Prospective Payment System (PPS) Coordinator - Quality & Informatics

Methodist Rehabilitation is seeking a detail-oriented, healthcare professional to join our Quality & Informatics team as a PPS Coordinator. This role is essential to ensuring accurate clinical documentation, regulatory compliance, and timely completion of the Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI).

The PPS Coordinator works closely with physicians, case managers, clinical teams, and hospital leadership to monitor documentation accuracy, analyze quality outcomes, support performance improvement initiatives, and educate staff on CMS reporting requirements. If you have a healthcare background, strong analytical skills, and a passion for improving quality and compliance, we encourage you to apply!

What You’ll Do

• Coordinate and oversee the IRF-PAI process from patient admission through discharge to ensure accuracy, completeness, and compliance with CMS requirements.
• Review admission assessments to ensure quality measure coding is accurate and available to case managers for timely determination of the patient’s Case Mix Group (CMG).
• Review discharge assessments and ensure completed IRF-PAI documents are submitted to eRehabData within required time frames.
• Review and approve IRF-PAI documents in MEDITECH before submission, investigating alerts, warnings, and discrepancies identified by eRehabData.
• Identify missing, incomplete, inconsistent, or inaccurate clinical documentation and collaborate with the appropriate treatment team members to resolve issues.
• Monitor CMS regulatory updates and communicate changes to IRF-PAI requirements and quality measures to hospital leadership and staff.
• Collaborate with MEDITECH and other applicable systems to support timely implementation of CMS reporting and documentation updates.
• Analyze quality measures and patient outcomes using data from eRehabData, Equadr, and Care Compare to identify trends and opportunities for improvement.
• Develop and provide feedback to physicians, clinicians, case managers, and department leaders to improve clinical documentation and patient outcomes.
• Assist with planning and delivering staff education on IRF-PAI requirements, quality measures, coding accuracy, and documentation standards.
• Participate in quality improvement initiatives, departmental committees, and performance improvement activities.
• Maintain accurate records and follow established policies, procedures, and regulatory requirements.

Shift

• Full-time
• Monday - Friday
• 8:00 am - 5:00 pm

• Degree in a healthcare-related field required.
• Strong written and verbal communication skills.
• Excellent organizational skills with the ability to manage multiple priorities and meet deadlines.
• Strong attention to detail and the ability to identify documentation discrepancies and resolve issues.
• Ability to analyze data, recognize trends, and communicate findings effectively.
• Ability to work independently while collaborating with physicians, clinical staff, management, and hospital leadership.
• Professional judgment and the ability to maintain appropriate boundaries and confidentiality.
• Proficiency in computer systems and electronic documentation is important.

• Competitive pay
• Comprehensive, flexible benefits package for full-time employees
• Medical and dental coverage beginning the first of the month following 30 days of employment
• 403(b) retirement plan
• Life insurance

At Methodist Rehabilitation, quality documentation and accurate reporting play an important role in supporting regulatory compliance, improving patient outcomes, and advancing the care we provide. Join a team committed to continuous improvement and helping patients achieve their highest level of recovery.