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Rehab PPS Coordinator - Brain Injury Rehab
Richmond, VA 23298 United States
For nearly 175 years, VCU Health System (VCUHS) has cared for patients, educated the next generation of health care professionals and conducted world-class research. We know that our employees make us exceptional, so it's part of our business strategy to provide meaningful benefits and a generous variety of life-work offerings. These programs are integral to our culture. They enrich the lives of our more than 9,000 outstanding employees and they nourish the soul of our community. Our commitment to our employees has earned us several national and local distinctions, including: recognition as a multiyear designee as Richmond's Employer of Choice and recipient of the Alfred P. Sloan Award for Excellence in Workplace Flexibility; and a recognized leader for Workforce Development practices in Greater Richmond. As Richmond's first
designated facility, we are focused on a culture of professionalism, community leadership and evidence-based practice.
VCU Health System's Brain Injury Rehab department is recruiting for a Rehab Perspective Payment Services (PPS) Coordinator. Of the 2 positions that exist, one is full time benefited, and the other is non-benefited. The chief objectives of this position are as follows:
To obtain appropriate/maximum reimbursement.
Completes DRG coding by assigning ICD-9 diagnostic and procedure codes in accordance with the official coding guidelines established by the American Hospital Association.
Complete CMG coding for Inpatient Rehab Facilities Prospective Payment System according to
Educate physicians and clinical staff regarding accurate and complete documentation of services to reduce errors and omissions in coding for reimbursement.
Perform data collection and auditing activities as they relate to CMS (Center for Medicare and Medicaid Services) Prospective Payment System.
Identify and facilitates opportunities for improvement in organizational performance.
Assume leadership/educational role on the interdisciplinary team.
Maintain up-to-date knowledge of CMS changes or additions to the Prospective Payment System, CMS Conditions of Participation and Virginia Department of Medical Assistance (DMAS-Medicaid).
Applicant Qualifications include the following:
Completion of an accredited school of professional nursing (RN), physical therapy, occupational therapy, speech and language pathology or clinical social work
Licensure, Certification, or Registration Requirements for Hire
Licensed as a Registered Nurse, Physical Therapist, Occupational Therapist, Speech and Language Pathologist or Clinical Social Worker in the Commonwealth of Virginia required
Licensed as a Registered Nurse in the Commonwealth of Virginia preferred
Rehabilitation Registered Nurse Certification (CRRN) preferred
Licensure, Certification, or Registration Requirements for continued employment including CPR, etc:
Current RN, PT, OT, SLP or CSW license in the Commonwealth of Virginia required
Current license as a Registered Nurse preferred
CRRN certification preferred
Level and type of experience REQUIRED:
Minimum of three (3) years of acute care and/or long term care work experience
Previous experience with Medicare or CMS, PPS System, rehab unit admission and exclusion criteria
Previous experience with Microsoft Office applications including MS Word and Excel
Level and type of experience PREFERRED:
Previous experience with Functional Independence Measures (FIM) scoring and CMG coding
Previous work experience with utilization review and coding
Education, training, experience:
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