PPS Coordinator (Full time) Jefferson Moss-Magee Rehab, Elkins Park

Jefferson Health Plans

23h

About The Position

Job Details Reviews and insures clinical documentation concurrently to ensure necessity for inpatient rehabilitation services and co-morbidities are appropriately and accurately identified and documented, meeting all appropriate CMS criteria and regulations for admission, concurrent stay and reimbursement. Evaluate potential admissions to ensure that they meet the requirements for admissions and ongoing audit and review of clinical documentation and treatment of patients. Performs various inpatient rehabilitation medical record reviews/audits, focusing on completion of documentation within the designated regulatory timeframes, physician attestation to the documents, meeting therapy participation requirements, accuracy and completeness of interdisciplinary team documentation. Plays a major role in documentation gathering, review and submission as it relates to CMS and other audits and ongoing projects such as RCD (Review Choice Demonstration Project). Reviews clinical documentation retrospectively as it relates to record requests, including external and internal audits as directed. Actively involved in education of physicians and interdisciplinary team to ensure documentation compliance and accuracy. Job Description Essential Functions: Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson. Possess excellent interpersonal, communication, organizational skills, problem solving and critical thinking abilities, have good attention to detail and ability to work with interdisciplinary teams and independently. Reviews documentation on the rehabilitation inpatients, specifically for compliance and accuracy, both have an impact on regulatory compliance, reimbursement, and outcomes Utilizes computer skills to view EMR Works with interdisciplinary clinical teams to insure and improve documentation compliance with inpatient rehabilitation regulations and criteria. Performs other duties as assigned

Requirements

• High School Diploma and equivalent completion and certification through an accredited program of licensure requirements as listed below.
• Prior healthcare experience preferred
• Licensed in rehab role: IE RN, PT, OT, LPN, CCD, LSW
• Possess excellent interpersonal, communication, organizational skills, problem solving and critical thinking abilities, have good attention to detail and ability to work with interdisciplinary teams and independently.
• Utilizes computer skills to view EMR

Nice To Haves

• Knowledge of Milliman and InterQual Criteria preferred; maintain knowledge of CMS Regulations and criteria as it pertains to acute inpatient rehabilitation.

Responsibilities

• Reviews and insures clinical documentation concurrently to ensure necessity for inpatient rehabilitation services and co-morbidities are appropriately and accurately identified and documented, meeting all appropriate CMS criteria and regulations for admission, concurrent stay and reimbursement.
• Evaluate potential admissions to ensure that they meet the requirements for admissions and ongoing audit and review of clinical documentation and treatment of patients.
• Performs various inpatient rehabilitation medical record reviews/audits, focusing on completion of documentation within the designated regulatory timeframes, physician attestation to the documents, meeting therapy participation requirements, accuracy and completeness of interdisciplinary team documentation.
• Plays a major role in documentation gathering, review and submission as it relates to CMS and other audits and ongoing projects such as RCD (Review Choice Demonstration Project).
• Reviews clinical documentation retrospectively as it relates to record requests, including external and internal audits as directed.
• Actively involved in education of physicians and interdisciplinary team to ensure documentation compliance and accuracy.
• Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson.
• Reviews documentation on the rehabilitation inpatients, specifically for compliance and accuracy, both have an impact on regulatory compliance, reimbursement, and outcomes
• Works with interdisciplinary clinical teams to insure and improve documentation compliance with inpatient rehabilitation regulations and criteria.
• Performs other duties as assigned

Benefits

• Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues, including medical (including prescription), supplemental insurance, dental, vision, life and AD&D insurance, short- and long-term disability, flexible spending accounts, retirement plans, tuition assistance, as well as voluntary benefits, which provide colleagues with access to group rates on insurance and discounts.
• Colleagues have access to tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service.
• All colleagues, including those who work less than part-time (including per diem colleagues, adjunct faculty, and Jeff Temps), have access to medical (including prescription) insurance.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED