PPS (Prospective Payment System) Coordinator, Acute Rehab RN
Company: Signet Health
Location: Batesville
Posted on: June 24, 2025
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Job Description:
Overview Position Title: PPS (Prospective Payment System)
Coordinator Location: White River Medical Center, Batesville, AR
Salary & Benefits: Competitive salary and benefits Position
Summary: The PPS (Prospective Payment System) Coordinator plays a
vital role in the management and optimization of reimbursement for
inpatient rehabilitation services. This position is responsible for
ensuring compliance with CMS regulations, monitoring clinical
documentation for accuracy and completeness, and working
collaboratively with the interdisciplinary team to support quality
outcomes and appropriate reimbursement under the prospective
payment system. The ideal candidate is a clinically experienced
registered nurse with an acute care background and a strong
commitment to collaboration, quality improvement, and regulatory
compliance. Key Responsibilities: Coordinate all PPS-related
processes including data collection, scoring, and submission of the
IRF-PAI in accordance with CMS guidelines and timelines . Ensures
documentation accurately supports the data submitted Conducts
ongoing review of IRF PAI related data, and assists the Director to
address action. Conducts regular audits and provide feedback to the
team on GG scoring, rating, and quality measures. Provide clinical
staff education to ensure compliance with CMS guidelines Facilitate
interdisciplinary communication and problem-solving related to PPS
processes and documentation concerns. Provides guidance to rehab
physicians and clinical team on capturing tier codes for
appropriate reimbursement. Monitor and report key metrics to
leadership. Collaborate with the HIM/coding department to ensure
real-time documentation and code assignment. Assist IPR leadership
in the development of quality improvement initiatives informed by
data trends and audit results. Maintain up-to-date knowledge of
Medicare rules and IRF compliance requirements. Support occasional
clinical care activities as needed within nursing licensure scope.
Perform other related duties as assigned to support departmental
and facility goals. Requirements/Qualifications Qualifications:
Licensure: Active and unencumbered Registered Nurse (RN) license in
the state of Arkansas. Experience: Clinical RN experience in an
acute care or inpatient rehabilitation setting. Prior experience
with IRF PPS, MDS, or ICD-10 coding preferred Knowledge of CMS QRP
(Quality Reporting Program) and IRF documentation standards
strongly preferred. Strong organizational, communication, and
analytical skills are essential. Core Competencies: Attention to
detail and strong analytical thinking. Proven teamwork and
interpersonal skills with a collaborative mindset. Ability to
manage multiple priorities in a fast-paced environment. Strong
Communication Skills: Demonstrates the ability to confidently and
effectively share information with colleagues and leadership.
Commitment to professional integrity and confidentiality in
handling sensitive data. Working Conditions: Work is primarily
Monday–Friday, 8-hour shifts This role may require occasional
assistance with patient care duties. Must be able to work in a
fast-paced clinical environment and maintain flexibility to meet
departmental needs. We are committed to having a workforce that
reflects diversity at all levels and are an equal opportunity
employer. Qualified applicants are considered for employment, and
employees are treated during employment without regard to race,
color, religion, national origin, citizenship, age, sex, sexual
orientation, gender identity, marital status, ancestry, physical or
mental disability, veteran status, or any other characteristic
protected under applicable law. tagwr0506
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Keywords: Signet Health, Jonesboro , PPS (Prospective Payment System) Coordinator, Acute Rehab RN, Healthcare , Batesville, Arkansas