Coordinator Prospective Payment System - Inpatient Rehabilitation

Department: Inpatient Rehabilitation 

Daily Work Times: Variable

Shift: Days

Scheduled Bi-Weekly Hours: 64

Position Summary:  Responsible for facilitating and coordinating the Prospective Payment System (PPS) for the Inpatient Rehabilitation Unit. 

This position is a part-time (32 hours per week) position. There may be some remote work opportunity within one year.

Essential Functions and Responsibilities:

1.  Predicates the RIC in coordination with coding and the interdisciplinary team and assists the screening process for potential candidates to the Rehabilitation Unit; ensures that patients meet the criteria for admission to the rehabilitation unit.

2. Attends the team conferences to comprehensively assess the data gathered for the IRF-PAI and assists in the development of the Individualized Plan of Care.

3. The position requires learning and staying abreast of Medicare regulations for the Inpatient Rehabilitation Facility or Unit.

4. Responsible for the federal requirement of the 60% compliance rule reporting and tracking.  Prepares the annual report with the required data for each admission and discharge to be submitted to the state for attestation of compliance to the 60% rule.

5. Establishes and maintains excellent guest relations and customer service.

6. Expert on the Federal Register requirements for payment through the IRF-PAI submission requirements.

7. Responsible for the education including functional assessments to staff, physicians, coding, finance and the rehabilitation leadership team regarding the required elements of the PPS system.

8. Participates in performance improvement activities and assists in the development of quality monitors and collection of data.

9. Runs reports from the rehabilitation software to assist leadership and the rehab team with data analytics.

10. Responsible for completion and submission of the IRF-PAI to ensure accurate payment and to avoid payment penalties.

11. May obtain pre and re-authorization from payers as needed.

12. Performs other related duties as required and directed.

Qualifications:

Required:

·        State licensure/certification in the field of nursing, physical therapy, occupational therapy, or speech language pathology.

·        Associate degree in discipline.

·        Two years in related health care field.

Preferred: 

·        Bachelor’s degree

·        Licensure/certification in rehab discipline.