Rehab Reimbursement & Compliance Coordinator

Prime Healthcare; Elgin (IL); On-site; USD 41,000 - 62,000; Full time

Job summary

Saint Joseph Hospital - Elgin is seeking a Perspective Pay Systems Coordinator to coordinate IRF-PAI, determine RIC/CMG for rehab payments, and ensure Medicare compliance. You will educate staff on FIM scoring, audit charts for accuracy, and advise physicians on admission criteria and documentation.

Per Diem, Days shift, with a focus on interprofessional collaboration. The role requires 3 years in rehab, graduate-level education in nursing or therapy, and BLS certification, maintaining

Qualifications

• Graduate degree required in nursing or therapy field with licensure where applicable.
• 3 years of experience in rehab setting.
• BLS certification is required and must be maintained.

Responsibilities

• Coordinate, assess, monitor and evaluate IRF-PAI process to determine RIC, CMG and rehab payment.
• Educate staff on FIM scoring and ensure CMS compliance for admissions and reimbursement.
• Audit medical records for staff competency and accuracy with FIM guidelines.
• Educate physicians on admission criteria and clinical documentation to support admission and reimbursement.
• Perform other duties as assigned.

Skills

FIM scoring

CMS regulations knowledge

Staff education

Education

Graduate from an accredited School of Nursing, Physical Therapy, Occupational Therapy, or Speech Pathology

Job description

Saint Joseph Hospital - Elgin is seeking a Perspective Pay Systems Coordinator to coordinate IRF-PAI, determine RIC/CMG for rehab payments, and ensure Medicare compliance. You will educate staff on FIM scoring, audit charts for accuracy, and advise physicians on admission criteria and documentation.

Per Diem, Days shift, with a focus on interprofessional collaboration. The role requires 3 years in rehab, graduate-level education in nursing or therapy, and BLS certification, maintaining