PPS (Prospective Payment System) Coordinator, Acute Rehab RN

Signet Health Corporation•Hickory, NC

13d

About The Position

Signet Health is seeking a Prospective Payment System (PPS) Coordinator for the acute inpatient rehabilitation program at Catawba Valley Medical Center in Hickory, North Carolina. The coordinator manages and optimizes reimbursement for inpatient rehabilitation services within Signet Health’s contractual relationship with the client hospital. The role supports accurate, compliant, and timely IRF-PAI completion and submission, clinical staff education, assessment and coding practices, and reporting to rehabilitation leadership.

Requirements

Hold a North Carolina nursing (RN) or allied health profession (PT, OT, or SLP) license.
Have at least two years of experience in rehabilitation or a closely related field.
Have experience with CMS data collection, MDS, IRF-PAI, and UDS.

Nice To Haves

Experience with ICD-10 coding.

Responsibilities

Coordinate data collection for the Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI) and ensure timely submission to CMS.
Ensure supporting documentation is available.
Provide clinical staff education to support compliance with CMS guidelines.
Coordinate immediate resolution of issues concerning GG scoring and rating.
Review IRF-PAI-related data on an ongoing basis and assist the Director in addressing actions.
Guide rehabilitation physicians and the clinical team on capturing tier codes for appropriate reimbursement.
Provide team feedback through audits of scoring, rating, and quality measures.
Implement a schedule for each patient to support timely IRF-PAI completion.
Report key metrics to the leadership team at daily team meetings.
Participate in interdisciplinary team (IDT) meetings and provide updates on assessment completion and compliance concerns.
Collaborate with the HIM coding department to identify and document applicable codes concurrently.