Prospective Payment System Coordinator
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
- High School Diploma or equivalent
- Obtain BLS within 30 days of hire
- Two (2) years healthcare 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.
Nice To Haves
- Experience with the Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF PAI) and Uniform Data System (UDS).
Responsibilities
- Completes and transmits the IRF-PAI to CMS.
- Collaborates with interdisciplinary members of the team.
- Participates in Quality Improvement Activities.
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What This Job Offers
Job Type
Full-time
Education Level
High school or GED
Number of Employees
101-250 employees
