Coordinator-Utilization Review(Clinical Coding)/Full Time/Remote
Populance
Job Title
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 8:30am 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.
- ...Chart ReviewerIn this position you will be reviewing patient charts to determine if pre-... ...and Experience:RHIT, RHIA, or related coding certification required.Minimum 3-5 years of clinical experience preferred.Previous utilization management or case management experience...Full timeRemote workMonday to Friday
- ...To support clinical staff in a collaborative environment, the full-time Utilization Review Coordinator will assign utilization review requests, verify... ...to inquiries while working remotely. Key responsibilities... ...terminology, including ICD9 and CPT coding Proficiency in Microsoft...Full timeRemote workWork at office
$20 - $25 per hour
...Job Title: Utilization Review Coordinator Reports To: Revenue Cycle Management... ...Location: Remote FLSA Status: Temporary... ...correspondence, clinical documentation coordination... ...necessary to support timely authorization of... ...organizational information. FULL-TIME BENEFITS INCLUDE...Full timeRemote workTemporary workMonday to Friday- ...Supporting the Utilization Management Team, the full-time Coordinator, UM Intake (Fax Admin) will manage... ...the efficient intake, review, and processing of documents while working remotely and adhering to a schedule... ...knowledge of medical coding systems, including CPT/HCPCS...Full timeRemote work
- ...Utilization Review Coordinator Admin 3 - Idaho Falls, ID 83404 Position Type Part Time Job Shift Any Education Level High School... ...our 29 affiliate clinics are committed to... ...eligibility according to full-time, part-time or... ...or equivalent. Coding certificate completion...Full timePart timeReliefShift work
- ...As a member of the Utilization Management Team, the UR Coordinator helps establish and... ...hospital’s utilization review plan and aim to... ...Vision Insurance Paid Time Off (vacation,... ...eligibility according to full‑time, part‑time or... ...or equivalent. Coding certificate completion...Full timePart timeRelief
- ...and claims submission, and utilization review, we help treatment centers optimize... ...and expedited appeals in a timely manner to ensure continuous... ...care companies.Utilize clinical information and knowledge of... ...desk and working on a computer.Remote PositionBenefits:•...Remote workHourly payWork at office
$18 - $20 per hour
...Utilization Review Coordinator PRIMARY PURPOSE: To assign utilization... ...provide general support to clinical staff in a team... ...Knowledge of ICD9 and CPT coding Excellent oral and... ...weeks PTO your first full year. NEXT... ...the position at any time. Sedgwick is an...Remote workWork at officeLocal areaFlexible hours- ...Experience Required Exp with Utilization Review, Medical Audit/Review or QI preferred License... ...Description The Utilization Review Coordinator is responsible for ensuring the... ...False Place of Work On-site Requisition ID URC Job Type Full Time...Full timeApprenticeshipShift work
$25.66 - $28.9 per hour
..., bookkeeping, financial spreadsheets, utilization review or other similar electronic processes.... ...documents and information. Effectively manage time to meet operational needs and desired... .... Regular attendance is mandatory. Remote / flexible work location eligible up to...Remote workWork at officeLocal areaFlexible hours- ...Universal Health Services, Inc. Pembroke Hospital in Pembroke, MA is seeking a full-time Utilization Review Coordinator to ensure timely authorization for continued treatment across payer types. The role collaborates with a multidisciplinary team to meet payer criteria...Full time
- ...Citizens Health is recruiting a Utilization Review Coordinator to work full-time in our hospital. Our Mission: Enhancing the lives of those we serve... ...Center for Health Care - an outpatient rural health clinic Prairie Senior - a skilled nursing facility...Full timePart timeWork at officeFlexible hoursShift workWeekend work
$60k - $69k
...Utilization Review (UR) CoordinatorChicago Behavioral Hospital... ...Salary/year Position Type Full TimeDescriptionJOIN... ...A UTILIZATION REVIEW COORDINATOR!Schedule: Monday - Friday... ...(3) years direct clinical experience in a psychiatric... ...insurancePaid time offPaid holidaysCafeteria...Full timeMonday to FridayFlexible hours- ...Responsibilities Utilization Review (UR) Coordinator Position: Full-Time Shift: Daytime For over 60 years, Calvary Healing Center has provided a full continuum... ...outpatient program (IOP). We also have a satellite clinic offering Intensive Outpatient Programs in the West...Full timeLocal areaShift work
- ...Responsibilities Full Time Utilization Review Coordinator Needed! Springwoods Behavioral Health , an 80-bed behavioral health facility located in Fayetteville... .... The UM Coordinator will achieve the goals of clinical, financial and utilization as set forth in the UM plan...Full timeLocal area
$24.77 - $28.25 per hour
...corporate team! Responsibilities The Utilization Review Coordinator is responsible for the assisting with... ...includes, but is not limited to, paid time off, a 401K retirement plan, medical,... ...licensure. Employment Status Full Time Shift Days Equal Employment...Full timeWork at officeLocal areaShift work- ...Brentwood Behavioral Healthcare, located in Flowood, Mississippi, is seeking a dynamic Utilization Review Coordinator to join our team. This on-site, full-time role runs Monday through Friday from 8:00 AM to 4:30 PM, serving adults, children and adolescents with comprehensive...Full timeMonday to Friday
- ...Job Type Full-time Description JOB SUMMARY: Manages the administrative components of utilization review for all levels of care and all payers. Serves... ...required timeframes. This is a non-clinical position: the UR Coordinator does not determine medical...Full timeFor contractorsWork at office
- ...Recovery Center is Now Hiring: Utilization Review Specialists Avenues... ...by our people and a strong clinical model that has helped transform... ...integrity, and continued stay coordination across our network.... ...office - New Jersey Schedule: Full-time The Utilization Review Specialist...Full timeTemporary workWork at officeImmediate startFlexible hours
$92.4k - $138.6k
...looking for a Utilization Review Manager based... ...is a strategic clinical leadership role... ..., care coordination, clinical documentation, coding, and revenue cycle... ...compliance. This remote opportunity is... ...and make timely decisions.... ...Benefits Full-time, remote position...Full timeRemote workTemporary work$20 per hour
...continued stay and discharge reviews on all managed care... ...funding. • Attend clinical staffing to obtain... ...information to ensure full financial coverage for... ...referral source(s) with timely information to ensure... ...years' experience in Utilization Review or related position...Full timeWork at officeLocal areaFlexible hours- ...Responsibilities Utilization Review Coordinator Opportunity - Fuller Hospital is a 109-bed licensed, private psychiatric facility located in South... ...advocate and a representative of the hospital. This is a full time, 40 hour per week position. Responsibilities Thoroughly...Full timeLocal area
- Remedial Pro seeks a utilization review professional to monitor adherence to the facility’s utilization plan and ensure appropriate admissions and stays. You will handle initial and concurrent reviews, collaborating with insurers and healthcare partners to communicate...Remote job
- ...Healing Center, part of Universal Health Services, is seeking a Utilization Review (UR) Coordinator for a full-time daytime shift in Phoenix. The UR Coordinator will manage treatment activities, perform clinical screenings on admissions, and establish treatment plans while...Full timeDay shift
$73.76k - $93.68k
The State of New York is hiring a Utilization Review Coordinator for the NY HELPS program at the NYC Children... ...’s Center - Bronx Campus. This full-time role supports care coordination and... ...review of patient utilization in a busy clinical setting within the State’s mental...Full timePermanent employmentWork at office- ...hospital is seeking a PRN Utilization Review Coordinator. This position is responsible... ...help patients access the full range of their benefits through... .... Prefer two years clinical experience in a facility with... ...orientation required. Full-time employees are eligible for...Full timeRelief
- Aurora Behavioral Health System Arizona is seeking a full-time Utilization Review Coordinator to join its dedicated team in Tempe, AZ. This role does not require an RN license and involves monitoring hospital utilization, improving patient outcomes, and conducting reviews...Full time
- ...A peer review organization is seeking a full-time remote Utilization Management Physician Reviewer. Ideal candidates must hold an MD, DO, or DPM degree with active... ...with management and providing guidance on clinical questions. This is a unique opportunity to work from...Full timeRemote workWork from home
$46.44 - $59.42 per hour
Utilization Review Coordinator Department: BGMC Utilization Review Location: Buffalo... ...US:NY:Buffalo Work Type: Full-Time Scheduled Work Hours: 8a-4... ...resources to meet quality, clinical and cost outcomes working... ...Arrangement: Onsite Union Code: U06 CWA 1168 BGH RN...Full timeBi-weekly payWork at officeShift workWeekend work- ...Utilization Review Coordinator Opportunity This is a full time position, working 40 hours per week. Pembroke Hospital is a 120-bed acute care, inpatient behavioral... ..., through coordination of patient care, daily clinical reviews, quality documentation, appeals, and...Full timeWork at officeLocal area
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