Rehabilitation PPS Coordinator — Compliance & Coding Expert

Renown Health; Reno (NV); On-site; USD 70,000 - 90,000; Full time

Job summary

Renown Health seeks a PPS Coordinator to evaluate admission impairment group assignments and ensure clinical documentation meets medical necessity and CMS guidelines. The role involves reviewing IRF-PAI, translating clinical data into codes, and collaborating with rehabilitation staff and physicians.

The coordinator will stay informed about changes in federal and state regulations, provide staff education, and support coding accuracy for optimal reimbursement and quality reporting.

Qualifications

• Proficient written and verbal communication.
• Knowledge of FIM and its relation to LOS.
• Ability to translate clinical data into coded terms.
• Familiarity with research basics and documenting criteria.
• Ability to assess situations and take appropriate action.

Responsibilities

• Review IRF-PAI and health records to identify CMG assignment.
• Translate Rehabilitation Impairment Groups and diagnoses into coded information.
• Collaborate with providers to ensure accurate coding for reimbursement.
• Monitor regulatory changes and advise on documentation compliance.

Skills

Communication skills

FIM knowledge

Translate medical data

Research basics

Situational judgment

Change management

Education

Bachelor of Nursing

Job description

Renown Health seeks a PPS Coordinator to evaluate admission impairment group assignments and ensure clinical documentation meets medical necessity and CMS guidelines. The role involves reviewing IRF-PAI, translating clinical data into codes, and collaborating with rehabilitation staff and physicians.

The coordinator will stay informed about changes in federal and state regulations, provide staff education, and support coding accuracy for optimal reimbursement and quality reporting.