University of Utah Health · 20 hours ago
Prospective Payment Coordinator
Salt Lake City, UT
Full-time
Onsite
Mid LevelUniversity of Utah Health is a patient-focused organization dedicated to enhancing health and well-being through patient care, research, and education. The Prospective Payment Coordinator oversees data collection for the Inpatient Rehab Facility-Patient Assessment Instrument, ensuring accurate documentation and coding in compliance with CMS guidelines.
Health CareHigher EducationTechnical SupportTraining
Responsibilities
Provides concurrent review of medical records to ensure documentation meets quality standards and includes an accurate reflection of the patient's status
Facilitates modifications to clinical documentation through extensive concurrent interactions with physicians, therapists, nursing staff and coding to support appropriate reimbursement and ensure clinical severity is captured
Supports timely, accurate, and complete documentation of clinical information used for measuring and reporting provider and hospital outcomes
Identifies opportunities where additional provider documentation is required to thoroughly and accurately assign Etiological Diagnosis, Impairment Group, CMG and complete IRF-PAI
Coordinates and performs timely abstraction of required data elements
Performs data entry and submission of IRF-PAI data to Uniform Data Systems (UDS) and MedTel
Provides Case Mix Group (CMG) date to rehabilitation staff
Works collaboratively with providers, nurses, therapists, coding, and CDI staff
Provides coordination of all clinical documentation for submission to CMS
Serves as a liaison with contracted data resources
Ensures adherence to Health Information Coding policies and Official Coding Guidelines as published by CMS and Cooperating Parties, as demonstrated by completion of AHA Coding Clinic quizzes, educational material as assigned, and other in-services scheduled by Coding Leadership
Oversight of staff education and certification for FIM training
Qualification
Required
Bachelor's Degree in Health Care Administration, Health Science, a related field, or the equivalency
Preferred
Current license to practice as a Registered Nurse or Occupational Therapist, Physical Therapist in the State of Utah, or obtain one within 30 days of hire under the interstate compact
Experience with acute rehab coding, FIM scoring, ICG, CMG
Clinical Documentation Improvement (CDI) experience
Company
University of Utah Health
University of Utah Health is the Intermountain West’s only academic health care system, combining excellence in patient care, the latest in medical research, and teaching to provide leading-edge medicine in a caring and personal setting.
Founded in 1965
10001+ employees
Funding
Current Stage
Late StageTotal Funding
$15MKey Investors
Kahlert Foundation
2022-11-03Grant· $15M
Leadership Team
Michael L. Good, MD, FNAI
Chief Executive Officer
Pilar Varela, MSML
Director, Operations & Logistics for CEO of the Health System & SVP for Health Sciences
Recent News
2025-03-18
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