PPS Coordinator RN – Rehab Reimbursement & Compliance

Signet Health Corporation; Hickory (NC); On-site; USD 70,000 - 100,000; Full time

Benefits offered by this job

Competitive salary

Comprehensive benefits package

Job summary

Signet Health Corporation seeks a Prospective Payment System (PPS) Coordinator for the acute rehabilitation program at Catawba Valley Medical Center in Hickory, NC. The role focuses on optimizing inpatient rehab reimbursement and CMS compliance.

Responsibilities include IRF-PAI data collection, staff education, GG scoring guidance, coding collaboration with HIM, audits, and reporting metrics to leadership at daily meetings.

Qualifications

• Active NC nursing license (RN) or allied health licensure.
• Minimum of two years of rehabilitation or closely related field experience.
• Experience with CMS data collection, MDS, IRF-PAI, UDS.
• ICD-10 coding experience preferred.

Responsibilities

• Coordinates data collection on IRF-PAI for CMS submission.
• Ensures supporting documentation is available.
• Provides CMS guidelines education to clinical staff.
• Guides GG scoring and rating processes for reimbursement.
• Reviews IRF-PAI data and informs Director of actions.
• Guides rehab physicians on tier codes for reimbursement.
• Provides audits feedback on scoring, rating, and quality measures.
• Sets schedules for timely IRF-PAI completion.
• Reports key metrics to leadership at daily meetings.
• Participates in IDT meetings and updates on assessments.
• Collaborates with HIM coding to document applicable codes.

Skills

CMS guidelines

Reimbursement optimization

IRF-PAI data handling

Clinical staff education

Issue resolution

Data analytics

Audits & feedback

Education

NC nursing license (RN) or allied health licensure

Tools

IRF-PAI system

CMS data collection tools

ICD-10 coding

Job description

Signet Health Corporation seeks a Prospective Payment System (PPS) Coordinator for the acute rehabilitation program at Catawba Valley Medical Center in Hickory, NC. The role focuses on optimizing inpatient rehab reimbursement and CMS compliance.

Responsibilities include IRF-PAI data collection, staff education, GG scoring guidance, coding collaboration with HIM, audits, and reporting metrics to leadership at daily meetings.