Prospective Payment System Coordinator - Clinical Specialist

WVU Medicine

About The Position

The PPS coordinator is responsible for planning, developing and overall coordination of activities that support the Prospective Payment System (PPS) process for the inpatient rehabilitation unit. Assures compliance with all State and Federal requirements related to and oversees the accuracy and timely completion/transmission of the Inpatient Rehabilitation Facility-Patient Assessment Instrument (IRF-PAI). Coordinates staff education and training related to scoring and documenting observations of Care Set coding (section GG). Coordinates data analysis and quality improvement opportunities with rehab leadership team.

Requirements

ADN, Diploma, BSN or higher degree OR equivalent professional degree in Physical Therapy, Occupational Therapy, or Speech Language Pathology.
Current license in one of the following: - Current Registered Nurse license issued by the state in which services will be provided or current multi-state Registered Nurse license through the enhanced Nurse Licensure Compact (eNLC), OR - Physical Therapist License through West Virginia Board of Physical Therapists OR Physical Therapist Compact License , OR - Occupational Therapist License through West Virginia Board of Occupational Therapy, OR - Licensed Speech Language Pathologist License through the West Virginia Board of Speech-Language Pathology & Audiology ,
Obtain BLS within 30 days of hire
Two (2) years clinical experience
Effective verbal and written communication skills.
Strong interpersonal skills.
Strong attention to detail.
Knowledge of medical terminology required.
Knowledge of third party payers required.
Ability to use tact and diplomacy in dealing with others.
Working knowledge of computers.
Excellent customer service and telephone etiquette
Working knowledge of the Medicare Prospective Payment System.