Prospective Payment System (PPS) Coordinator (RN, PT, OT, SLP)
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Signet Health Corporation
Fresno, CA, US
Summary
The PPS Coordinator manages the data collection and timely submission of the IRF-PAI to ensure accurate reimbursement for inpatient rehabilitation services. They also provide clinical staff education on CMS guidelines and collaborate with the coding department to ensure documentation compliance.
Job Description
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
Signet Health assists its hospital clients with the development and management of behavioral health, acute physical rehabilitation and addiction services. Our goal is to develop strong partnerships with our client hospitals through high ethical standards, clinically sound programs, and financially viable operations.
Our Mission to advocate for people, especially those at their most vulnerable, is more than a phrase at Signet; it’s the way our employees operate throughout the United States. For 25 years our family-owned healthcare company has been staffed by top industry leaders who bring an unprecedented amount of knowledge, experience and passion to our client hospitals.
Founded
1999
Company size
501-1,000 employees
Industry
Healthcare
Org type
Privately Held
Headquarters
North Richland Hills, Texas
Signet Health assists its hospital clients with the development and management of behavioral health, acute physical rehabilitation and addiction services. Our goal is to develop strong partnerships with our client hospitals through high ethical standards, clinically sound programs, and financially viable operations.
Our Mission to advocate for people, especially those at their most vulnerable, is more than a phrase at Signet; it’s the way our employees operate throughout the United States. For 25 years our family-owned healthcare company has been staffed by top industry leaders who bring an unprecedented amount of knowledge, experience and passion to our client hospitals.
Founded
1999
Company size
501-1,000 employees
Industry
Healthcare
Org type
Privately Held
Headquarters
North Richland Hills, Texas
