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Signet Health · 12 hours ago

PPS (Prospective Payment System) Coordinator, Acute Rehab RN

Wenatchee, WA

Full-time

Onsite

Entry, Mid Level

2+ years exp

Signet Health, a national acute rehabilitation and behavioral health company, is seeking a Prospective Payment System (PPS) Coordinator/Liaison for the 9-bed rehabilitation program at Confluence Health Hospital in Wenatchee, WA. The PPS Coordinator/Liaison plays a vital role in the management and optimization of reimbursement for inpatient rehabilitation services.

ConsultingHealth Care

Responsibilities

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

Qualification

Washington state RN licensureRehabilitation experienceCMS data collectionICD 10 codingMDS experienceIRF-PAI experienceCollaboration skillsCommunication skills