Prospective Payment System Coordinator - PRN at INTEGRIS Health

, Oklahoma, United States -

Full Time

Start Date

Immediate

Expiry Date

01 Jul, 26

Salary

0.0

Posted On

02 Apr, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

IRF-PAI coordination, Prospective Payment System, CMS compliance, Utilization review, Medicare reimbursement, Clinical documentation, Data collection, Coding, Staff education, Functional scoring, Rehabilitation care

Industry

Hospitals and Health Care

Description

INTEGRIS Health Southwest Medical Center, Oklahoma’s largest not-for-profit health system has a great opportunity for a Prospective Payment Systems Coordinator in Oklahoma City, OK. In this position, you’ll work PRN with our Jim Thorpe Rehabilitation team providing exceptional care to those who have entrusted INTEGRIS Health with their healthcare needs. If our mission of partnering with people to live healthier lives speaks to you, apply today and learn more about our recently enhanced benefits package for all eligible caregivers such as, front loaded PTO, 100% INTEGRIS Health paid short term disability, increased retirement match, and paid family leave. We invite you to join us as we strive to be The Most Trusted Partner for Health. The Inpatient Rehabilitation Facility Patient Assessment Instrument ( IRF-PAI) Coordinator/ PPS Coordinator is a finance-related position requiring clinical skills to coordinate the process of providing accurate and timely data to the appropriate entities involved in the Prospective Payment System for inpatient rehabilitation patients. The IRF-PAI Coordinator oversees all aspects of data collection on the IRF PAI, ensures the presence of supporting documentation and provides staff education to ensure compliance with CMS guidelines. Responsible for coordinating all patient information to be submitted to CMS for Medicare reimbursement. Responsible for Utilization Review to maximize LOS efficiency. Coordinate and monitor compliance with 60% rule. Responsible for monitoring patient charts for correct coding and electronically transmitting data in a timely manner to maximize reimbursement. Monitor program compliance with charging for Medicare Services (CMS). In addition, this position participates with staff orientation and ongoing education to improve functional scoring accuracy at admission, throughout the stay, and upon discharge. Serves as a resource to licensed clinicians and clinical staff regarding questions and interpretation of scoring guidelines to assure the accuracy of scores.

Responsibilities

The coordinator manages the IRF-PAI process to ensure accurate data collection and timely submission for Medicare reimbursement. They also provide staff education and monitor compliance with CMS guidelines and the 60% rule.