Coordinator Prospective Payment System - Inpatient Rehabilitation

McLaren Health Care; Pontiac (MI); On-site; USD 34,000 - 48,000; Part time

Job summary

McLaren Health Care's Inpatient Rehabilitation department seeks a part-time PPS Coordinator to facilitate the IRF-PAI process and ensure accurate admissions data. The role collaborates with coding and the rehabilitation team to maintain compliance with Medicare rules and payers, while delivering patient-focused care.

Working 32 hours per week with daytime shifts (8:00 am - 4:30 pm), some remote work may be possible within a year.

Qualifications

• State licensure/certification in nursing, physical therapy, occupational therapy, or speech language pathology.
• Associate degree in discipline.
• Two years in related health care field.

Responsibilities

• Predicates the RIC in coordination with coding and the interdisciplinary team and assists the screening process for potential candidates to the Rehabilitation Unit; ensures that patients meet the criteria for admission to the rehabilitation unit.
• Attends the team conferences to comprehensively assess the data gathered for the IRF-PAI and assists in the development of the Individualized Plan of Care.
• Learn and stay abreast of Medicare regulations for the IRF.
• Responsible for the 60% compliance rule reporting and tracking; prepares the annual report for state attestation.
• Establishes and maintains guest relations and customer service.
• Education on the Federal Register requirements for payment through the IRF-PAI submission.
• Completes and submits the IRF-PAI to ensure accurate payment and avoid penalties.
• May obtain pre and re-authorization from payers as needed.

Skills

Nursing licensure

Interdisciplinary teamwork

IRF-PAI knowledge

Data reporting

Education

Associate degree

Bachelor’s degree

Rehab licensure/certification

Job description

Department: Inpatient Rehabilitation

Daily Work Times: Variable

Shift: Days

Scheduled Bi-Weekly Hours: 64

Position Summary: Responsible for facilitating and coordinating the Prospective Payment System (PPS) for the Inpatient Rehabilitation Unit.

This position is a part-time (32 hours per week) position. There may be some remote work opportunity within one year.

Essential Functions and Responsibilities

• Predicates the RIC in coordination with coding and the interdisciplinary team and assists the screening process for potential candidates to the Rehabilitation Unit; ensures that patients meet the criteria for admission to the rehabilitation unit.
• Attends the team conferences to comprehensively assess the data gathered for the IRF-PAI and assists in the development of the Individualized Plan of Care.
• The position requires learning and staying abreast of Medicare regulations for the Inpatient Rehabilitation Facility or Unit.
• Responsible for the federal requirement of the 60% compliance rule reporting and tracking.Prepares the annual report with the required data for each admission and discharge to be submitted to the state for attestation of compliance to the 60% rule.
• Establishes and maintains excellent guest relations and customer service.
• Expert on the Federal Register requirements for payment through the IRF-PAI submission requirements.
• Responsible for the education including functional assessments to staff, physicians, coding, finance and the rehabilitation leadership team regarding the required elements of the PPS system.
• Participates in performance improvement activities and assists in the development of quality monitors and collection of data.
• Runs reports from the rehabilitation software to assist leadership and the rehab team with data analytics.
• Responsible for completion and submission of the IRF-PAI to ensure accurate payment and to avoid payment penalties.
• May obtain pre and re-authorization from payers as needed.
• Performs other related duties as required and directed.

Qualifications

Required

• State licensure/certification in the field of nursing, physical therapy, occupational therapy, or speech language pathology.
• Associate degree in discipline.
• Two years in related health care field.

Preferred

• Bachelor’s degree
• Licensure/certification in rehab discipline.

Additional Information

• Schedule: Part-time
• Requisition ID: 26010460
• Daily Work Times: 8:00 am - 4:30 pm
• Hours Per Pay Period: 64
• On Call: No
• Weekends: No