Pps Coordinator (full Time) Jefferson Moss-magee Rehab, Magee Main Hosp

Jefferson Health

Philadelphia, PA, United States
On-site
Clinical documentation review
Cms criteria and regulations
Inpatient rehabilitation services
Reviews and ensures clinical documentation concurrently to ensure necessity for inpatient rehabilitation services and comorbidities are appropriately and accurately identified and documented, meeting all appropriate CMS criteria and regulations for admission, concurrent stay and reimbursement

Job Summary

  • Reviews and ensures clinical documentation concurrently to ensure necessity for inpatient rehabilitation services and comorbidities are appropriately and accurately identified and documented, meeting all appropriate CMS criteria and regulations for admission, concurrent stay and reimbursement.
  • 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).
  • 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.

Matching Summary

Reviews and ensures clinical documentation concurrently to ensure necessity for inpatient rehabilitation services and comorbidities are appropriately and accurately identified and documented, meeting all appropriate CMS criteria and regulations for admission, concurrent stay and reimbursement.

Skills & Requirements

Must-have

  • clinical documentation review
  • CMS criteria and regulations
  • inpatient rehabilitation services
  • interdisciplinary team collaboration
  • documentation compliance and accuracy

Nice-to-have

  • excellent interpersonal and communication skills
  • problem solving and critical thinking
  • good attention to detail
  • ability to work independently

Key Requirements

  • High School Diploma/GED and equivalent completion and certification
  • RN - Licensed Registered Nurse_NJ or PA
  • OT - Licensed Occupational Therapist - PA
  • PT - Licensed Physical Therapist - PA
  • LPN - Licensed Practical Nurse_PA
  • LSW - Licensed Social Worker - PA
  • Computer, organizational, self-directed, detail oriented skills
  • Skills in Windows Office programs (Word, Excel, and Power-point)
  • Knowledge of Milliman and InterQual Criteria preferred
  • Maintain knowledge of CMS Regulations and criteria

Work Rights

Not specified

Tailored Resume

Cover Letter