Prospective Payment System Coordinator-PD

At Catholic Health, our primary focus is the way we treat and serve our communities. We work collaboratively to provide compassionate care and utilize evidence-based practice to improve outcomes – to every patient, every time.

Charles is renowned for its outstanding customer service and is ranked as one of the top hospitals on Long Island in the delivery of high-quality care.  This non-profit hospital features three centers of excellence: Maternal/Child services, Orthopedics and Rehabilitation. St. Charles also offers services in general surgery, colon/rectal surgery, bariatric surgery, neurosurgery, ENT, pediatrics, diagnostic imaging, emergency medicine, epilepsy, stroke care, Female Pelvic Floor Disorders Center, and a nationally accredited Sleep Disorders Center.

The PPS Coordinator( IRF Prospective Payment System Coordinator) works with the Director of Rehab Admissions and the inpatient rehabilitation team in maintaining compliance with CMS (Centers for Medicare and Medicaid Services) regulatory requirements. 

The PPS Coordinator is primarily responsible for the timely and accurate completion and submittal of theInpatient Rehabilitation Facility-Patient Assessment Instrument (IRF-PAI) for each inpatient rehabilitation patient.  This includes regular communication with the inpatient rehabilitation interdisciplinary team, data collection and submission for all CMS Quality Indicators and patient functional status included on the IRF-PAI. 

In this role, the PPS Coordinator provides support to the Rehab Admissions department in identifying candidates that meet criteria for acute rehab through EMR review. The PPS Coordinator assists in monitoring of identified benchmarks for inpatient population and provides ongoing clinical staff education to the interdisciplinary rehabilitation team. 

The PPS Coordinator has access to confidential patient/employee/organizational information and maintains confidentiality of all information.

Responsibilities:

• Utilizes UDSpro software to complete and submit an IRF-PAI for all patients admitted to the Inpatient Rehab program
• Monitors utilization and keeps the clinical team apprised of expected length of stay relative to the patient’s CMG assigned by CMS.
• Assists the DPM&R, Director of Rehab Admissions, nursing, therapy and other appropriate departments in identifying and monitoring trends in inpatient care and program efficiency as identified through UDSmr reports.
• Works closely and collaboratively with all members of the inpatient rehab team to assure compliance at all levels.
• Preforms EMR reviews to monitor required documentation and provide feedback to appropriate supervisors.
• Responsible for training clinical staff on the appropriate use of the CMS assessment tools and other documentation requirements.
• Support Rehab Admissions to identify candidates that meet criteria for inpatient rehab through EMR reviews.
• Support Rehab Admissions with maintaining updated referral database.
• Participates with inpatient rehab department to revise and update documentation for CMS compliance, good patient care and best practice.

Requirements:

Education:   Completion of an appropriate clinical profession degree (RN, PT, OT, SLP, MSW)

Licensure/Certification:   

RN (Associates or Bachelors), PT (Bachelors, Masters or DPT), OT (Bachelors or Masters), SLP(Masters) or LMSW(Masters)

Skills, Knowledge or Abilities:

• Maintains clinical license/ certification in the state of New York
• Minimum of 3 years of experience in inpatient rehabilitation
• Intermediate computer skills in Microsoft Word and Excel
• Ability to handle multiple priorities
• Strong attention to detail and organizational skills
• Strong interpersonal skills
• Ability to coordinate efforts within a multi-disciplinary team

This range serves as a good faith estimate and actual pay will encompass a number of factors, including a candidate’s qualifications, skills, competencies and experience. The salary range or rate listed does not include any bonuses/incentive, differential pay or other forms of compensation that may be applicable to this job and it does not include the value of benefits. 

At Catholic Health, we believe in a people-first approach. In addition to the estimated base pay provided, Catholic Health offers generous benefits packages, generous tuition assistance, a defined benefit pension plan, and a culture that supports professional and educational growth.