Regulatory Compliance Coordinator jobs in Grand Rapids, MI

Employment Value Proposition

At Mary Free Bed, we take pride in our values-based culture:

· Diversity, Equity, and Inclusion. Our Commitment to providing an inclusive environment for patients, families, staff, and community, through embracing Diversity, Equity, and Inclusion T.O.G.E.T.H.E.R.

· Focus on Patient Care. A selfless drive to serve and heal connects all MFB employees.

· Clinical Variety and Challenge. An inter-disciplinary approach and a top team of professionals create ever-changing opportunities and activities.

· Family Culture. We offer the stability of a large organization while nurturing the family/team atmosphere of a small organization.

· Trust in Each Other. Each employee knows that co-workers can be trusted to make the right decision for our family, patients, staff, and community.

· A Proud Tradition. Years of dedicated, quality service to our patients and community have yielded a reputation that fills our employees with pride.

Summary

Responsible for oversight of the regulatory compliance and PPS Programs within the MFB partnerships, including all Medicare documentation requirements.

Essential Job Responsibilities

· Development of documentation systems that assure consistent compliance with all CMS admission and medical necessity criteria.

· Development of documentation templates and programs that assure compliance with Medicare documentation requirements.

· Develop and implement proactive audits of clinical documentation to assure compliance.

· Develop and implement programs to promote accurate capture of comorbidities, and accurate selection of Case Mix Groups for inpatients.

· Provides leadership in all MFB partner facilities, related to all payer audits, denial appeals, and other aspects of our work that impacts payment from Medicare and other payers.

· Promotes sharing of best practices and operational resources across the Mary Free Bed partnerships.

· Facilitates or provides education to interdisciplinary teams related to evidenced-based documentation related to functional scoring.

· Supports broader MFB partnership operations as needed, facilitating strong working relationships with colleagues, physicians, and staff in multiple locations around the system.

· Collects and reviews relevant quality data and works with partnership sites to ensure continuous process improvement.

· Leadership Must-Haves will be followed for patient and staff interactions:

o Embrace Diversity, Equity and Inclusion, by:

Treating everyone with dignity and respect

Opening more doors to opportunities for underrepresented cultures

Growing talent and people

Evaluating and eliminating disparities

Taking action against injustices, bias and racism

Honoring our differences and how to collaborate

Educating staff, patients and the communities we care for

Restoring Hope and Freedom, together

o Rounding

o Thank You Notes

o Employee Selection/Peer Interviewing

o Key Words at Key Times

o AIDET® Promise

o Standards of Behavior

Essential Job Qualifications

· Bachelor’s degree in allied health.

· Experience as a PPS Coordinator, Coder, or similar level of responsibility within an inpatient rehabilitation facility. Active Driver’s License with willingness to travel to system sites.

· Demonstrates ability to establish and maintain strong working relationships with leaders, staff, and physicians.

· Energy and passion for driving change.

· Background in a clinical field related to rehabilitation, or related health care services such as coding.

· Strong knowledge of inpatient rehabilitation services and principles of the PPS program, clinical documentation requirement, and regulatory requirements.

· Demonstrated written and verbal communication skills.

· Demonstrated ability to work both independently and in conjunction with a team of professionals for problem solving.

· Demonstrates commitment to organizational mission with a “whatever it takes” attitude to get the job done.

Preferred Job Qualifications

· Experience in regulatory appeals and outstanding writing abilities.

· MBA or related master’s degree

Physical Requirements for Essential Job Qualification

Levels:

· None (No specific requirements)

· Occasionally (Less than 1/3)

· Frequently (1/3 to 2/3)

· Majority (More than 2/3)

Remain in a stationary position: Majority

Traverse or move around work location: Occasionally

Use keyboard: Frequently

Operate or use department specific equipment: none

Ascend/Descend equipment or ladder: none

Position self to accomplish the Essential Functions of the role: none

Receive and communicate information and ideas for understanding: Majority

Transport, position, and/or exert force:

Up to 10 pounds: Occasionally

Up to 25 pounds: none

Up to 50 pounds: none

Up to 75 pounds: none

More than 100 pounds: none

Other weight: Up to___ pounds _____

Other: none

The above statements are intended to describe the general nature and level of work being performed by employees in this classification. If you require a reasonable accommodation to perform the essential functions of this position, you must request accommodation in writing, within 182 days after you know or should know of the need for accommodation.

Mary Free Bed is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, age, genetic information, veteran status, disability or other legally protected characteristic.