What are the responsibilities and job description for the Compliance RN Coordinator position at Northshore Home Health Care?
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 include reviewing admissions for medical necessity, monitoring documentation, coordinating team conferences, educating staff, managing denials, and tracking data to support quality care and financial integrity.
Additionally, the role involves auditing patient records, ensuring documentation aligns with federal and state regulations, and maintaining compliance with accreditation standards such as CARF and CMS.
Effective communication with physicians, ancillary departments, and payors is essential to resolve issues and optimize reimbursement outcomes.
The coordinator participates in policy implementation, attends meetings, and contributes to a positive team environment.
Qualifications include a minimum of two years of clinical experience, knowledge of JCAHO and regulatory requirements, and a degree in nursing or a related healthcare field. Skills in communication, advanced computer literacy, and familiarity with healthcare compliance are required.
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 include reviewing admissions for medical necessity, monitoring documentation, coordinating team conferences, educating staff, managing denials, and tracking data to support quality care and financial integrity.
Additionally, the role involves auditing patient records, ensuring documentation aligns with federal and state regulations, and maintaining compliance with accreditation standards such as CARF and CMS.
Effective communication with physicians, ancillary departments, and payors is essential to resolve issues and optimize reimbursement outcomes.
The coordinator participates in policy implementation, attends meetings, and contributes to a positive team environment.
Qualifications include a minimum of two years of clinical experience, knowledge of JCAHO and regulatory requirements, and a degree in nursing or a related healthcare field. Skills in communication, advanced computer literacy, and familiarity with healthcare compliance are required.