PPS & IRF-PAI Coordinator - Rehab Reimbursement Nurse

Signet Health; Hickory (NC); On-site; USD 70,000 - 95,000; Full time

Benefits offered by this job

Comprehensive benefits

Job summary

Signet Health seeks a Prospective Payment System (PPS) Coordinator for the acute rehabilitation program at Catawba Valley Medical Center in Hickory, NC. The role leads reimbursement data collection and IRF-PAI submission to CMS, and educates clinical staff to ensure CMS compliance.

Minimum two years rehabilitation experience is required; NC RN or allied health licensure is needed. The position collaborates with HIM coding and leadership on performance metrics.

Qualifications

• CMS data collection and IRF-PAI familiarity required.
• Minimum two years of rehabilitation experience.
• Experience with MDS, IRF-PAI, UDS; CMS guidelines knowledge.
• ICD-10 coding experience preferred.

Responsibilities

• Coordinate data collection on IRF-PAI for CMS submission.
• Ensure supporting documentation is available.
• Provide clinical staff education to ensure CMS compliance.
• Coordinate efforts for issue resolution regarding GG scoring.
• Review IRF-PAI data and assist the Director to address actions.
• Guide rehab physicians and team on tier codes for reimbursement.
• Provide audit feedback on scoring, rating, and quality measures.
• Implement a schedule for timely IRF-PAI completion.
• Report key metrics to leadership at daily meetings.
• Collaborate with HIM coding to document applicable codes.

Skills

CMS data collection

IRF-PAI knowledge

Clinical staff education

Documentation & coding awareness

Education

NC RN licensure

Allied health licensure (PT/OT/SLP)

Tools

ICD-10 coding

MDS

IRF-PAI software

Job description

Signet Health seeks a Prospective Payment System (PPS) Coordinator for the acute rehabilitation program at Catawba Valley Medical Center in Hickory, NC. The role leads reimbursement data collection and IRF-PAI submission to CMS, and educates clinical staff to ensure CMS compliance.

Minimum two years rehabilitation experience is required; NC RN or allied health licensure is needed. The position collaborates with HIM coding and leadership on performance metrics.