Coord, PPS - Post Acute

Emory Healthcare•Decatur, GA

8d•$41 - $50

About The Position

At Emory Healthcare, we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. This role compiles, analyzes, and submits data for reimbursement from the Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI) and the Continuity Assessment Record and Evaluation Data Set (LTACH CARE Tool). The position provides updates and continuing staff education on the Prospective Payment System, acting as a liaison for the Billing Office, Care Management, Coders/HIMS, and Inpatient Rehab/LTAC staff to promote optimal resource utilization and facilitate referrals. Practice will be in accordance with laws and regulations and will adhere to established policies, procedures, and practice guidelines.

Requirements

Bachelor of Science in Nursing preferred, or LMSW, CCM or Rehab Therapist.
Must have 2 years clinical experience.
Must process proven skills in communication, comprehensive patient assessment, critical thinking, and building of interpersonal relationships.
Proven ability to provide leadership in an interdisciplinary setting.
Performs skills and competencies as defined in orientation checklist and annual departmental competency checklist if applicable.
Demonstrates and maintains competencies specific to patient population served.

Nice To Haves

Post Acute care experience preferred.

Responsibilities

Enters and transmits IRF-PAI data to the Centers for Medicare and Medicaid.
Collects and analyzes statistical data and assists with maximizing reimbursement.
Enters and transmits CARE Tool data to the Centers for Medicare and Medicaid.
Acts as liaison between the Billing Office, Case Managers, Coders/HIMS and the Inpatient Rehab/LTAC staff to promote optimal resource utilization.
Provides updates and continuing staff education on the Prospective Payment System.
Monitors, tests, and provides ongoing feedback to the Rehab Medical Director, LTAC Medical Director, and the program evaluation team.
Provides backup for all PPS activities if the Director is unavailable, as needed.
Participates in continuous quality improvement teams and activities.
Participates in supporting the organization's vision, mission, and values and adheres to DeKalb Medical Standards of Behavior.
Performs other duties as assigned to meet the goals and objectives of DeKalb Medical.
Facilitates referrals.
Assists with maximizing reimbursement.
Promotes optimal resource utilization through collaboration with interdisciplinary teams.
Supports continuous quality improvement initiatives and program evaluation efforts.