Coordinator - PPS

Saint Joseph Hospital - Elgin; Elgin (IL); On-site; USD 48,000 - 55,000; Part time

Job summary

Saint Joseph Hospital - Elgin is seeking a Perspective Pay Systems Coordinator (PPS) to oversee the IRF-PAI workflow, determining Rehab Impairment Category and Case Mix Group for payment under the rehab PPS. You will work as a vital member of an interdisciplinary team and stay current with Medicare regulations to ensure appropriate reimbursement.

You will educate staff to maintain UDS/FIM scoring accuracy, audit charts for competency, and guide physicians on admission criteria and documentation

Qualifications

• Graduate from an accredited School of Nursing, Physical Therapy, Occupational Therapy, or Speech Pathology.
• 3 years of experience in the rehab area.
• BLS certification required and maintained.

Responsibilities

• Coordinates, assesses, monitors and evaluates the IRF-PAI process, determining a patient’s RIC and CMG for payment under the rehabilitation PPS.
• Educates staff to ensure UDS/FIM scoring accuracy.
• Audits charts to ensure staff competency with FIM guidelines and CMS Quality Indicators.
• Educates physicians on admission criteria and documentation to support admission and reimbursement.
• Performs other duties as assigned.

Skills

FIM scoring

Interdisciplinary teamwork

Education

Graduate from an accredited School of Nursing, Physical Therapy, Occupational Therapy, or Speech Pathology

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.

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

EDUCATION, EXPERIENCE, TRAINING

• Graduate from an accredited School of Nursing, Physical Therapy, Occupational Therapy, or Speech Pathology
• 3 years of experience in the rehab area
• 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/

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