Program Coordinator

Job 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 at Munson. They train and collaborate with treatment team members involved in patient assessment and data reporting, work with physicians and coders to ensure Medicare compliant data, participate in staff education and quality improvement activities, and assist leadership in developing documentation systems that comply with Medicare guidelines. Job Information Primary Location MFB @ Munson Medical Center Employment Type Full time - Salaried/Exempt Other Benefits Annual Merit Increases, Health Insurance (Medical, Dental, Vision), PTO, Holiday Pay, PSLF Eligible, Tuition Reimbursement Must possess: RN, PT, OT or ST License 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. Quality Reporting Program (QRP) - Educator Serves as the trainer and resource for the QRP scoring process for all direct care staff. Develops and implements QRP scoring competency testing for all direct care staff. Responsible for New Hire direct care staff QRP scoring education and competency. Through regular chart audits, determines areas for QRP focused education for accuracy. Communicates with the Supervisor of PPS Compliance when repeated QRP documentation concerns are identified. Maintains current knowledge of the QRP scoring process by attending National Education for current practice. Assures accuracy of QRP and other data entered. Medicare Documentation Requirements Serves as a clinical resource for PPS regulations and compliance, coding and billing related to the IRF‑PAI, and CMS documentation requirements. 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. Stays abreast of regulatory and accreditation changes that impact the rehabilitation industry. 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 leadership in Inpatient Rehabs with leadership for the entire PPS program, including ongoing 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 inpatient rehabilitation unit, and with other departments and institutions. Works to effectively integrate all members of the patient care team to provide outstanding rehabilitation services. Billing/Reimbursement Works closely with billers and UM to ensure accuracy of claims information. Monitors post‑payment denials and appeals, working collaboratively to address issues. Customer Service Responsibilities Demonstrates excellent customer service and standards of behaviors as well as encourages, coaches, and monitors the same in team members. Consistently promotes teamwork and direct communication with co‑workers and deals discretely and sensitively with confidential information. Responsibilities in Quality Improvement Contributes by identifying problems and seeking solutions. Promotes patient/family satisfaction where possible; participates in departmental efforts to monitor and report customer service. Essential Job Qualifications Education: Bachelor's degree in clinical profession preferred - RN, PT, OT or ST. Experience: A minimum of two years of relevant clinical experience and direct experience with the Inpatient Rehabilitation Prospective Payment System (PPS) process. Skills and Attitude: Demonstrated excellent written and verbal communication skills. Information management skills to communicate, explain, interpret, and present data. Demonstrated ability to work both independently and in conjunction with a team of professionals for problem solving. Sense of urgency, collaborative team style, and ability to quickly adapt to changes in priorities. Ability to multi‑task and delegate tasks for timely project completion. Demonstrated commitment to the organizational mission with a "whatever it takes" attitude to get the job done. Physical Requirements for Essential Job Qualification Levels: None (No specific requirements) Occasionally (Less than 1/3) Frequently (1/3 to 2/3) Majority (More than 2/3) Remain in a stationary position: Frequently Traverse or move around work location: Occasionally Use keyboard: Frequently Operate or use department specific equipment: None Ascend/Descend equipment or ladder: None Position self to accomplish the Essential Functions of the role: None Receive and communicate information and ideas for understanding: Frequently Transport, position, and/or exert force: Up to 10 pounds: Occasionally Up to 25 pounds: None Up to 50 pounds: None Up to 75 pounds: None More than 100 pounds: None Other weight: Up to___ pounds _____ Other: _____ Consistent with the Americans with Disabilities Act (ADA), it is the policy of Mary Free Bed Rehabilitation Hospital to provide reasonable accommodation when requested by a qualified applicant or employee with a disability, unless such accommodation would cause an undue hardship. The policy regarding requests for reasonable accommodation applies to all aspects of employment, including the application process. If reasonable accommodation is needed, please contact the Talent Acquisition team at View email address on click.appcast.io. Mary Free Bed is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, age, genetic information, veteran status, disability or other legally protected characteristic. #J-18808-Ljbffr