Overview:
Prospective Payment System (PPS) Coordinator
Acute Inpatient Rehabilitation
Community Regional Medical Center
Fresno, CA
Signet Health, a national acute rehabilitation and behavioral health company is seeking a Prospective Payment System (PPS) Coordinator for the rehabilitation program at Community Regional Medical Center in Fresno, CA.
The PPS Coordinator plays a vital role in the management and optimization of reimbursement for inpatient rehabilitation services.
**Signet Health offers a highly competitive salary and comprehensive benefits package.**
Responsibilities include, but are not limited to:
-
Coordinates the data collection on the Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI) for completion and timely submission to CMS.
-
Ensures evidence of supporting documentation.
-
Provides clinical staff education to ensure compliance with CMS guidelines.
-
Coordinates all efforts for immediate issue resolution concerning GG scoring and rating.
-
Conducts ongoing review of IRF-PAI related data and assists the Director to address action.
-
Provides guidance to rehab physicians and clinical team on capturing tier codes for appropriate reimbursement.
-
Provides feedback to the team through audits on scoring, rating, and quality measures.
-
Implements a schedule for every patient for timely completion of the IRF-PAI.
-
Reports key metrics to the leadership team at daily team meetings.
-
Collaborates closely with HIM coding department to identify and document all applicable codes concurrently.
Requirements/Qualifications:
Qualifications:
-
Current California state licensure in nursing (RN) or allied health profession (PT, OT, SLP) required.
-
Minimum of two years experience in rehabilitation or a closely related field required.
-
Experience with ICD 10 coding preferred.
-
Previous experience with CMS data collection, MDS, IRF-PAI, OASIS.
Hospital/Program Description:
