Rehab Coordinator

Stamford Health•Stamford, CT

12d

About The Position

The Rehab Coordinator is responsible for managing IRF-PAI assessments, ensuring accurate data submission for CMS reimbursement, and supporting quality and safety measurement. This role involves chart and coding reviews, interdisciplinary collaboration, and ensuring compliance with CMS regulations. Additionally, the coordinator will provide education and training to clinical staff on documentation requirements and rehabilitation program metrics.

Requirements

Active state license as a Registered Nurse (RN), Physical Therapist (PT), Occupational Therapist (OT), Speech-Language Pathologist (SLP), or Medical Social Worker (LMSW).
UDS training & certifications in PPS required within 1 year of hire.
Minimum of 5 years of clinical experience in an inpatient rehabilitation setting.
Deep understanding of CMS IRF guidelines, Medicare billing, and proficiency with specialized software (e.g., UDS-Pro/UDSmr).
Strong analytical abilities, attention to detail, and excellent communication skills.
Demonstrates professional work behavior.
Complies with departmental organizational policies and procedures and adheres to external agency/ regulatory requirements.
Proficient in word, excel, MS Teams, outlook.

Nice To Haves

Understanding of EPIC EMR preferred.

Responsibilities

Complete, encode, and submit IRF-PAI assessments and CMS Quality Indicators within required timeframes.
Collect, enter, analyze, and transmit clinical data in compliance with Medicare PPS requirements.
Ensure accuracy and completeness of all data submitted for CMS reimbursement.
Maintain current knowledge of IRF-PAI data definitions, coding rules, and submission guidelines.
Abstraction, analysis, and reporting of clinical quality measures for internal and external programs.
Monitor performance metrics and identify trends in quality and patient outcomes.
Conduct data audits to ensure accuracy, completeness, and regulatory compliance.
Assist with quality improvement initiatives and reporting requirements.
Perform concurrent medical record reviews to assign appropriate Impairment Group Codes (IGC), etiologic diagnoses, and comorbidities.
Collaborate with coding and revenue cycle teams to ensure accurate reimbursement.
Monitor documentation to support coding accuracy and regulatory compliance.
Partner with physicians, therapists, nursing, and case management to ensure documentation reflects patient severity and care needs.
Participate in interdisciplinary rounds and team conferences to support care planning and length-of-stay (LOS) management.
Assist with patient screening for rehabilitation appropriateness.
Provide backup support for admissions coordination as needed.
Monitor key IRF metrics (e.g., LOS, Case Mix Index, ADC, CMGs).
Ensure compliance with CMS requirements, including the 60% rule, 3-hour rule, and documentation standards.
Prepare for audits, medical reviews, and Additional Documentation Requests (ADRs).
Support Utilization Review processes and regulatory survey readiness.
Track regulatory updates and ensure adherence to current standards.
Educate clinical staff on CMS documentation requirements, IRF-PAI scoring, and PPS guidelines.
Provide ongoing training on quality measures and rehabilitation program metrics.
Support staff competency in regulatory and documentation standards.
Maintain required continuing education and professional development.
Perform other duties as assigned to support departmental and organizational goals.