... credentialing for QI scoring. Review medical record documentation using the medical record ... UDSMR PPS Certification within 3 years. 3+ years of experience in the care of patients in the acute ...
... credentialing for QI scoring. Review medical record documentation using the medical record ... UDSMR PPS Certification within 3 years. 3+ years of experience in the care of patients in the acute ...
Full-time School Psychologist - 26/27
$42.88 - $72.88/hr
Review assessment results and provide recommendations to support student academic, behavioral, and ... Active Pupil Personnel Services (PPS) Credential in School Psychology required. Strong assessment ...
New
Quick apply
Full-time School Psychologist - 26/27
$42.88 - $72.88/hr
Review assessment results and provide recommendations to support student academic, behavioral, and ... Active Pupil Personnel Services (PPS) Credential in School Psychology required. Strong assessment ...
New
School Psychologist in Santa Clara, CA
$42.88 - $72.88/hr
Active School Psychologist credential (California PPS Credential) * Previous experience with school-aged children in educational settings preferred * Expertise in conducting evaluations, initial ...
Quick apply
School Psychologist in Santa Clara, CA
$42.88 - $72.88/hr
Active School Psychologist credential (California PPS Credential) * Previous experience with school-aged children in educational settings preferred * Expertise in conducting evaluations, initial ...
VP of Revenue Cycle
Springfield, MA · On-site
$105K - $150K/yr
Credentialing Coordination & Denial Mitigation Principal Responsibilities and Duties: Payer ... PPS, Medicaid ACOs, and state-specific billing regulations. * Review and validate quarterly ...
VP of Revenue Cycle
Springfield, MA · On-site
$105K - $150K/yr
Credentialing Coordination & Denial Mitigation Principal Responsibilities and Duties: Payer ... PPS, Medicaid ACOs, and state-specific billing regulations. * Review and validate quarterly ...
Credentialing Coordination & Denial Mitigation Principal Responsibilities and Duties: Payer ... PPS, Medicaid ACOs, and state-specific billing regulations. * Review and validate quarterly ...
Quick apply
Credentialing Coordination & Denial Mitigation Principal Responsibilities and Duties: Payer ... PPS, Medicaid ACOs, and state-specific billing regulations. * Review and validate quarterly ...
... Review students' neuropsychological testing to ensure a holistic, supportive, and strength-based ... PPS (Pupil Personnel Services Credential in School Counseling or School Social Work), LCSW ...
... Review students' neuropsychological testing to ensure a holistic, supportive, and strength-based ... PPS (Pupil Personnel Services Credential in School Counseling or School Social Work), LCSW ...
The 49-credit program meets all requirements for California PPS Credential eligibility, allowing ... Several competencies will be reviewed including collaborative consultation, curricular planning ...
The 49-credit program meets all requirements for California PPS Credential eligibility, allowing ... Several competencies will be reviewed including collaborative consultation, curricular planning ...
Billing Specialist
$18.75 - $25.25/hr
Key Responsibilities • Prepare and submit accurate claims for home health PPS/RAPs/Final Claims ... Review Explanation of Benefits EOBs and Remittance Advices RAs; post payments and adjustments ...
Billing Specialist
$18.75 - $25.25/hr
Key Responsibilities • Prepare and submit accurate claims for home health PPS/RAPs/Final Claims ... Review Explanation of Benefits EOBs and Remittance Advices RAs; post payments and adjustments ...
Medicaid Prospective Payment System (PPS) * Managed Medicaid Plans * Medicare Advantage Plans ... Provider Enrollment and Credentialing Support * Collaborate with Credentialing and Provider ...
Medicaid Prospective Payment System (PPS) * Managed Medicaid Plans * Medicare Advantage Plans ... Provider Enrollment and Credentialing Support * Collaborate with Credentialing and Provider ...
Senior Director of Revenue Cycle
Oak Park, IL · On-site
$94K - $125K/yr
Medicaid Prospective Payment System (PPS) * Managed Medicaid Plans * Medicare Advantage Plans ... Provider Enrollment and Credentialing Support * Collaborate with Credentialing and Provider ...
Senior Director of Revenue Cycle
Oak Park, IL · On-site
$94K - $125K/yr
Medicaid Prospective Payment System (PPS) * Managed Medicaid Plans * Medicare Advantage Plans ... Provider Enrollment and Credentialing Support * Collaborate with Credentialing and Provider ...
Billing Specialist
$18.75 - $25.25/hr
Prepare and submit accurate claims for home health (PPS/RAPs/Final Claims) and hospice services ... Review Explanation of Benefits (EOBs) and Remittance Advices (RAs); post payments and adjustments ...
Billing Specialist
$18.75 - $25.25/hr
Prepare and submit accurate claims for home health (PPS/RAPs/Final Claims) and hospice services ... Review Explanation of Benefits (EOBs) and Remittance Advices (RAs); post payments and adjustments ...
The 49-credit program meets all requirements for California PPS Credential eligibility, allowing ... Several competencies will be reviewed including collaborative consultation, curricular planning ...
The 49-credit program meets all requirements for California PPS Credential eligibility, allowing ... Several competencies will be reviewed including collaborative consultation, curricular planning ...
Adjunct Faculty, Short-term, Part-time
Redlands, CA · On-site
$21.18 - $23.82/hr
First Review of Applications: September 16, 2023 The School of Education, University of Redlands ... School Counselor Preparation (Pupil Personnel Services (PPS) credential required). * Clinical ...
Adjunct Faculty, Short-term, Part-time
Redlands, CA · On-site
$21.18 - $23.82/hr
First Review of Applications: September 16, 2023 The School of Education, University of Redlands ... School Counselor Preparation (Pupil Personnel Services (PPS) credential required). * Clinical ...
Medical Records Manager
Horseheads, NY · On-site
$27 - $28/hr
Ensure PPS and Medicare certifications are completed and signed within required guidelines ... Complete and maintain credentialing for MDs, NPs, and PAs * Coordinate scheduled provider visits in ...
Quick apply
Medical Records Manager
Horseheads, NY · On-site
$27 - $28/hr
Ensure PPS and Medicare certifications are completed and signed within required guidelines ... Complete and maintain credentialing for MDs, NPs, and PAs * Coordinate scheduled provider visits in ...
Adjunct Faculty, Short-term, Part-time
$21.18 - $23.82/hr
First Review of Applications: September 16, 2023 The School of Education, University of Redlands ... School Counselor Preparation (Pupil Personnel Services (PPS) credential required). * Clinical ...
Adjunct Faculty, Short-term, Part-time
$21.18 - $23.82/hr
First Review of Applications: September 16, 2023 The School of Education, University of Redlands ... School Counselor Preparation (Pupil Personnel Services (PPS) credential required). * Clinical ...
Medical Records Manager
$27 - $28/hr
Ensure PPS and Medicare certifications are completed and signed within required guidelines ... Complete and maintain credentialing for MDs, NPs, and PAs * Coordinate scheduled provider visits in ...
Quick apply
Medical Records Manager
$27 - $28/hr
Ensure PPS and Medicare certifications are completed and signed within required guidelines ... Complete and maintain credentialing for MDs, NPs, and PAs * Coordinate scheduled provider visits in ...
REHAB REFERRAL COORDINATOR - REHAB
Wausau, WI · On-site
$19.25 - $25.25/hr
... who reviews patient referrals to the Rehab Unit, both in-house and from outside facilities ... FIM (Functional Improvement Measurement) credentialed. PPS certification desired. * Current ...
REHAB REFERRAL COORDINATOR - REHAB
Wausau, WI · On-site
$19.25 - $25.25/hr
... who reviews patient referrals to the Rehab Unit, both in-house and from outside facilities ... FIM (Functional Improvement Measurement) credentialed. PPS certification desired. * Current ...
School Psychologist (Bilingual Spanish and English)
San Jose, CA · On-site
$85K - $120K/yr
Receives and reviews available developmental information from school and outside resources about ... Pupil Personnel Services (PPS) Credential * Commitment to working with students from educationally ...
School Psychologist (Bilingual Spanish and English)
San Jose, CA · On-site
$85K - $120K/yr
Receives and reviews available developmental information from school and outside resources about ... Pupil Personnel Services (PPS) Credential * Commitment to working with students from educationally ...
Receives and reviews available developmental information from school and outside resources about ... Pupil Personnel Services (PPS) Credential * Commitment to working with students from educationally ...
Receives and reviews available developmental information from school and outside resources about ... Pupil Personnel Services (PPS) Credential * Commitment to working with students from educationally ...
2026-27 School Psychologist
Novato, CA · On-site
$93K - $143K/yr
... PPS) Credential in Psychology. Novato is a suburb located in north Marin County, with a population ... Note that your candidacy will be reviewed for attention to instruction, spelling, grammar, and ...
2026-27 School Psychologist
Novato, CA · On-site
$93K - $143K/yr
... PPS) Credential in Psychology. Novato is a suburb located in north Marin County, with a population ... Note that your candidacy will be reviewed for attention to instruction, spelling, grammar, and ...
Pps Credentialing Reviews information
See salary details
$13.70 - $16
2% of jobs
$16 - $18.29
13% of jobs
$19.44 is the 25th percentile. Wages below this are outliers.
$18.29 - $20.59
20% of jobs
The median wage is $22.59 / hr.
$20.59 - $22.88
17% of jobs
$22.88 - $25.17
15% of jobs
$26.90 is the 75th percentile. Wages above this are outliers.
$25.17 - $27.47
11% of jobs
$27.47 - $29.76
10% of jobs
$29.76 - $32.06
5% of jobs
$32.06 - $34.35
3% of jobs
$34.35 - $36.65
3% of jobs
$36.65 - $38.94
1% of jobs
$13
$24
$38
How much do pps credentialing reviews jobs pay per hour?
What are the key skills and qualifications needed to thrive in PPS Credentialing Reviews, and why are they important?
What are some common challenges faced in a PPS Credentialing Reviews role and how can they be managed?
What are PPS Credentialing Reviews?
What is the difference between Pps Credentialing Reviews vs Medical Credentialing Specialists?
| Aspect | Pps Credentialing Reviews | Medical Credentialing Specialists |
|---|---|---|
| Primary Focus | Reviewing provider credentials for insurance networks | Managing overall provider credentialing and enrollment |
| Work Environment | Healthcare organizations, insurance companies | Hospitals, clinics, healthcare administration firms |
| Required Certifications | Credentialing review experience, knowledge of insurance policies | Credentialing certifications, healthcare administration background |
While both roles involve credentialing processes, Pps Credentialing Reviews primarily focus on evaluating provider credentials for insurance purposes, whereas Medical Credentialing Specialists handle the broader credentialing and enrollment tasks within healthcare organizations. Understanding these differences helps employers and professionals target the right skills and responsibilities in the healthcare credentialing field.

LifePoint Health rating
6.0
Based on 265 frontline employees who took The Breakroom Quiz
746th of 886 rated healthcare providers
Job description
Title: PPS Coordinator (RN, PT, OT, or SLP)
Job Type: Full time
Your experience matters!
At Rehabilitation Institute of South San Antonio, we are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. Here, you're not just valued as an employee, but as a person.
The Rehabilitation Institute of South San Antonio is a 36-bed inpatient acute rehabilitation hospital located at 12011 SE Loop 410 Access Road in San Antonio, Texas. It's designed for individuals recovering from serious injuries or illnesses that have affected their ability to function independently.
This state-of-the-art facility provides intensive, patient-focused rehabilitation services, including physical, occupational, and speech therapy. It specializes in helping patients regain mobility, strength, and independence after events like strokes, traumatic injuries, or surgeries.
As a PPS Coordinator joining our team, you're embracing a vital mission dedicated to making communities healthier. Join us on this meaningful journey where your skills, compassion, and dedication will make a remarkable difference in the lives of those we serve.
How you'll contribute
The PPS Coordinator provides coordination of the timely and accurate data completion of the Inpatient Rehabilitation Facility-Patient Assessment Instrument (IRF-PAI) for each rehabilitation inpatient. This individual collects, reviews and monitors the information contained in the IRF-PAI, on each patient to ensure accuracy in the scoring of functional status and reflection status and reflection of the patient's care needs, as documented in the medical record and the UDS Pro-Doc system, in collaboration with the interdisciplinary team. This position will assist in the ongoing monitoring of identified outcome benchmarks for the inpatient population. The PPS Coordinator has access to confidential patient information and maintains all confidentiality of all information.
ESSENTIAL FUNCTIONS:
Job Specific:
Responsible for staff orientation and ongoing education to improve QI score accuracy at admission, throughout the stay and upon discharge. Serves as educator for Quality Indicators (QI) scoring according to Uniform Data System (UDS) training materials.
Serves as a resource to licensed clinicians and clinical staff regarding questions and interpretation of QI scoring guidelines, according to UDS training guidelines, in order to assure the accuracy of the QI scores.
Provides ongoing education to the staff of the hospital to assure accurate and timely completion of the IRF-PAI.
Responsible for staff orientation and ongoing education and facilitate biannual UDSMR staff credentialing for QI scoring.
Review medical record documentation using the medical record including UDS Pro-Doc system to support the accuracy and timeliness of the functional scores and comorbid conditions, according to CMS guidelines.
Ensures that the IRF-PAI is consistent with the medical record documentation and reflects the functional status and 24 hour care needs of the patient.
Collaborates with physicians and interdisciplinary team members to ensure the most accurate assessment of the needs and strengths of patients are captured in the UDS Pro-Doc system and in the medical record.
Review current facility clinical documentation in the medical record and UDS Pro-Doc and evaluate accuracy through the use of QI Manager.
Compares actual knowledge of the patient to care provided to the patient and the information contained on the IRF-PAI. Makes appropriate corrections to the IRF-PAI in collaboration with the interdisciplinary team in order to accurately reflect the burden of care upon admission, throughout the stay and upon discharge.
Investigates the Impairment Group Codes IGC and co-morbidities in collaborative manner with the physicians and coders that would allow for accurate coding of the patient's stay.
Oversees/completes and analyzes and QI data ensuring the accuracy and the completion of the Inpatient Rehabilitation Facility-Patient Assessment Instrument (IRF-PAI) according to CMS guidelines and prior to electronic transmission.
Reviews the medical record documentation to ensure accuracy and to support the correct Case Mix Group (CMG) assignments
Identifies target reference dates for the completion of the IRF-PAI for all patients.
Coordinates the completion of the admission assessment of the IRF-PAI by the fourth day of the patient's stay and the third day following discharge for each inpatient rehabilitation patient. May require discussions/interactions with various staff members concerning differences in reported and/or medical record documentation of functional status to complete the PAI. Uploads QI scores in UDS Pro-Doc necessary to complete the IRF -PAI.
Coordinates and collaborates with HIM department to ensure timely completion and transmittal of the IRF-PAI to CMS national database.
Maintains current knowledge of the UDS Pro-Doc system and CMS IRF-PAI software and provides expertise on the software within the inpatient rehab setting and contributes to facility process improvement plans.
Maintains updated and ongoing knowledge of the regulations concerning the IRF-PAI and its completion within the inpatient rehab setting.
Has working knowledge of capabilities of UDS Pro-Doc, including various reports and how to access and use.
Has working knowledge of UDS Pro-central, including various reports and how to access, interpret and use.
Serves as an information source and educator to IRF-PAI and UDS users.
Periodically performs medical record audits including audits of the IRF-PAI instrument, clinical documentation and billing information to ensure accuracy and consistency of documentation.
Demonstrates effective critical thinking skills
Other duties as assigned.
Qualifications and requirements:
Graduation from an accredited Bachelors of Science in Nursing, Associate Degree in Nursing or Nursing Diploma program or Licensed/Registered PT, OT, SLP
Current unrestricted state licensure as Registered Nurse (preferred) or PT, OT, SLP.
CRRN preferred
CPR/BCLS certification.
UDSMR PPS Certification within 3 years.
3+ years of experience in the care of patients in the acute hospital or rehabilitation setting preferred.
Excellent oral and written communication and interpersonal skills.
About us
Rehabilitation Institute of South San Antonio is located in San Antonio, TX, and is part of Lifepoint Health, a diversified healthcare delivery network committed to making communities healthier with acute care, rehabilitation, and behavioral health facilities from coast to coast. From your first day to your next career milestone-your experience matters.
EEOC Statement
"Rehabilitation Institute of South San Antonio is an Equal Opportunity Employer. Rehabilitation Institute of South San Antonio is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment."
Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country.We employ and provide care to people from all walks of life. We are committed to promoting healing, providing hope, preserving dignity and producing value with an inclusive workforce in which diversity is leveraged, respected, and reflective of the patients, family members, customers and team members we serve.What LifePoint Health employees say
Pay
Benefits
Hours and flexibility
Workplace
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About LifePoint Health
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Lifepoint Health serves patients, clinicians, communities and partners across the healthcare continuum. Our diversified healthcare delivery network extends from coast to coast, consisting of community hospitals, rehabilitation and behavioral health hospitals, and additional sites of care.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Brentwood, TN, US
Year founded
1999