Prospective Payment System (PPS) Coordinator - Quality & Informatics

Methodist Rehabilitation; Jackson (MS); On-site; USD 52,000 - 76,000; Full time

Benefits offered by this job

Competitive pay

Benefits package

Medical coverage

Job summary

Methodist Rehabilitation in Jackson, MS seeks a PPS Coordinator to oversee IRF-PAI processes from admission through discharge, ensuring documentation accuracy and CMS compliance.

You will review assessments, approve IRF-PAI documents in MEDITECH, and collaborate with physicians, case managers, and leadership to improve data quality and patient outcomes in a busy inpatient rehab setting.

Qualifications

• Degree in a healthcare-related field is required.
• Strong written and verbal communication skills.
• Excellent organizational skills with the ability to manage multiple priorities and meet deadlines.
• Strong attention to detail and the ability to identify documentation discrepancies and resolve issues.
• Ability to analyze data, recognize trends, and communicate findings effectively.
• Professional judgment and the ability to maintain appropriate boundaries and confidentiality.
• Proficiency in computer systems and electronic documentation is important.

Responsibilities

• Coordinate and oversee the IRF-PAI process from admission to discharge to ensure accuracy and CMS compliance.
• Review admission assessments to ensure quality measure coding is accurate and available for CMG determination.
• Review discharge assessments and submit IRF-PAI documents within required time frames.
• Review and approve IRF-PAI documents in MEDITECH, investigating alerts and discrepancies.
• Identify missing or inaccurate clinical documentation and collaborate with care teams to resolve issues.
• Monitor CMS regulatory updates and communicate changes to leadership and staff.
• Collaborate with MEDITECH and other systems to implement CMS reporting updates.
• Analyze quality measures and patient outcomes to identify trends and opportunities for improvement.
• Develop feedback for physicians and staff to improve documentation and outcomes.
• Assist with staff education on IRF-PAI requirements, quality measures, and coding standards.
• Participate in quality improvement initiatives and committees.

Skills

Attention to detail

Healthcare experience

Data analysis

CMS reporting

Education

Degree in healthcare field

Job description

PPS Coordinator – Quality & InformaticsMethodist Rehabilitation | Jackson, MSJoin Our Team!Methodist Rehabilitation is seeking a detail-oriented, healthcare professional to join our Quality & Informatics team as a PPS Coordinator. This role is essential to ensuring accurate clinical documentation, regulatory compliance, and timely completion of the Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI).The PPS Coordinator works closely with physicians, case managers, clinical teams, and hospital leadership to monitor documentation accuracy, analyze quality outcomes, support performance improvement initiatives, and educate staff on CMS reporting requirements. If you have a healthcare background, strong analytical skills, and a passion for improving quality and compliance, we encourage you to apply!What You’ll DoCoordinate and oversee the IRF-PAI process from patient admission through discharge to ensure accuracy, completeness, and compliance with CMS requirements.Review admission assessments to ensure quality measure coding is accurate and available to case managers for timely determination of the patient’s Case Mix Group (CMG).Review discharge assessments and ensure completed IRF-PAI documents are submitted to eRehabData within required time frames.Review and approve IRF-PAI documents in MEDITECH before submission, investigating alerts, warnings, and discrepancies identified by eRehabData.Identify missing, incomplete, inconsistent, or inaccurate clinical documentation and collaborate with the appropriate treatment team members to resolve issues.Monitor CMS regulatory updates and communicate changes to IRF-PAI requirements and quality measures to hospital leadership and staff.Collaborate with MEDITECH and other applicable systems to support timely implementation of CMS reporting and documentation updates.Analyze quality measures and patient outcomes using data from eRehabData, Equadr, and Care Compare to identify trends and opportunities for improvement.Develop and provide feedback to physicians, clinicians, case managers, and department leaders to improve clinical documentation and patient outcomes.Assist with planning and delivering staff education on IRF-PAI requirements, quality measures, coding accuracy, and documentation standards.Participate in quality improvement initiatives, departmental committees, and performance improvement activities.Maintain accurate records and follow established policies, procedures, and regulatory requirements.ShiftFull-timeMonday - Friday8:00 am - 5:00 pmWhat We’re Looking ForDegree in a healthcare-related field required.Strong written and verbal communication skills.Excellent organizational skills with the ability to manage multiple priorities and meet deadlines.Strong attention to detail and the ability to identify documentation discrepancies and resolve issues.Ability to analyze data, recognize trends, and communicate findings effectively.Ability to work independently while collaborating with physicians, clinical staff, management, and hospital leadership.Professional judgment and the ability to maintain appropriate boundaries and confidentiality.Proficiency in computer systems and electronic documentation is important.We OfferCompetitive payComprehensive, flexible benefits package for full-time employeesMedical and dental coverage beginning the first of the month following 30 days of employment403(b) retirement planLife insuranceMake an Impact at Methodist RehabilitationAt Methodist Rehabilitation, quality documentation and accurate reporting play an important role in supporting regulatory compliance, improving patient outcomes, and advancing the care we provide. Join a team committed to continuous improvement and helping patients achieve their highest level of recovery.Apply today to become part of the Methodist Rehabilitation team!