Using discretion and independent judgment, the PPS Coordinator coordinates the process of providing accurate and timely data to the appropriate entities involved in the Prospective Payment System for Medicare patients. The PPS 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. In addition, the PPS Coordinator develops and interprets policies and procedures and acts as the primary resource for immediate problem solving in regards to FIM scoring. This position requires a positive working relationship as well as serving as an educator to the medical staff.
Job Code: 100159
License or Certification: - Licensed nurse, case management, or allied health licensed professional - FIM certified Education, Training and Years of Experience: - Appropriate to licensure , i.e., bachelors, associates degree or allied health degree as required for licensure Machines, Equipment Used: - General office equipment such as telephone, copy machine, fax machine, calculator, computer. Physical Requirements: - Good visual acuity and ability to communicate. - Ability to lift, lower, push, pull, and retrieve objects weighing a minimum of 30 pounds. Reasonable assistance may be requested when lifting, pushing, and/or pulling are undertaken which exceeds these minimum requirements. Compliance: - Adheres to the company's Standards of Business Conduct. - Maintains current licensure and/or certifications, if applicable. Skills and Abilities: - Ability to speak, read, write, and communicate effectively. - Ability to coordinate, analyze, observe, make decisions, and meet deadlines in a detail-oriented manner. - Ability to work independently without supervision. Environmental Conditions: - Indoor, temperature controlled, smoke-free environment. Occasional outdoor exposure. - Exposure or potential exposure to blood and body fluids may be required. - Handicapped accessible. - May work under stressful circumstances at times. Proficiency or Productivity Standards: - Meets established attendance standards. - Adheres to hospital/department dress code including wearing ID badge. - May be required to work weekdays and/or weekends, evenings and or night shifts if needed to meet deadlines. - May be required to work on religious and/or legal holidays on scheduled days/shifts. - Will be required to work as necessary during disaster situations, i.e., before, during or after a disaster. - May be required to stay after workday to assist after a disaster situation until relief arrives. - May be required to perform other duties as assigned by supervisor.