Rehab Payments & Compliance Specialist

Prime Healthcare; Elgin (IL); On-site; USD 47,000 - 55,000; Part time

Job summary

Saint Joseph Hospital - Elgin is seeking a Perspective Pay Systems Coordinator to manage IRF-PAI processes, ensuring accurate RIC/CMG and PPS payment under the rehab PPS. You will educate staff on FIM scoring and CMS rules, audit charts for accuracy, and support physician admission documentation to optimize reimbursement.

Per diem position, working days on site with a collaborative interdisciplinary team and a focus on regulatory compliance and quality indicators.

Qualifications

• Graduate from an accredited nursing or therapy program.
• Minimum of 3 years in rehab settings.
• BLS certification required at hire and maintained.

Responsibilities

• Coordinate and evaluate the IRF-PAI process to determine RIC, CMG and PPS payments.
• Educate and assure staff are UDS certified in FIM scoring.
• Audit charts to ensure staff competency and CMS guideline accuracy.
• Educate physicians on admission criteria and documentation for reimbursement.
• Perform other duties as assigned.

Skills

FIM scoring knowledge

Regulatory compliance

Auditing charts

Staff education

Education

Graduate from an accredited School of Nursing or Therapy

Job description

Saint Joseph Hospital - Elgin is seeking a Perspective Pay Systems Coordinator to manage IRF-PAI processes, ensuring accurate RIC/CMG and PPS payment under the rehab PPS. You will educate staff on FIM scoring and CMS rules, audit charts for accuracy, and support physician admission documentation to optimize reimbursement.

Per diem position, working days on site with a collaborative interdisciplinary team and a focus on regulatory compliance and quality indicators.