PPS Coordinator

PPS Coordinator

Compensation: $74,000 - $90,000

Benefits include: Medical, dental, vision, PTO, 403b, Life Insurance

Summary

The PPS Program Coordinator is responsible for assigned aspects of the Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI) Program at Mary Free Bed. The PPS Program Coordinator is responsible for training and ongoing collaboration with members of the treatment team that are involved in patient assessment and data reporting. The PPS Program Coordinator works with physicians and coders to assure data is encoded and transmitted in accordance with Medicare guidelines and those requirements of other payors.

The PPS Program Coordinator participates in staff education and quality assessment/improvement activities related to the IRF-PAI process. The PPS Program Coordinator also assists members of the leadership team to develop thorough documentation systems for all disciplines that reflect the complex nature of inpatient rehabilitation care, and that comply with Medicare guidelines.

Essential

Job Responsibilities Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI)

• Completes the IRF-PAI data which determine a patient's RIC (Rehabilitation Impairment Category), CMG (Case Mix Group), and payment under the Rehabilitation Perspective Payment system.
• Develops and implements a schedule for completion of IRF-PAI according to Medicare requirements.
• Assures accuracy and thoroughness of data recorded.
• Coordinates the pre‑admit assessment and screening process for patients in conjunction with the Admission Coordinators, Physicians and Coders.
• Comprehensively assesses the data gathered for the IRF-PAI and contributes to the development of the plan of care.
• Coordinates and completes the PAI on all other acute rehabilitation inpatients as part of the hospital outcomes tool.
• Works directly with the inpatient coding staff to properly identify and document all applicable codes on a concurrent basis.

Functional Independence Measure (FIM) – Education and Resource

• In collaboration with the clinical leadership team and the PPS Process Specialist, assists necessary training for clinical employees responsible for FIM evaluation and documentation.
• Through regular audits, evaluates documentation of clinical team members and provides timely feedback when opportunities for improvement are identified.
• Maintains communication with leadership team members when repeated documentation concerns are identified.

Medicare Documentation Requirements

• As assigned by the PPS Process Specialist, the PPS Program Coordinator serves as a clinical resource for PPS regulations and compliance, coding and billing related to the IRF-PAI, and CMS documentation requirements.
• In collaboration with the PPS Process Specialist, provides physician and clinical staff education regarding regulatory requirements.
• Provides direct and timely feedback to physicians when required components of documentation are not present, and provides suggestions for improvement.
• Assists with development of a comprehensive, integrated patient plan of care, as required by CMS.
• In collaboration with the PPS Process Specialist, stays abreast of regulatory and accreditation changes that impact the rehabilitation industry.
• In collaboration with the PPS Process Specialist, observes and analyzes systems through regular audits to enhance systems efficiencies and conducts quality assurance activities.

Physician Relations

• Maintains effective working relationships with the inpatient rehabilitation medical directors and other physicians that provide care to the patients served.

Staff Development and Mentoring

• Assists the PPS Process Specialists with leadership for the entire PPS program, including continuing staff development and mentoring of other PPS team members.
• Encourages staff development through formal and informal learning opportunities.

Professional Work Environment

• Encourages a culture of personal accountability, solution‑seeking behavior, and mutual respect, timely communication, openness to change, enthusiasm, and pride.

Interdepartmental and Interdisciplinary Collaboration

• Promotes collaboration within all disciplines within the…