Prospective Payment System Coordinator RN or PT - HCA Healthcare

Description

The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. The typical candidate is hired below midpoint of the range.

Introduction

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

Benefits

Spalding Rehabilitation 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 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)

• Bachelor's 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 
  

HCA HealthONE, one of the largest and most comprehensive healthcare systems in the Rocky Mountain region, offers more than 170 care sites in the Denver-metro area. Offering services across the continuum of care to meet patients' total healthcare needs, HCA HealthONE includes seven acute care hospitals, a dedicated flagship pediatric hospital, a rehabilitation hospital, CareNow® urgent care clinics, mental health campuses, imaging and surgery centers, physician practices, home and hospice care, and AirLife Denver, which provides regional critical care air and ground transportation. Among HCA HealthONE's hospitals is Spalding Rehabilitation, a 42-bed licensed rehabilitation hospital. Since 1968, HCA HealthONE Spalding Rehabilitation has been rebuilding lives and renewing hope by offering intensive inpatient and outpatient rehabilitation programs, tailored specifically to patients' needs. Consistently among the Denver Business Journals' list of top corporate philanthropists in the Denver-metro area, HCA HealthONE was named as one of the most community-minded organizations by The Civic 50 and contributed more than $1 million through cash and in-kind donations last year alone, along with more than $400M in federal, state and local taxes.

HCA Healthcare has been named one of the World’s Most Ethical Companies by Ethisphere Institute for ten consecutive years (2010-2019). 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.