PPS (Prospective Payment System) Coordinator, Acute Rehab RN

Diamond Healthcare Corporation; Hickory (NC); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Competitive salary

Job summary

Signet Health, a national acute rehabilitation and behavioral health company, seeks a PPS Coordinator for the acute rehabilitation program at Catawba Valley Medical Center in Hickory, NC. The role manages reimbursement data for inpatient rehab services and coordinates CMS-related IRF-PAI activities.

Responsibilities include data collection, documentation compliance, staff education, and collaboration with HIM coding to ensure accurate coding and timely submissions.

Qualifications

• Requires NC licensure as RN or allied health (PT/OT/SLP).
• Minimum 2 years in rehabilitation or related field.
• Experience with CMS data collection, MDS, IRF-PAI, UDS.
• ICD-10 coding experience preferred.

Responsibilities

• Coordinate data collection on IRF-PAI for CMS submission.
• Ensure documentation supports CMS requirements.
• Educate clinical staff on CMS guidelines.
• Coordinate issue resolution for GG scoring and rating.
• Review IRF-PAI data and assist director with actions.
• Guide rehab physicians on tier codes for reimbursement.
• Provide audit feedback on scoring, rating, and quality measures.
• Schedule patients for timely IRF-PAI completion.
• Report key metrics at daily leadership meetings.
• Participate in IDT meetings and update on assessment completion and compliance.
• Collaborate with HIM coding to document applicable codes.

Skills

CMS data collection

IRF-PAI

MDS

ICD-10 coding

Education

NC nursing licensure or allied health licensure

Job description

Signet Health, a national acute rehabilitation and behavioral health company is seeking a Prospective Payment System (PPS) Coordinator for the acute rehabilitation program at Catawba Valley Medical Center in Hickory, NC.

The PPS Coordinator is responsible for the management and optimization of reimbursement for inpatient rehabilitation services for the Signet Health Client hospital contractual relationship. Included in these responsibilities are:

• Coordinates the data collection on the Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI) for completion and timely submission to CMS.
• Ensures evidence of supporting documentation.
• Provides clinical staff education to ensure compliance with CMS guidelines.
• Coordinates all efforts for immediate issue resolution concerning GG scoring and rating.
• Conducts ongoing review of IRF-PAI related data and assists the Director to address action.
• Provides guidance to rehab physicians and clinical team on capturing tier codes for appropriate reimbursement.
• Provides feedback to the team through audits on scoring, rating, and quality measures.
• Implements a schedule for every patient for timely completion of the IRF-PAI.
• Reports key metrics to the leadership team at daily team meetings.
• Participates in IDT meetings and provides updates regarding assessment completion and compliance concerns.
• Collaborates closely with HIM coding department to identify and document all applicable codes concurrently.

**Signet Health offers a highly competitive salary and comprehensive benefits package.**

Requirements/Qualifications

Qualifications:

• Holds a North Carolina licensure in nursing (RN) or allied health profession (PT, OT, SLP).
• Minimum of two years of experience in rehabilitation or a closely related field.
• Experience with CMS data collection, MDS, IRF-PAI, UDS.
• Experience with ICD 10 coding, preferred.