Compliance RN Coordinator
Northshore Home Health Care · Meridian, MS · Yesterday
On-siteHealthcareFull-time
Role Overview
The IRF-PAI Compliance Coordinator, RN ensures accurate completion of IRF-PAI assessments, compliance with Medicare and regulatory standards, and proper reimbursement in an Inpatient Rehab setting.
Responsibilities
- Reviewing admissions for medical necessity
- Monitoring documentation
- Coordinating team conferences
- Educating staff
- Managing denials
- Tracking data to support quality care and financial integrity
- Auditing patient records
- Ensuring documentation aligns with federal and state regulations
- Maintaining compliance with accreditation standards such as CARF and CMS
- Communicating effectively with physicians, ancillary departments, and payors to resolve issues and optimize reimbursement outcomes
- Participating in policy implementation
- Attending meetings
- Contributing to a positive team environment
Qualifications
- Minimum of two years of clinical experience
- Knowledge of JCAHO and regulatory requirements
- Degree in nursing or a related healthcare field
Skills
- Communication
- Advanced computer literacy
- Familiarity with healthcare compliance