REHAB SRV LINE PPS RN/PT/OT/SLP COORD

Rehab Service Line PPS Coordinator

Positions Location: Lansing, MI

General Purpose of Job: The Rehab Service Line PPS Coordinator will plan, organize, direct and evaluate the Acute Rehabilitation Medicare Prospective Payment System Process. This includes assignment of the CMG for each Medicare fee for service patient with expected Medicare reimbursement. In addition, oversees the coordination of the documentation, recording, data entry, data transmission, and analysis of the required Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) Items, CMG, assignment, identification of allowable co-morbidities, and the IRF-PAI assessment schedule.

Essential Duties:

• Timely and accurate completion and submission of the Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF/PAI) to CMS.
• Demonstrates knowledge of CMS regulations, clinical documentation requirements and referral policies and procedures. In addition, tracks changes in CMS rules and regulations.
• Performs reviews of patient medical records to verify supportive documentation for the IRF/PAI and CMS Medical Necessity.
• Assists, when needed, in pre-admission screening and referral process and participates in pre-admission education of patients admitted from within the institution
• Serves as primary resource and educator to hospital and medical staff regarding documentation, compliance, coding and reimbursement, and performance improvement opportunities.
• Monitors and reports PPS related outcomes, trends, opportunities.
• Communicates with coding staff/H.I.M. to provide information and guidance to achieve consistently appropriate diagnoses and co-morbidities along with physician guidance in decision-making process.
• Supports program operations as assigned.

Other Job Responsibilities:

• May participate in program development as assigned.
• May participate in orientation and training of new staff.
• Assists in maintaining clean and orderly treatment areas.
• Demonstrates competence in relevant software and hardware required to meet job responsibilities.

Job Requirements:

General Requirements:

• Demonstrates knowledge and maintains and respects patient right to privacy by following the HIPAA Privacy and Security policies and procedures.
• Adheres to ICARE values and standards of behavior (Innovation, Compassion, Accountability, Respect, Excellence).
• Role model behaviors that value the diversity of our associates, patients and customers and supports creating an environment that is inclusive, welcoming and respectful.
• Communicates with patients, families and customers using AIDET (Acknowledge, Introduce, Duration, Explanation, Thank).
• Works in a safe manner and promptly reports any hazards identified in the work environment or related to assigned responsibilities.

Work Experience:

• Experience in physical disabilities. Preferred.
• Minimum of two years experience in inpatient rehabilitation. Preferred.

Education:

• Graduate of an accredited nursing program, occupational therapy program, physical therapy program, or speech therapy program.
• Current Michigan RN licensure, OT licensure, PT licensure, SLP licensure.
• Possess and maintain CPR certification to meet department/program protocol (within 6 months of hire). Preferred
• Previous PPS Coordinator experience.

Specialized Knowledge and Skills:

• Clinical knowledge and analytical abilities necessary to apply Medicare guidelines in a clinical setting.
• Interpersonal skills to effectively and appropriately communicate with patients, families, physicians, other Sparrow Health System Associates, and external agencies.
• Basic computer skills needed along with the ability to learn new software programs.
• Requires excellent observation and problem solving skills.
• Excellent verbal and written communication skills.
• Must be able to adhere to deadlines in a detail-oriented manner.
• Must possess excellent organizational skills and the ability to work independently without supervision.

UM Health - Sparrow is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected Veteran status.

Job Family: Clinical Professional/Technical/Allied Health

Requirements:

• Shift: Days
• Degree Type / Education Level: Bachelor's
• Status: Full-time
• Facility: Sparrow Hospital
• Experience Level: Under 4 Years