Coordinator - PPS

Prime Healthcare; Elgin (IL); On-site; USD 47,000 - 55,000; Part time

Job summary

Saint Joseph Hospital - Elgin is seeking a Perspective Pay Systems Coordinator to manage IRF-PAI processes, ensuring accurate RIC/CMG and PPS payment under the rehab PPS. You will educate staff on FIM scoring and CMS rules, audit charts for accuracy, and support physician admission documentation to optimize reimbursement.

Per diem position, working days on site with a collaborative interdisciplinary team and a focus on regulatory compliance and quality indicators.

Qualifications

• Graduate from an accredited nursing or therapy program.
• Minimum of 3 years in rehab settings.
• BLS certification required at hire and maintained.

Responsibilities

• Coordinate and evaluate the IRF-PAI process to determine RIC, CMG and PPS payments.
• Educate and assure staff are UDS certified in FIM scoring.
• Audit charts to ensure staff competency and CMS guideline accuracy.
• Educate physicians on admission criteria and documentation for reimbursement.
• Perform other duties as assigned.

Skills

FIM scoring knowledge

Regulatory compliance

Auditing charts

Staff education

Education

Graduate from an accredited School of Nursing or Therapy

Job description

Responsibilities

The Perspective Pay Systems Coordinator (PPS) Coordinates, assesses, monitors and evaluates the IRF-PAI (Inpatient Rehab Facility-Patient Assessment Instrument) process, which determines a patient’s RIC (Rehab Impairment Category), CMG (Case Mix Group) and payment under the rehabilitation Prospective Payment System and the outcome measurements. Functions as a vital member of the interdisciplinary team. Is knowledgeable and up-to-date on Medicare regulations affecting the Inpatient Rehabilitation Facility, so that appropriate reimbursement can be achieved. Educates and assures staff is UDS Certified in FIM scoring. Audits charts to assure staff competency and accuracy with FIM guidelines and CMS Quality Indicators. Educates physicians on admission criteria and clinical documentation to support admission and reimbursement. Performs other duties as assigned.

Qualifications

• 1. Graduate from an accredited School of Nursing, Physical Therapy, Occupational Therapy, or Speech Pathology
• 2. 3 years of experience in the rehab area
• 3. BLS Course forms the American Heart Association (AHA) certification upon hire and maintain current

Pay Transparency

Saint Joseph Hospital - Elgin offers competitive compensation and a reasonable compensation estimate for this role is $37.12. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.

The company is dedicated to empowering its staff with a comprehensive, competitive benefits package, allowing them the freedom to customize their benefits to fit their unique needs. Our abundant resources, programs, and voluntary options serve as a foundation for individual growth and well-being. Learn more here: https://www.primehealthcare.com/benefitsthatmattermost/

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Employment Status

Per Diem

Shift

Days

Equal Employment Opportunity

Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf