PPS Coordinator, Acute Rehab RN

About This Role

This role is vital for managing and optimizing reimbursement for inpatient rehabilitation services by coordinating data collection, ensuring compliance with CMS guidelines, and providing clinical staff education. The PPS Coordinator/Liaison directly impacts the financial health and operational efficiency of the rehabilitation program.

Responsibilities

• Coordinate data collection on the Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI) for completion and timely submission to CMS
• Ensure evidence of supporting documentation for IRF-PAI data
• Provide clinical staff education to ensure compliance with CMS guidelines related to rehabilitation services
• Coordinate all efforts for immediate issue resolution concerning GG scoring and rating
• Conduct ongoing review of IRF-PAI related data and assist the Director in addressing actions
• Provide guidance to rehab physicians and clinical team on capturing tier codes for appropriate reimbursement
• Provide feedback to the team through audits on scoring, rating, and quality measures
• Implement a schedule for every patient for timely completion of the IRF-PAI
• Report key metrics to the leadership team at daily team meetings
• Collaborate closely with HIM coding department to identify and document all applicable codes concurrently

Requirements

• Current Washington state licensure in nursing (RN) or allied health profession (PT, OT, SLP)
• Minimum of two years experience in rehabilitation or a closely related field

Qualifications

• Minimum of two years experience in rehabilitation or a closely related field

Nice to Have

• Experience with ICD 10 coding
• Previous experience with CMS data collection, MDS, IRF-PAI, OASIS

Skills

* Required skills

Benefits