Prospective Payment & Revenue Management Specialist

Maryfreebed

Base: $67,000; bonus/equity: not specified; benefi...
Inpatient rehabilitation facility prospective payment systems expertise
Cms regulatory compliance knowledge
Clinical documentation audit experience
The specialist is responsible for developing and supporting organizational processes to ensure compliance with CMS regulatory standards related to documentation and coding requirements

Job Summary

  • The specialist is responsible for developing and supporting organizational processes to ensure compliance with CMS regulatory standards related to documentation and coding requirements.
  • This role involves leading the claim and post-payment denial process while collaborating with system leadership and providers across a multi-state network.
  • Mary Free Bed offers a values-based culture focused on restoring hope and freedom through comprehensive rehabilitation services for children and adults.

Matching Summary

The specialist is responsible for developing and supporting organizational processes to ensure compliance with CMS regulatory standards related to documentation and coding requirements.

Salary

Base: $67,000; Bonus/Equity: Not specified; Benefits: Not specified

Skills & Requirements

Must-have

  • Inpatient Rehabilitation Facility Prospective Payment Systems expertise
  • CMS regulatory compliance knowledge
  • Clinical documentation audit experience
  • Claim denial appeal process management
  • Multi-state travel capability required

Nice-to-have

  • Active RN, PT, OT, or SLP licensure preferred
  • Strong interpersonal communication skills
  • Collaborative team-oriented approach
  • Experience with insurance contract processes
  • Commitment to patient-centered care culture

Key Requirements

  • Associate's Degree or higher required
  • Active RN, PT, OT, or SLP licensure (Preferred)
  • Experience in Inpatient Rehabilitation Facility PPS systems
  • Frequent travel to all system locations required

Work Rights

Not specified

Tailored Resume

Cover Letter