PPS (Prospective Payment System) Coordinator, Acute Rehab RN

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

Overview

Prospective Payment System Coordinator

Acute Inpatient Rehabilitation

Catawba Valley Medical Center

Hickory, North Carolina

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.