Returning Candidate? Log back in! Prospective Payment Coordinator Requisition Number 80703 Reg/Temp Regular Employment Type Full-Time Shift Day Work Schedule M-F 8-5 Location Name Craig H. Neilsen Rehabilitation Hospital Workplace Set Up On-site City Salt Lake City State UT Department NRH CST 45A ADMINISTRATION Category Health Information Management Overview

As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. University of Utah Health seeks staff that are committed to the values of compassion, collaboration, innovation, responsibility, integrity, quality and trust that are integral to our mission. EO/AA

This onsite position oversees all aspects of data collection for the Inpatient Rehab Facility-Patient Assessment Instrument (IRF-PAI) , ensuring the presence of supporting documentation and associated assignment of accurate and defendable impairment and Case Mix Group (CMG) code assignment, as well as accurate scoring of functional status, in accordance with Center for Medicare & Medicaid Services (CMS) guidelines. In addition, the PPS Coordinator acts as primary resource for immediate problem solving in regards to Functional Independence Measure (FIM) scoring.

Corporate Overview: The University of Utah is a Level 1 Trauma Center and is nationally ranked and recognized for our academic research, quality standards and overall patient experience. Our five hospitals and eleven clinics provide excellence in our comprehensive services, medical advancement, and overall patient outcomes.

Responsibilities Provides concurrent review of medical records to ensure documentation meets quality standards and includes an accurate reflection of the patient's status.Facilitates modifications to clinical documentation through extensive concurrent interactions with physicians, therapists, nursing staff and coding to support appropriate reimbursement and ensure clinical severity is captured.Supports timely, accurate, and complete documentation of clinical information used for measuring and reporting provider and hospital outcomes.Identifies opportunities where additional provider documentation is required to thoroughly and accurately assign Etiological Diagnosis, Impairment Group, CMG and complete IRF-PAI.Coordinates and performs timely abstraction of required data elements.Performs data entry and submission of IRF-PAI data to Uniform Data Systems (UDS) and MedTel.Provides Case Mix Group (CMG) date to rehabilitation staff.Works collaboratively with providers, nurses, therapists, coding, and CDI staff.Provides coordination of all clinical documentation for submission to CMS.Serves as a liaison with contracted data resources.Ensures adherence to Health Information Coding policies and Official Coding Guidelines as published by CMS and Cooperating Parties, as demonstrated by completion of AHA Coding Clinic quizzes, educational material as assigned, and other in-services scheduled by Coding Leadership.Oversight of staff education and certification for FIM training.Knowledge / Skills / AbilitiesKnowledge of CMS Inpatient Rehabilitation rules and regulations.Ability to speak, read, write, and communicate effectively.Ability to coordinate, analyze, observe, make decisions, and meet deadlines in a detail-oriented manner.Knowledge of ability to learn and perform utilization reviews activities.Knowledge of or ability to learn and perform insurance carrier/managed care review.Knowledge and ability to use computers and a variety of computer programs including word processing, database management and spreadsheets.Demonstrated skills in organization, time management, flexibility, and positive attitude.Knowledge in ICD-10. Qualifications QualificationsRequiredBachelor's Degree in Health Care Administration, Health Science, a related field, or the equivalency. Qualifications (Preferred) PreferredCurrent license to practice as a Registered Nurse or Occupational Therapist, Physical Therapist in the State of Utah, or obtain one within 30 days of hire under the interstate compact.Experience with acute rehab coding, FIM scoring, ICG, CMG.Clinical Documentation Improvement (CDI) experience.Working Conditions and Physical Demands

Employee must be able to meet the following requirements with or without an accommodation.

This is a sedentary position in an office setting that may exert up to 10 pounds and may lift, carry, push, pull or otherwise move objects. This position involves sitting most of the time and is not exposed to adverse environmental conditions. Physical Requirements Listening, Sitting, Speaking Options Apply for this job onlineApplyShareRefer this job to a friendRefer Sorry the Share function is not working properly at this moment. Please refresh the page and try again later. Share on your newsfeed

 

 

Multi-lingual Candidates Welcomed

 

Interested in this opportunity?
Socialize this job opportunity to a friend, colleague, or family member:

To inquire about this posting, email: careers@hsc.utah.edu
EEO Statement

University of Utah Health Hospitals and Clinics, a part of The University of Utah, values candidates who have experience working in settings with students and patients from all backgrounds and possess a strong commitment to improving access to higher education and quality healthcare for historically underrepresented students and patient populations.

All qualified individuals are encouraged to apply. Veterans’ preference is extended to qualified applicants, upon request and consistent with University policy and Utah state law. Upon request, reasonable accommodations in the application process will be provided to individuals with disabilities.

University of Utah Health Hospitals and Clinics, a part of The University of Utah, is an Affirmative Action/Equal Opportunity employer and does not discriminate based upon race, ethnicity, color, religion, national origin, age, disability, sex, sexual orientation, gender, gender identity, gender expression, pregnancy, pregnancy-related conditions, genetic information, or protected veteran's status. The University does not discriminate on the basis of sex in the education program or activity that it operates, as required by Title IX and 34 CFR part 106. The requirement not to discriminate in education programs or activities extends to admission and employment. Inquiries about the application of Title IX and its regulations may be referred to the Title IX Coordinator, to the Department of Education, Office for Civil Rights, or both.

To request a reasonable accommodation for a disability, please contact the University of Utah Health Hospitals and Clinics Human Resources office at 801-581-6500. If you or someone you know has experienced discrimination or sexual misconduct including sexual harassment, you may contact the Director/Title IX Coordinator in the Office of Equal Opportunity (OEO). More information, including the Director/Title IX Coordinator's office address, electronic mail address, and telephone number can be located at: www.utah.edu/nondiscrimination/

Online reports may be submitted at oeo.utah.edu/

 

The University is a participating employer with Utah Retirement Systems (“URS”). Eligible new hires with prior URS service, may elect to enroll in URS if they make the election before they become eligible for retirement (usually the first day of work). Contact Hospitals and Clinics Human Resources at (801) 581-6500 for information. Individuals who previously retired and are receiving monthly retirement benefits from URS are subject to URS’ post-retirement rules and restrictions. Please contact Utah Retirement Systems at (801) 366-7770 or (800) 695-4877 or Hospitals and Clinics Human Resources at (801) 581-6500 if you have questions regarding the post-retirement rules.

 

This position may require the successful completion of a criminal background check and/or drug screen.

Application FAQs

Software Powered by iCIMS
www.icims.com