Inpatient Rehabilitation is a post-acute level of care which operates under the Inpatient Rehabilitation Facility Prospective Payment System (IRF PPS).  The PPS Coordinator is responsible for data collection and timely transmission of the Inpatient Rehab Facility Patient Assessment Instrument (IRF-PAI) in accordance with Centers for Medicare and Medicaid Services.  This individual utilizes specialty knowledge of IRF Medicare rules and regulations to support compliant billing for all cases discharged from the 40-bed inpatient rehabilitation unit at Chelsea Hospital (a joint venture with the University of Michigan Health.)  This PPS Coordinator collaborates with Medical Coding to ensure congruency with rehab coding guidelines and to align the IRF-PAI with the UB-04 claim for proper payment.  

IRF-PAI Data Management

Completes Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI) for each patient admitted and discharged.  Requires coding in accordance with the CMS IRF-PAI Coding manual as well as facility specific guidelines. Ensures data transcription accuracy and presence of supporting documentation in the medical record from physician and clinical staff.

• Responsible for accuracy of IRF-PAI ICD-10-CM coding: assigns all Rehabilitation Impairment Group Categories (IGCs); reviews and modifies etiologic diagnoses and comorbid conditions as needed
• Performs timely documentation queries with the physician, clinical staff and HIM necessary to maximize reimbursement, ensure IRF QRP (Quality Reporting Program) compliance and accuracy, and 60% compliance.
• Adheres to internal workflow timing guidelines as it relates to admission and discharge IRF-PAI coding. 
• Maintains updated and ongoing knowledge of federal regulations concerning the IRF PPS and IRF-PAI to ensure compliance and proper billing, with oversight by the Regulations & Compliance Specialist. 

• Bachelor's degree in a recognized field which is directly related to the duties of the position
• Minimum of 2 years of experience in the analysis, interpretation, and management of patient-related health care data
• Experience working within an electronic medical record including efficient review of clinical documentation
• Minimum of 2-3 years of experience or knowledge in the delivery of patient care needed to perform the duties of the position
• Detail-oriented with strong organizational, analytical, and problem-solving skills 
• Exceptional verbal and written communications skills and the ability to work collaboratively
• Proficiency in computer use, including use of spreadsheets, word processing, internet search, and shared cloud-based files.
• Ability to work well independently as well as effectively with Clinicians, Coding, Billing, Compliance and other staff.

• Clinical background or experience in inpatient rehabilitation administration, coding, billing, or utilization review preferred
• Medical chart auditing experience preferred

This position is fully remote.  Part-time (evenings and weekends); total hours and schedule to be determined upon hiring. 

Positions that are eligible for hybrid or mobile/remote work mode are at the discretion of the hiring department. Work agreements are reviewed annually at a minimum and are subject to change at any time, and for any reason, throughout the course of employment. Learn more about the work modes.

This position reports to the IPR Administrative Manager and is functionally supervised by the Regulations & Compliance Specialist.

Michigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings.  Background screenings are performed in compliance with the Fair Credit Report Act. Pre-employment drug testing applies to all selected candidates, including new or additional faculty and staff appointments, as well as transfers from other U-M campuses.

There is no minimum posting period for temporary positions. This opening may be removed from posting boards and filled at any time.

The University of Michigan is an equal opportunity/affirmative action employer.