REHAB SRV LINE PPS COORD

Sparrow•Lansing, MI

4d•Onsite

About The Position

The Rehab Service Line PPS Coordinator will plan, organize, direct and evaluate the Acute Rehabilitation Medicare Prospective Payment System Process. This includes assignment of the CMG for each Medicare fee for service patient with expected Medicare reimbursement. In addition, oversees the coordination of the documentation, recording, data entry, data transmission, and analysis of the required Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) Items, CMG, assignment, identification of allowable co-morbidities, and the IRF-PAI assessment schedule.

Requirements

Graduate of an accredited physical therapy assistant program, or occupational therapy assistant program.
Current Michigan COTA licensure or PTA licensure
Basic computer skills needed along with the ability to learn new software programs.
Requires excellent observation and problem solving skills.
Excellent verbal and written communication skills.
Must be able to adhere to deadlines in a detail-oriented manner.
Must possess excellent organizational skills and the ability to work independently without supervision.

Nice To Haves

Experience in physical disabilities.
Minimum of two years experience in inpatient rehabilitation.
Possess and maintain CPR certification to meet department/program protocol (within 6 months of hire).
Previous PPS Coordinator experience.

Responsibilities

Timely and accurate completion and submission of the Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF/PAI) to CMS.
Demonstrates knowledge of CMS regulations, clinical documentation requirements and referral policies and procedures. In addition, tracks changes in CMS rules and regulations.
Performs reviews of patient medical records to verify supportive documentation for the IRF/PAI and CMS Medical Necessity.
Assists, when needed, in pre-admission screening and referral process and participates in pre-admission education of patients admitted from within the institution
Serves as primary resource and educator to hospital and medical staff regarding documentation, compliance, coding and reimbursement, and performance improvement opportunities.
Monitors and reports PPS related outcomes, trends, opportunities.
Communicates with coding staff/H.I.M. to provide information and guidance to achieve consistently appropriate diagnoses and co-morbidities along with physician guidance in decision-making process.
Supports program operations as assigned.
May participate in program development as assigned.
May participate in orientation and training of new staff.
Assists in maintaining clean and orderly treatment areas.
Demonstrates competence in relevant software and hardware required to meet job responsibilities.