PPS Coordinator (Full time) Jefferson Moss-Magee Rehab, Magee Main Hosp

Job description

Job Details Reviews and insures clinical documentation concurrently to ensure necessity for inpatient rehabilitation services and comorbidities 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 complia...