Prospective Payment System (PPS) IP Program Coordinator - (Part-Time) - Valley Health/Mary Free Bed

maryfreebed; Winchester (VA); On-site; USD 30,000 - 80,000; Part time

Job summary

Mary Free Bed seeks a PPS Program Coordinator to manage IRF-PAI data collection and reporting for inpatient rehabilitation. You will collaborate with physicians, coders and treatment teams to ensure compliant coding and timely data transmission.

The role focuses on maintaining Medicare alignment, training staff, and driving quality improvements in patient assessment processes within a not-for-profit rehabilitation hospital.

Qualifications

• Must have knowledge of Medicare guidelines and IRF-PAI processes.
• Ability to train and collaborate with treatment teams on patient assessment and data reporting.

Responsibilities

• Complete IRF-PAI data to determine RIC, IGC, CMG and payment.
• Develop and implement a schedule for IRF-PAI completion per Medicare requirements.
• Ensure accuracy and thoroughness of data recorded.
• Coordinate pre-admit assessment and screening with Admission Coordinators, Physicians and Coders.
• Assess IRF-PAI data and contribute to the plan of care.
• Coordinate and complete the PAI for all acute rehabilitation inpatients.
• Work with inpatient coding staff to correctly identify and document codes.
• Identify all appropriate tier codes and ensure timely transmission of IRF-PAI to CMS.
• Report key metrics and participate in quality improvement activities.

Job description

Part time: 0.5 FTE - 20 hours per week

Mary Free Bed Summary

We have the great privilege of helping patients and families re-build their lives. It's extraordinarily meaningful work and the reason we greet the day with optimism and anticipation. When patients "Ask for Mary," they experience a culture that has been sculpted for more than a century. Our hallmark is to carefully listen to patients and innovatively serve them . This is true of every employee, from support staff and leadership, to clinicians and care providers.

Mary Free Bed is a not-for-profit, nationally accredited rehabilitation hospital serving thousands of children and adults each year through inpatient, outpatient, sub-acute rehabilitation, orthotics and prosthetics and home and community programs. With the most comprehensive rehabilitation services in Michigan and an exclusive focus on rehabilitation, Mary Free Bed physicians, nurses and therapists help our patients achieve outstanding clinical outcomes. The growing Mary Free Bed Network provides patients throughout the state with access to our unique standard of care .

Mission Statement

Restoring hope and freedom through rehabilitation.

Employment Value Proposition

At Mary Free Bed, we take pride in our values-based culture:

• Focus on Patient Care . A selfless drive to serve and heal connects all MFB employees.
• Clinical Variety and Challenge. An inter-disciplinary approach and a top team of professionals create ever-changing opportunities and activities.
• Family Culture . We offer the stability of a large organization while nurturing the family/team atmosphere of a small organization.
• Trust in Each Other . Each employee knows that co-workers can be trusted to make the right decision for our family, patients, staff, and community.
• A Proud Tradition . Years of dedicated, quality service to our patients and community have yielded a reputation that fills our employees with pride .

Age Specific Responsibility

Must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served in assigned department. Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to age-specific needs and to provide the care needed as described in the department's policies and procedures.

Summary

The PPS Program Coordinator responsible for assigned aspects of the Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI) Program at Mary Free Bed . The PPS Program Coordinator is responsible for training and ongoing collaboration with members of the treatment team that are involved in patient assessment and data reporting, including compliance with all quality measures .

The PPS Program Coordinator works with physicians and coders to assure data is encoded and transmitted in accordance with Medicare guidelines and those requirements of other payors, and that tier codes are captured effectively to maximize appropriate reimbursement . The PPS Program Coordinator participates in staff education and quality assessment/improvement activities related to the IRF-PAI process.

The PPS Coordinator oversees the rehabilitation hospital's f unctional measurements (GG) education and provides feedback to the clinical teams through audits and ongoing education.

The PPS Program Coordinator also assists members of the leadership team to develop thorough documentation systems for all disciplines that reflect the complex nature of inpatient rehabilitation care, and that comply with Medicare guidelines.

Essential Job Responsibilities

• Clinical Required : Provide patient care, treatment, and services within the scope of their license, certification or registration and as required by Federal and State laws and regulations.

Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI)

• Completes the IRF-PAI data which determine a patient's RIC (Rehabilitation Impairment Category), Impairment Group Code (IGC), CMG (Case Mix Group), and payment under the Rehabilitation Perspective Payment system.
• Develops and implements a schedule for completion of IRF-PAI according to Medicare requirements.
• Assures accuracy and thoroughness of data recorded.
• Coordinates the pre-admit assessment and screening process for patients in conjunction with the Admission Coordinators, Physicians and Coders.
• Comprehensively assesses the data gathered for the IRF-PAI and may contribute to the development of the plan of care.
• Coordinates and completes the PAI on all acute rehabilitation inpatients as part of the hospital outcomes tool.
• Works directly with the inpatient coding staff to properly identify and document all applicable codes on a concurrent basis.
• Identifies all appropriate tier codes
• Maintains timely transmission of IRF-PAI to CMS.
• Reports key metri