Coordinator-Utilization Review(Clinical Coding)/Full Time/Remote

In this position you will be reviewing patient charts to determine if pre-elective surgical cases should be boarded as inpatient instead of outpatient. You will also review the CPTs that were boarded for meeting inpatient on the CMS inpatient list and the InterQual inpatient list based on payer criteria used.

Hours are Monday - Friday from 830am until 5pm with no weekends

EDUCATION AND EXPERIENCE:

• RHIT, RHIA, or related coding certification required.
• Minimum 3-5 years of clinical experience preferred.
• Previous utilization management or case management experience preferred.

CERTIFICATIONS/LICENSURES REQUIRED:

• RHIT, RHIA, or related coding certification required.

Additional Information

• Organization: Corporate Services
• Department: Central Utilization Mgt
• Shift: Day Job
• Union Code: Not Applicable