Job Description

Job Summary

The Medicare IRF PAI Coordinator is responsible for ensuring documentation in patient's medical records are accurate, detailed, and supports all CMS guidelines for admission and reimbursement for the admission in the Hospital/Facility. This position is also responsible for training new team members regarding their role in the patient assessment scoring as well as educating staff on updates in guidelines and required documentation. T

Essential Functions

Collects patient information from medical records and inputs the appropriate information into the assessment form. Assigns sections of the assessment form to appropriate members of the multidisciplinary team and ensures scheduled completion dates are met and information is accurate. Appropriately questions and acts to correct any scoring discrepancies. Generates and transmits reports to CMS using UDS. Analyzes medical record coding for accuracy and questions any coding discrepancies. Assures that final assessments are accurate and transferred to the data base as well as the billing office in a timely manner and consistent with the CMS regulations. Maintains confidentiality in manner related to patient, family and facility staff in accordance with HIPAA. Assists with clinical liaison duties as needed. Promotes and positively represents the Hospital/Facility/Unit and its team in all interactions. Works as a part of a team:
a. Performs duties willingly and with initiative, demonstrating judgement and respect.
b. Shares information in designated format.
c. Displays the principles outlined in the Community Cares Handbook.
d. Remains calm and works effectively in stressful situations
e. Communicates effectively with outside facilities in a timely manner. Utilizes effective interpersonal skills to interact effectively with patients, families, fellow workers, medical staff and visitors. Participates in education of physicians, ancillary staff and students related to the rehab programs available within THC. Participates in education of the team related to Inpatient Rehab specific competency training, such as IRF-PAI training. Increases own knowledge base and development by attending formal and informal educational activities and shares knowledge with others. Demonstrates ability to work independently within scope. Assures standards set forth by CMS, Joint Commission and other agencies are met. Active on selected committees for the purpose of exchanging information and participating in performance improvement. Performs other duties as assigned. Complies with all policies and standards.

Qualifications

Associate Degree required Bachelor's Degree preferred Master's Degree preferred 1-3 years experience in rehabilitation, medical/surgical or specialty area preferred

Knowledge, Skills and Abilities

Analytical skills necessary to review medical records to complete IRF-PAI. Attention to detail and concentration Ability to work in fast-paced, ever-changing environment Interpersonal and communication skills necessary to promote the Hospital/Facility/Unit in the community.

Licenses and Certifications

RN - Registered Nurse - State Licensure and/or Compact State Licensure Currently licensed in state of Tennessee or compact state as Registered Nurse in good standing required ABLS - Advanced Burn Life Support required BCLS - Basic Life Support required