Prospective Payment System (PPS) Coordinator (RN, PT, OT, SLP)

Signet Health Corporation; Fresno (CA); On-site; USD 75,000 - 95,000; Full time

Benefits offered by this job

Competitive compensation

Job summary

Signet Health seeks a Prospective Payment System (PPS) Coordinator for the rehabilitation program at Community Regional Medical Center in Fresno, CA. The PPS Coordinator will manage IRF-PAI data collection, ensure CMS documentation compliance, and educate clinical staff on guidelines.

The role collaborates with HIM coding and leadership to optimize reimbursement. We offer a competitive salary and comprehensive benefits package.

Qualifications

• Requires California state licensure (RN or allied health).
• Minimum two years experience in rehabilitation or related field.
• Experience with CMS data collection, MDS, IRF-PAI, OASIS preferred.
• Knowledge of ICD-10 coding is preferred.

Responsibilities

• Coordinate data collection on IRF-PAI for CMS submission.
• Ensure supporting documentation is available and complete.
• Provide clinical staff education to ensure CMS guideline compliance.
• Coordinate issue resolution for GG scoring and rating.
• Review IRF-PAI data and assist Director on action items.
• Guide rehab physicians and team on tier codes for reimbursement.
• Provide audit feedback on scoring, rating, and quality measures.
• Set schedules for timely IRF-PAI completion for each patient.
• Report key metrics to leadership at daily meetings.
• Collaborate with HIM coding to document applicable codes.

Skills

CMS guidelines

IRF-PAI data collection

IRF-PAI education

Documentation accuracy

Education

California RN license

Allied health license (PT/OT/SLP)

Tools

ICD-10 coding

IRF-PAI software tools

Job description

Overview

Prospective Payment System (PPS) Coordinator

Acute Inpatient Rehabilitation

Community Regional Medical Center

Fresno, CA

Signet Health, a national acute rehabilitation and behavioral health company is seeking a Prospective Payment System (PPS) Coordinator for the rehabilitation program at Community Regional Medical Center in Fresno, CA.

The PPS Coordinator plays a vital role in the management and optimization of reimbursement for inpatient rehabilitation services.

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

Responsibilities include, but are not limited to:

• 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.
• Collaborates closely with HIM coding department to identify and document all applicable codes concurrently.

Requirements/Qualifications

Qualifications:

• Current California state licensure in nursing (RN) or allied health profession (PT, OT, SLP) required.
• Minimum of two years experience in rehabilitation or a closely related field required.
• Experience with ICD 10 coding preferred.
• Previous experience with CMS data collection, MDS, IRF-PAI, OASIS.