Prospective Payment System (PPS) Coordinator
Acute Inpatient Rehabilitation
Community Regional Medical Center
Fresno, CA
Signet Health, a national acute rehabilitation and behavioral health company is seeking a Prospective Payment System (PPS) Coordinator for the rehabilitation program at Community Regional Medical Center in Fresno, CA.
The PPS Coordinator plays a vital role in the management and optimization of reimbursement for inpatient rehabilitation services.
**Signet Health offers a highly competitive salary and comprehensive benefits package.**
Responsibilities include, but are not limited to:
- 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.
Requirements/Qualifications
Qualifications:
- Current California state licensure in nursing (RN) or allied health profession (PT, OT, SLP) required.
- Minimum of two years experience in rehabilitation or a closely related field required.
- Experience with ICD 10 coding preferred.
- Previous experience with CMS data collection, MDS, IRF-PAI, OASIS.
Skills Required
- Current California state licensure as an RN or allied health professional (PT, OT, or SLP)
- At least two years of experience in rehabilitation or a closely related field
- Experience with ICD-10 coding
- Experience with CMS data collection, MDS, IRF-PAI, or OASIS
What We Do
Signet Health is a national healthcare company that partners with hospitals across the United States to build and manage behavioral-health, psychiatric, addiction-recovery, and acute physical-rehabilitation programs. Its clinical and operations teams help hospitals expand access, improve care delivery, and operate sustainable services tailored to local patient needs. The company also provides contract management for physical medicine and rehabilitation programs for hospital clients nationwide.
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