Prospective Payment System Coordinator

Description

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Learn more about the benefits offered for this job.

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Introduction

Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Prospective Payment System Coordinator with Spalding Rehabilitation Hospital you can be a part of an organization that is devoted to giving back

Benefits

Spalding Rehabilitation Hospital, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
• Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
• Free counseling services and resources for emotional, physical and financial wellbeing
  
• 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
  
• Employee Stock Purchase Plan with 10% off HCA Healthcare stock
  
• Family support through fertility and family building benefits with Progyny and adoption assistance.
  
• Referral services for child, elder and pet care, home and auto repair, event planning and more
  
• Consumer discounts through Abenity and Consumer Discounts
  
• Retirement readiness, rollover assistance services and preferred banking partnerships
  
• Education assistance (tuition, student loan, certification support, dependent scholarships)
  
• Colleague recognition program
  
• Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
  
• Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

Would you like to unlock your potential with a leading healthcare provider dedicated to the growth and development of our colleagues? Join the Spalding Rehabilitation Hospital family We will give you the tools and resources you need to succeed in our organization. We are looking for an enthusiastic Prospective Payment System Coordinator to help us reach our goals. Unlock your potential

Job Summary and Qualifications

Responsible for coordinating all patient information to be submitted to CMS for Medicare reimbursement and maximizing LOS efficiency in timely and accurate completion. Coordinate and monitor CMS compliance. This individual provides clinical support in completion of data contained in the IRF-PAI to ensure accuracy in the scoring of functional status and reflection of the patient's care needs. In addition, this position assists in the ongoing monitoring of identified benchmarks for the inpatient rehab population. The PPS Coordinator will have access to confidential patient information and maintains confidentiality of all information.

1. Oversees and ensures the accuracy and completion of the Inpatient Rehabilitation Facility – Patient Assessment Instrument (IFR-PAI) prior to electronic transmission within requires time frames

2. Maintains a current knowledge of IRF-PAI software and provides expertise on this software within the inpatient rehab setting

3. Maintains updated and ongoing knowledge of the regulations concerning the IRF-PAI and its completion within the inpatient rehab setting

4. Thoroughly researches and reviews clinical documentation and makes recommendations to clinical supervisors in areas needing improvement to support and validate rehab criteria and documentation compliance

5. Collaborates with physicians and interdisciplinary team members to capture accurate assessment of patient, including interdisciplinary patient treatment plans to facilitate achievement of expected outcomes in collaboration with interdisciplinary team

6. Verifies appropriate CMG (case mix group) designation through chart review, staff interview, and collaboration with the rehab medical director

7. Participates in ongoing education to the staff to ensure accurate and timely completion of the IRF-PAI

8. Periodically audits IRF-PAI, clinical documentation and billing information to ensure accuracy and consistency of documentation. Works closely and collaboratively with all members of the clinical team to ensure compliance at all levels

9. Evaluates patterns of variances from standardized care plans and recommends strategies to resolve individual and caseload issues

10. Serves as a resource to department staff, students, volunteers and other departments, and contributes to the teamwork essential to ensuring quality patient care

11. Promotes participation, cooperation and teamwork. Demonstrates problem solving in resolving issues

12. Participates in hospital or departmental performance improvement activities and seeks opportunities to improve department and inter-department processes

13. Participates in internal chart review and external audit coordination as needed

What qualifications you will need:

• Currently licensed in CO as a Registered Nurse or Therapist (all therapy disciplines accepted - PT, OT, SLP)
• Bachelors degree from an accredited school in Nursing or Physical Therapy
• Prefer at least 2 years previous experience as a licensed clinician in an Inpatient Rehabilitation and a working knowledge of IRF-PAI & CARE Tool
  

Since 1968, Spalding Rehabilitation Hospital has been in the business of rebuilding lives and renewing hope by offering intensive inpatient and outpatient rehabilitation programs, tailored specifically to patients' needs. Our 42-bed licensed rehabilitation hospital, along with our rehab unit at Presbyterian/St. Luke's Medical Center (PSL), specializes in treatment of conditions such as: stroke, brain injury, neurologic conditions, orthopedic injuries, spine injuries, amputations, and other disabling medical conditions. Spalding hosts the only dedicated Controlled Stimulation Unit for brain injury in the state of Colorado. Each rehabilitation program is customized to the individual patients cognitive and physiological needs and can include one or more types of therapy.

As part of our mission to help individuals achieve maximum independence, the hospital works closely with the Brain Injury Alliance of Colorado and is also an active supporter of the Rocky Mountain Stroke Association, serving stroke patients and their families.

HCA Healthcare has been named one of the World's Most Ethical Companies by Ethisphere Institute for ten consecutive years In 2019, HCA Healthcare spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr.

HCA Healthcare Co-Founder

Be a part of an organization that invests in you We are reviewing applications for our Prospective Payment System Coordinator opening. Qualified candidates will be contacted for interviews. Submit your application and help us raise the bar in patient care

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

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