PT/OT/SLP/RN Clinical PPS Coordinator Job at Burke Rehabilitation Hospital, White Plains, NY

UUtWSndLVCsyMCtnK1UxTmpndkI1M2pCWHc9PQ==
  • Burke Rehabilitation Hospital
  • White Plains, NY

Job Description

JOB SUMMARY:

Reporting to the PPS and HIMS Manager, the IRF PPS Coordinator will collect the data on the Inpatient Rehabilitation Facility Patient Assessment instrument (IRF-PAI) by ensuring the presence of supporting documentation in the legal medical record and the accuracy of patient functional scores. The coordinator will provide staff with any updates on quality reporting by CMS as it pertains to the IRFPAI. The coordinator will serve as an information source and educate about IRFPAI items. When needed the coordinator will assist department leads and educators with staff training. The coordinator will serve as a backup to uploading the IRFPAI into eRehab and the transmission of the IRFPAI through the IQIES portal. The coordinator will work along a team that is dedicated to fulfilling department and organizational goals.

WORK PERFORMED:

  • Maintain current and comprehensive knowledge of IRF Prospective payment system (PPS), Federal and State regulations, and industry standards
  • Responsible for accurate and timely completion of Inpatient Rehabilitation Facility – Patient Assessment Instruments (IRF-PAIs) according to CMS IRF-PAI Manual, published CMS IRF-PAI Quarterly Q&A clarifications to existing guidance, and applicable rules and regulations
  • Review and populate daily compliance reports in Epic to monitor and manage IRF-PAIs completion within CMS assigned timeframes
  • Act as a liaison between the rehabilitation team (therapy, nursing), rehabilitation physicians, and other departments (Pre-admission screening, billing departments, Coding services, etc.)
  • Responsible for monitoring 60% compliance rule for rehabilitation admissions
  • Communicate CMG information and ELOS with rehabilitation physicians and rehabilitation teams along with providing education.
  • Perform periodic audits of records and give feedback to the Department Manager and VP of Post-acute Services
  • Monitor accuracy of the Impairment group codes and ICD-10 coding of the IRF-PAIs
  • Assist with uploading and validating the IRF-PAIs in eRehab and transmitting to CMS
  • Review on admission that all clinical documentation and scores are gathered within the three days of admission to reflect a three-day summary of functional status and 24-hour care needs of the patient
  • Review clinical documentation throughout and more importantly 72 hours prior to discharge to ensure all required items are entered
  • Serve as an information source and educator, provide ongoing education, in conjunction with the department leads and educators, to the staff of the hospital, including but not limited to IGC, etiologic dx, GG items, quality reporting

OTHER:

  • Practices Standard Precautions. Follows regulations, policies and guidelines on the prevention of infections; does not eat or drink in patient care areas.
  • Demonstrates personal adherence to the corporate compliance program and related activities.
  • Attending GG task force meeting.
  • Attend educational events provided by eRehab
  • Maintains confidentiality of information; abides by HIPAA regulations.
  • Maintains a professional image and follows Hospital’s policy on uniforms; consistently wears hospital ID.
  • Demonstrates reliable, on-time attendance, which is an essential function of all jobs at Burke.
  • Completes mandatory annual learning (Learning Harbor) within deadline.
  • Personally adheres to Burke C.A.R.E.S. philosophy by demonstrating compassion, accountability, respect and exceeding expectations through service excellence.
  • Performs other job related duties as assigned.

Requirements:

  • NYS License and current registration required. RN, PT OT, SLP
  • Experience with Inpatient Rehabilitation Quality Indicators
  • EPIC EMR experience
  • E-Rehab data experience
  • Clinical experience in inpatient rehabilitation setting preferred
  • Preferably experience with knowledge of ICD-10 coding
  • Must be able to communicate effectively, verbally and in writing with all levels of hospital staff, third-party payers, and external contacts.
  • Must have Knowledge of the rehabilitation process, medical terminology, and overall understanding of the healthcare system.
  • Must be able to work independently with minimal supervision.

Job Tags

Similar Jobs

3M

Maintenance Tech III Job at 3M

 ...Relocation Assistance: May be authorized Must be legally authorized to work in country of employment without sponsorship for employment visa status (e.g., H1B status). Supporting Your Well-being 3M offers many programs to help you live your best life both... 

Gryphon Oakwood

Estimator - Structural and Miscellaneous Steel Fabrication - Atlanta, GA Job at Gryphon Oakwood

 ...Estimator - Structural and Miscellaneous Steel Fabrication - Atlanta, GA Gryphon Oakwood are representing a fabricator of structural and miscellaneous...  ...costs, and overall project expenses. Your keen eye for detail and strong analytical abilities will be essential in... 

Upward Health

Weekend Matron Job at Upward Health

 ...Nurse Practitioner (NP) Upward Health is a home-based medical group specializing in primary care and behavioral health for individuals with complex needs...  ...and auto liability insurance. ~ Willingness to travel, when necessary, though responsibilities are mainly performed... 

Dexian

AS Technical Training Instructor - Fort Worth Job at Dexian

 ...sessions preferred. * Prior experience developing or creating technical training materials is preferred. * Use of 3d software such as CAD, or animation programs a plus. Skills: * Superior presentation and speaking skills. * Superior verbal and written... 

Truck Driver Nation

Entry Level Freight Dispatcher - Work from Home - $1,200 to $3,000+/Week (1099) Job at Truck Driver Nation

 ...Entry Level Freight Dispatcher Work from Home $1,200 to $3,000+/Week (1099) Job ID: 5309 Company: Truck Driver Nation Location: Remote (U.S. preferred) International (Still Apply) Type: 1099 Independent Contractor Compensation: Commission-based (Avg...