management Educator - Health Plan
Marshfield, WI · On-site +1
The Educator provides overall educational support and coding quality assurance activities to both internal and external stakeholders as it relates to Medicare Advantage, ACA/Exchange and Medicaid ...
Revenue Management Educator - Health Plan
Marshfield, WI · On-site +1
The Educator provides overall educational support and coding quality assurance activities to both internal and external stakeholders as it relates to Medicare Advantage, ACA/Exchange and Medicaid ...
Revenue Integrity Specialist
Dodgeville, WI · On-site
Coordinates with patient financial services on compliance issues regarding national correct coding initiative rules, Medicare outpatient code editor rules and Medicare and Medicaid fraud and abuse ...
Revenue Integrity Specialist
Dodgeville, WI · On-site
Coordinates with patient financial services on compliance issues regarding national correct coding initiative rules, Medicare outpatient code editor rules and Medicare and Medicaid fraud and abuse ...
Validate documentation supporting PDPM coding and reimbursement * Monitor Medicare and Medicaid billing accuracy * Provide staff education on documentation best practices * Stay current with CMS and ...
Validate documentation supporting PDPM coding and reimbursement * Monitor Medicare and Medicaid billing accuracy * Provide staff education on documentation best practices * Stay current with CMS and ...
MDS Director - Full-Time
Waukesha, WI · On-site
$34.25 - $43.75/hr
Validate documentation supporting PDPM coding and reimbursement * Monitor Medicare and Medicaid billing accuracy * Provide staff education on documentation best practices * Stay current with CMS and ...
MDS Director - Full-Time
Waukesha, WI · On-site
$34.25 - $43.75/hr
Validate documentation supporting PDPM coding and reimbursement * Monitor Medicare and Medicaid billing accuracy * Provide staff education on documentation best practices * Stay current with CMS and ...
MDS Director - Full-Time
Mukwonago, WI · On-site
$33.75 - $43.25/hr
Validate documentation supporting PDPM coding and reimbursement * Monitor Medicare and Medicaid billing accuracy * Provide staff education on documentation best practices * Stay current with CMS and ...
MDS Director - Full-Time
Mukwonago, WI · On-site
$33.75 - $43.25/hr
Validate documentation supporting PDPM coding and reimbursement * Monitor Medicare and Medicaid billing accuracy * Provide staff education on documentation best practices * Stay current with CMS and ...
MDS Director - Full-Time
Watertown, WI · On-site
$32.75 - $41.75/hr
Validate documentation supporting PDPM coding and reimbursement * Monitor Medicare and Medicaid billing accuracy * Provide staff education on documentation best practices * Stay current with CMS and ...
MDS Director - Full-Time
Watertown, WI · On-site
$32.75 - $41.75/hr
Validate documentation supporting PDPM coding and reimbursement * Monitor Medicare and Medicaid billing accuracy * Provide staff education on documentation best practices * Stay current with CMS and ...
MDS Director - Full-Time
Jefferson, WI · On-site
$32.25 - $41/hr
Validate documentation supporting PDPM coding and reimbursement * Monitor Medicare and Medicaid billing accuracy * Provide staff education on documentation best practices * Stay current with CMS and ...
MDS Director - Full-Time
Jefferson, WI · On-site
$32.25 - $41/hr
Validate documentation supporting PDPM coding and reimbursement * Monitor Medicare and Medicaid billing accuracy * Provide staff education on documentation best practices * Stay current with CMS and ...
MDS Director - Full-Time
Milwaukee, WI · On-site
$33.75 - $43/hr
Validate documentation supporting PDPM coding and reimbursement * Monitor Medicare and Medicaid billing accuracy * Provide staff education on documentation best practices * Stay current with CMS and ...
MDS Director - Full-Time
Milwaukee, WI · On-site
$33.75 - $43/hr
Validate documentation supporting PDPM coding and reimbursement * Monitor Medicare and Medicaid billing accuracy * Provide staff education on documentation best practices * Stay current with CMS and ...
Vice President, National Payer Accounts
Oregon, WI · On-site
$300.76 - $380.41/hr
Direct experience launching a Medicare Part B buy-and-bill product, including navigating the miscellaneous J-code period through permanent coding * Retina or broader ophthalmology therapeutic area ...
Vice President, National Payer Accounts
Oregon, WI · On-site
$300.76 - $380.41/hr
Direct experience launching a Medicare Part B buy-and-bill product, including navigating the miscellaneous J-code period through permanent coding * Retina or broader ophthalmology therapeutic area ...
Maintains up-to-date knowledge of Medicare, Medicaid and other regulatory requirements pertaining to nationally accepted coding policies and standards. Develops expertise in coding for assigned ...
Maintains up-to-date knowledge of Medicare, Medicaid and other regulatory requirements pertaining to nationally accepted coding policies and standards. Develops expertise in coding for assigned ...
Medical Billing Specialist
Mauston, WI · On-site
$20.25 - $26/hr
Prepare, submit, and transmit clean medical claims to commercial, Medicare, and Medicaid payers ... Communicate and collaborate with coding, denial management specialists, insurance companies ...
Medical Billing Specialist
Mauston, WI · On-site
$20.25 - $26/hr
Prepare, submit, and transmit clean medical claims to commercial, Medicare, and Medicaid payers ... Communicate and collaborate with coding, denial management specialists, insurance companies ...
Associate Director
Milwaukee, WI · On-site
$46.55 - $69.85/hr
Maintains up-to-date knowledge of Medicare, Medicaid and other regulatory requirements pertaining to nationally accepted coding policies and standards. Develops expertise in coding for assigned ...
Associate Director
Milwaukee, WI · On-site
$46.55 - $69.85/hr
Maintains up-to-date knowledge of Medicare, Medicaid and other regulatory requirements pertaining to nationally accepted coding policies and standards. Develops expertise in coding for assigned ...
Medical Billing Specialist
Mauston, WI · On-site
$20.25 - $26/hr
Prepare, submit, and transmit clean medical claims to commercial, Medicare, and Medicaid payers ... Communicate and collaborate with coding, denial management specialists, insurance companies ...
Quick apply
Medical Billing Specialist
Mauston, WI · On-site
$20.25 - $26/hr
Prepare, submit, and transmit clean medical claims to commercial, Medicare, and Medicaid payers ... Communicate and collaborate with coding, denial management specialists, insurance companies ...
Maintains up-to-date knowledge of Medicare, Medicaid and other regulatory requirements pertaining to nationally accepted coding policies and standards. Develops expertise in coding for assigned ...
Maintains up-to-date knowledge of Medicare, Medicaid and other regulatory requirements pertaining to nationally accepted coding policies and standards. Develops expertise in coding for assigned ...
Associate Director
Milwaukee, WI · On-site
$46.55 - $69.85/hr
Maintains up-to-date knowledge of Medicare, Medicaid and other regulatory requirements pertaining to nationally accepted coding policies and standards. Develops expertise in coding for assigned ...
Associate Director
Milwaukee, WI · On-site
$46.55 - $69.85/hr
Maintains up-to-date knowledge of Medicare, Medicaid and other regulatory requirements pertaining to nationally accepted coding policies and standards. Develops expertise in coding for assigned ...
Medical Billing Specialist
Mauston, WI · Remote
$20.25 - $26/hr
Prepare, submit, and transmit clean medical claims to commercial, Medicare, and Medicaid payers ... Communicate and collaborate with coding, denial management specialists, insurance companies ...
Medical Billing Specialist
Mauston, WI · Remote
$20.25 - $26/hr
Prepare, submit, and transmit clean medical claims to commercial, Medicare, and Medicaid payers ... Communicate and collaborate with coding, denial management specialists, insurance companies ...
Medicare Coding information
See Wisconsin salary details
$16.01 - $17.71
6% of jobs
$18.92 is the 25th percentile. Wages below this are outliers.
$17.71 - $19.41
26% of jobs
The median wage is $20.38 / hr.
$19.41 - $21.11
31% of jobs
$21.11 - $22.81
7% of jobs
$23.53 is the 75th percentile. Wages above this are outliers.
$22.81 - $24.51
11% of jobs
$24.51 - $26.20
6% of jobs
$26.20 - $27.90
5% of jobs
$27.90 - $29.60
3% of jobs
$29.60 - $31.30
2% of jobs
$31.30 - $33
1% of jobs
$33 - $34.70
1% of jobs
$16
$22
$34
How much do medicare coding jobs pay per hour?
Is it hard to get hired as a Medicare coding?
What is the difference between Medicare Coding vs Medical Billing?
| Aspect | Medicare Coding | Medical Billing |
|---|---|---|
| Primary Focus | Assigning medical codes for Medicare claims | Processing and submitting insurance claims |
| Certifications | Medical Coding Certification (e.g., CPC) | Billing and coding certifications often preferred |
| Work Environment | Hospitals, clinics, insurance companies | Medical offices, billing companies, hospitals |
| Industry Usage | Used mainly in Medicare and insurance claims | Used across various insurance providers |
Medicare Coding involves assigning specific codes to medical procedures and diagnoses for Medicare claims, focusing on accurate coding for reimbursement. Medical Billing encompasses the broader process of submitting claims, following up on payments, and managing patient billing. While they overlap, Medicare Coding is more specialized in coding accuracy for Medicare, whereas Medical Billing covers the entire billing cycle across multiple insurers.
What are the key skills and qualifications needed to thrive as a Medicare coder, and why are they important?
What is Medicare coding?
What are some common challenges faced by professionals in Medicare coding, and how can these be managed effectively?

$34.50 - $44/hr
Full-time, Part-time
Re-posted 25 days ago
Job description
Why MDS Nurses Choose Us?
       Supported MDS structure with strong interdisciplinary team collaboration
       Leadership that understands PDPM and reimbursement integrity
       Strong documentation culture supporting accurate MDS coding
       Regional clinical reimbursement resources and education
       Flexible scheduling options supporting work-life balance
       Stable organization with strong clinical leadership support
Role Overview
The MDS Director leads the Resident Assessment Instrument (RAI) process and ensures accurate and timely completion of resident assessments in accordance with Medicare, Medicaid, OBRA, and other payer requirements. This role works closely with nursing leadership, therapy, and administration to ensure assessments accurately reflect each resident's clinical condition while supporting regulatory compliance and reimbursement accuracy.
Key Responsibilities
       Lead and coordinate the MDS / RAI assessment process
       Chair the interdisciplinary care planning team
       Ensure accurate and timely MDS completion and submission
       Validate documentation supporting PDPM coding and reimbursement
       Monitor Medicare and Medicaid billing accuracy
       Provide staff education on documentation best practices
       Stay current with CMS and regulatory updates
Qualifications
Required
       Registered Nurse (RN) in good standing
       Experience with MDS / RAI and PPS assessments
Preferred
       2+ years MDS experience in skilled nursing or post-acute care
Our Culture
North Shore Healthcare operates under the values of Trust, Engagement, Competence, Respect, and Passion. Our teams are committed to delivering exceptional care while supporting professionals who want to grow, lead, and make a meaningful difference every day.