What are the responsibilities and job description for the RN - PPS Coordinator position at Elderwood?
Salary: $68,640 - $111,540 / year Overview:
Looking for a change in 2023? Are you a Registered Nurse (RN) with Medicare experience? Do you consider yourself an expert in assessment and reimbursement methodology? We want to talk with you!
Elderwood at Ticonderoga is Hiring a Full Time Registered Nurse (RN) for our PPS Coordinator role
The PPS Coordinator is responsible for planning, developing and overall coordination of activities that support the Prospective Payment System (PPS) process for the inpatient rehabilitation unit.
POSITION OVERVIEW - Our RN PPS Coordinator at Elderwood:
RN PPS Coordinator starting rate range: $68,640 - $111, 540 / year (Earn More with More Experience)
EARN 16% more with our Pay in Lieu of Benefits Program.
Looking for a change in 2023? Are you a Registered Nurse (RN) with Medicare experience? Do you consider yourself an expert in assessment and reimbursement methodology? We want to talk with you!
Elderwood at Ticonderoga is Hiring a Full Time Registered Nurse (RN) for our PPS Coordinator role
The PPS Coordinator is responsible for planning, developing and overall coordination of activities that support the Prospective Payment System (PPS) process for the inpatient rehabilitation unit.
POSITION OVERVIEW - Our RN PPS Coordinator at Elderwood:
- Oversees, reviews and/or completes the MDS/PPS components of the facility based MDS/PPS departments.
- Completes and/or oversees completion of all Medicare PPS MDS and/or OBRA assessments for both subacute and long-term care.
- Establishes the schedule for completion of the Medicare required assessments setting the completion date to maximize reimbursement and RUGs categories for each individual assessment.
- Acts as support/liaison to the business office coordinator and/or designee in determining eligibility for Medicare and tracking Medicare days in the facility.
- Serves as facility contact with Managed Care providers to ensure appropriate authorization and reimbursement for facility services provided.
Apply today to our RN/ PPS Coordinator position and check out Elderwood at Ticonderoga's Benefits:
- Pay in Lieu of Benefits for our part-time clinical staff
- Increased Tuition Assistance Program for Clinical Tracks - ask HR about our School Partners that provide the most reimbursement & assistance
- Shift Differentials
- Full Benefits Package, including 401k with Employer Match
- Employee referral program
RN - PPS Coordinator - Responsibilities:
- Participates and collaborates with Medical Records and Therapy staff in preparing records for CMS andvarious entities for pre and post-pay record reviews, ADR requests and appeals processes.
- Manages NYS RUGs III case mix for Medicaid reimbursement.
- Completes occasional travel between facilities and Elderwood Learning Center.
- Supervises MDS Coordinator(s), if designated.
- Demonstrates knowledge and understanding of all policies and procedures and ability to reference them.
- Performs other duties as assigned by supervisor, management staff or Administrator.
RN - PPS Coordinator - Qualifications:
(RN licensure preferred) with current license in state employed
- Prior experience with MDS 3.0 scheduling, coding and submission requirements preferred
- Experience with PointClickCare preferred
- Experience with Patient Driven Payment Model (PDPM) and Case Mix Index (CMI) preferred
- Experience with state Medicaid program, Medicare/PPS program, Managed Care programs, RUGs III and RUGs IV classification and reimbursement systems, Part A coverage
- Excellent verbal and written communication skills.
- Self-motivated, highly organized, and dedicated
- Willing to train the right candidate
Salary : $68,640 - $111,540
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