Prospective Payment System (PPS) Coordinator / Certified Coder - Full-time - Beaumont, TX

Beaumont, Texas
Apr 02, 2024
Apr 04, 2024
Position Type
Full Time
Practice Setting
Hospital / Medical Center
Work Mode
Employment Type
Organization Type
Hospital / Health System
Description:Kate Dishman Rehabilitation Hospital - 2830 Calder Ave 6th Floor, Beaumont, TX 77702

About Us:

At Kate Dishman Rehabilitation Hospital, we are dedicated to providing the highest quality of care to our patients. Our facility, located in Beaumont, Texas, is known for a patient-centered approach, encompassing comprehensive healthcare services. We are currently seeking a skilled and detail-oriented PPS Coordinator to join our dynamic team. This role is crucial in ensuring our facility meets the highest standards of care while optimizing financial performance under the Prospective Payment System guidelines.

• Clinician licensed in the state of Texas, preferably an LVN, is highly desirable.

• Certification in ICD-10 Coding required.

• Proven experience in a healthcare setting, with a strong preference for experience in a PPS-related role.

• Comprehensive understanding of PPS regulations, Medicare and other payer systems.

• Excellent analytical, organizational, and communication skills.

• Demonstrated ability to work collaboratively with an interdisciplinary team.

• Strong commitment to providing high-quality care and ensuring regulatory compliance.

Your Role:

• Coordinate and oversee patient assessments to ensure compliance with Medicare and other payer requirements under the PPS framework.

• Ensure accurate and timely completion and submission of required documentation, IRF-PAI for rehabilitation centers.

• Stay abreast of changes in PPS regulations and guidelines, implementing necessary adjustments to facility practices.

• Provide ongoing education and support to clinical and administrative staff regarding PPS requirements and documentation standards.

• Analyze patient data to identify trends, areas for improvement, and opportunities for optimizing reimbursement.

• Collaborate with the interdisciplinary team to ensure a coordinated approach to patient care and reimbursement strategies.

• Work closely with the billing department to ensure accurate billing and address any discrepancies or denials.

• Codes medical record documentation according to professional standards and rules particular to acute inpatient rehabilitation guidelines. Provides correct ICD-10 CMS and CMG Codes on all procedures and diagnoses rendered.

Why Join Us?
  • Competitive salary is reflective of your experience and dedication.
  • Comprehensive benefits package, including medical, dental, and vision insurance.
  • Generous paid time off and holiday benefits to support your work-life balance.
  • Opportunities for professional growth and development in a supportive environment.

Join Our Team Today:

If you're ready to restore the quality of life to our patients and families and ready to join a supportive and caring company that values honor, integrity, passion, leadership and respect, we can't wait to hear from you. Apply now to become a valued member of Kate Dishman Rehabilitation Hospital.

Equal Opportunity Employer:

At Kate Dishman Rehabilitation Hospital, we are an equal-opportunity and affirmative-action employer. Our employment decisions are based on qualifications, merit, and business needs. Background checks and references are required for employment.

Certain benefits are only available for full-time employees working 30+ hours a week.