About this role
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.