Position Summary:
The PPS Program Coordinator is responsible for assigned aspects of the Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI). The PPS Program Coordinator is responsible for training and ongoing collaboration with members of the treatment team that are involved in patient assessment and data reporting.
The PPS Program Coordinator works the physicians and coders to assure data is encoded and transmitted in accordance with Medicare guidelines and those requirements of other payors. The PPS Program Coordinator participates in staff education and quality assessment/improvement activities related to the IRF-PAI process.
The PPS Program Coordinator also assists members of the leadership team to develop thorough documentation systems for all disciplines that reflect the complex nature of inpatient rehabilitation care, and that comply with Medicare guidelines.
What the PPS Coordinator will need:
Graduation from a NLN or AACN accredited school of nursingBachelor’s Degree in the Science of Nursing (BSN) Degree from an accredited school of nursing is preferredRN License authorized by the State of MichiganTwo years of relevant clinical experience.Direct experience with the Inpatient Rehabilitation Prospective Payment System (PPS) process, preferredWhat the PPS Coordinator will do:
Inpatient Rehabilitation Facility – Patient Assessment Instrument (IRF-PAI)Works directly with the coding staff to properly identify and document all applicable codes Completes the IRF-PAI data which determines 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.Works 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.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 unit leadership when repeated QRP documentation concerns are identified.Maintains current knowledge of the QRP scoring process through ongoing education and system resources and workgroups.Assures accuracy of QRP and other data entered.Our Commitment to Diversity and Inclusion
Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.