Dedicated healthcare professional with a strong background in physical therapy, medical documentation and inpatient rehab coordination. Demonstrates expertise in CMS IRF regulations, interdisciplinary collaboration and pre-admission screening. Adept at functional scoring, diagnosis review and supporting accurate data capture for compliance and reimbursement.
· Reviewed clinical documentation to support accurate coding and compliance with CMS IRF-PAI standards.
· Assisted in identifying rehab qualifying conditions and tier diagnoses to support IRF-PAI reimbursement optimization.
· Consulting with physicians and specialist doctors to determine appropriate level of care.
· Identified opportunities for new business development by assessing market trends, competitor activities and customer needs.