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Prospective Payment Coordinator (Clinical) - Inpatient Rehab

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Advocate Health Care

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Location:
United States , High Point

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Category:
Health and Beauty

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Contract Type:
Not provided

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Salary:

35.50 - 53.25 USD / Hour
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Job Description:

The Prospective Payment Coordinator manages the data collection systems for IRF-PAI (Inpatient Rehabilitation Facility - Patient Assessment Instrument) and IRF-PPS (Medicare Inpatient Rehabilitation Facility - Prospective Payment System.) Responsible for the management of the Uniform Data System for Medical Rehabilitation (UDSMR) outcomes measurement system. These responsibilities include ensuring accurate and timely collection and transmission of data, collaborating with the interdisciplinary team to ensure complete and accurate documentation to support the data, educating the interdisciplinary team on FIM and Quality Indicators (QI) to ensure accurate data, and providing ongoing education to the interdisciplinary team related to the IRF-PAI and UDSMR systems and reports. This is a professional clinical position.

Job Responsibility:

  • Assessment Admin - Establishes and maintains a schedule for timely completion of all admission and discharge patient assessment instruments
  • Communication - Communicates schedule for completion of patient assessment instruments to manager and billing department
  • Teamwork - Collaborates with interdisciplinary team members to ensure accuracy of data
  • Billing Audits - Completes quarterly billing audits to determine accuracy of dates of service
  • Customer Focus - Responsible for maintaining excellent rapport with all managed care company personnel
  • Compliance - Keeps abreast of regulatory or other changes that impact the IRF-PAI or UDSMR outcomes management system
  • Reporting - Independently manipulates UDSMR outcomes management system to regularly generate and retrieve routine and on-demand reports
  • Training & Education - Provides ongoing education to interdisciplinary team on the IRF-PAI and UDSMR outcomes management system
  • Professionalism - Upholds a professional working relationship at all times and adheres to department rules

Requirements:

  • Bachelor's degree in Nursing, Physical Therapy, Occupational Therapy, or Speech Therapy
  • Licensed in Nursing, Physical Therapy, Occupational Therapy, or Speech Therapy by the State of NC required
  • Three years' clinical/administrative experience in Inpatient Rehabilitation
  • CPR certification
  • MOAB (Management of Aggressive Behavior) certification
  • Excellent oral, written, and interpersonal communication skills
  • Computer skills
  • Knowledge of the Functional Independence Measure (FIM) and Quality Indicator (QI) scoring tools
  • Knowledge of accreditation standards and compliance requirements for inpatient rehabilitation
  • Ability to speak and hear for patient assessment to communicate effectively with patients, physicians, and staff
  • Sense of smell and touch for patient assessments
  • Manual finger dexterity for accurate documentation, administration of medications/treatments, and equipment operation
  • Ability to manage a high stress environment effectively, providing optimal patient care
What we offer:
  • Paid Time Off programs
  • Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
  • Flexible Spending Accounts for eligible health care and dependent care expenses
  • Family benefits such as adoption assistance and paid parental leave
  • Defined contribution retirement plans with employer match and other financial wellness programs
  • Educational Assistance Program

Additional Information:

Job Posted:
February 20, 2026

Employment Type:
Fulltime
Work Type:
On-site work
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