Coordinator - PPS
About The Position
The Perspective Pay Systems Coordinator (PPS) coordinates, assesses, monitors, and evaluates the Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI) process. This process determines a patient’s Rehab Impairment Category (RIC), Case Mix Group (CMG), and payment under the rehabilitation Prospective Payment System, as well as outcome measurements. The coordinator is a vital member of the interdisciplinary team and stays current on Medicare regulations affecting Inpatient Rehabilitation Facilities to support appropriate reimbursement. The role educates staff and verifies UDS certification in FIM scoring, audits charts for staff competency and accuracy with FIM guidelines and CMS Quality Indicators, and educates physicians on admission criteria and clinical documentation supporting admission and reimbursement. Other duties may be assigned.
Requirements
- Graduate from an accredited School of Nursing, Physical Therapy, Occupational Therapy, or Speech Pathology.
- Three years of experience in the rehabilitation area.
- BLS certification from the American Heart Association upon hire and maintenance of current certification.
Responsibilities
- Coordinate, assess, monitor, and evaluate the IRF-PAI process and related patient classification, payment, and outcome measurements.
- Stay knowledgeable and current on Medicare regulations affecting Inpatient Rehabilitation Facilities to support appropriate reimbursement.
- Educate staff and ensure they are UDS Certified in FIM scoring.
- Audit charts to verify staff competency and accuracy with FIM guidelines and CMS Quality Indicators.
- Educate physicians on admission criteria and clinical documentation that supports admission and reimbursement.
- Perform other duties as assigned.
Benefits
- Medical, dental, and vision benefits.
- Paid time off.
- Tuition reimbursement.
- Continuing education opportunities.
- Specialized training through the PrimE-Academy professional development platform.
- Voluntary benefits options.
