PPS Coordinator (Full time) Jefferson Moss-Magee Rehab, Magee Main Hosp
Share
Job Location:
Philadelphia, PA - USA
Monthly Salary:
Not Disclosed
Posted on:
3 days ago
Vacancies:
1 Vacancy
Job Summary
Job Details
Reviews and insures clinical documentation concurrently to ensure necessity for inpatient rehabilitation services and comorbiditiesare 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.
Education - Required
High School Diploma/GED and equivalent completion and certification through an accredited program.
Knowledge Skills and Abilities - Required
Computer organizational self-directed detail oriented
Skills in Windows Office programs (Word Excel and Power-point).
Knowledge of Milliman and InterQual Criteria preferred; maintain knowledge of CMS Regulations and criteria as it
pertains to acute inpatient rehabilitation.
Licenses and Certifications - Required
RN - Licensed Registered NurseNJ - State of New Jersey or
RN - Licensed Registered NursePA - State of Pennsylvania or
OT - Licensed Occupational Therapist - State of Pennsylvania or
PT - Licensed Physical Therapist - State of Pennsylvania or
LPN - Licensed Practical NursePA - State of Pennsylvania or
LSW - Licensed Social Worker - State of Pennsylvania
Physical Demands
Lift and carry 25 lbs. frequent sitting/standing frequent keyboard use *patient care providers may be required to perform activities specific to their role including kneeling bending squatting and performing CPR.
Work Shift
Rotating (United States of America)Worker Sub Type
RegularEmployee Entity
Magee Rehabilitation HospitalPrimary Location Address
1513 Race Street Philadelphia Pennsylvania United States of AmericaNationally ranked Jefferson which is principally located in the greater Philadelphia region Lehigh Valley and Northeastern Pennsylvania and southern New Jersey is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65000 people strong dedicated to providing the highest-quality compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrows professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic clinical and applied research. Thomas Jefferson University home of Sidney Kimmel Medical College Jefferson College of Nursing and the Kanbar College of Design Engineering and Commerce dates back to 1824 and today comprises 10 colleges and three schools offering 200 undergraduate and graduate programs to more than 8300 students. Jefferson Health nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years.
Jefferson is committed to providing equal educational and employment opportunities for all persons without regard to age race color religion creed sexual orientation gender gender identity marital status pregnancy national origin ancestry citizenship military status veteran status handicap or disability or any other protected group or status.
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 diemcolleagues adjunct faculty and Jeff Temps) have access to medical (including prescription) insurance.
For more benefits information please click here
Required Experience:
IC
About Company
At Thomas Jefferson University in Philadelphia, PA, we are helping you to redefine what’s possible with innovative and tailored education opportunities.
