IRF PPS & PAI Compliance Coordinator

University of Maryland Medical System; Baltimore (MD); On-site; USD 70,000 - 95,000; Full time

Job summary

University of Maryland Medical System (UMMS) seeks a PPS Coordinator for the UM Rehabilitation & Orthopaedic Institute to ensure IRF-PAI completion and CMS compliance. You will monitor admissions, length of stay, and clinical documentation with an interdisciplinary team.

You will counsel providers on documentation improvement, update policies per CMS updates, and participate in audits while supporting quality assurance and risk management initiatives.

Qualifications

• Bachelor's degree in physical therapy, occupational therapy, or speech-language pathology is required.
• For nursing candidate: Associate Degree in Nursing; Bachelor of Science preferred.
• Two to three years of inpatient rehabilitation or acute care experience with QA/UR exposure.

Responsibilities

• Completes IRF-PAI per current rules and selects IGC based on physician documentation.
• Collaborates with rehab team to develop comprehensive patient assessments.
• Updates policies and workflows in line with CMS annual updates.
• Counsels physicians and staff on clinical documentation improvement; plans in-service trainings.
• Monitors patient care quality, utilization review and risk management activities.
• Determines appropriateness of admissions, stays, and use of ancillary services.
• Reviews medical records for accuracy and timeliness; supports quality indicators.
• Assists with regulatory audits and CMS surveys as IRF PPS expert.
• Performs other duties as assigned.

Skills

Data analysis

Clinical documentation

CMS regulations

IRF-PAI knowledge

Regulatory compliance

Leadership

Communication

Problem solving

Training coordination

Education

Bachelor's degree in PT/OT/SLP

Nursing associate degree (BS preferred)

Tools

EMR systems

Job description

University of Maryland Medical System (UMMS) seeks a PPS Coordinator for the UM Rehabilitation & Orthopaedic Institute to ensure IRF-PAI completion and CMS compliance. You will monitor admissions, length of stay, and clinical documentation with an interdisciplinary team.

You will counsel providers on documentation improvement, update policies per CMS updates, and participate in audits while supporting quality assurance and risk management initiatives.