Coordinator-Utilization Review(Clinical Coding)/Full Time/Remote
Populance
Job TitleIn 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 weekendsEducation 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.
Vacancy posted 4 days ago
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...immediate opening for a Utilization Management Coordinator. This key position is a remote office position and... ...Coordinator provides clinical expertise in mental health... ...include clinical review of requests for services... ...dependents ~22 Paid Time Off Days and 10 paid Holidays...Full timeRemote workContract workTemporary workFor contractorsWork at officeImmediate startFlexible hours$40.04k - $60.01k
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...Monument Team! Monument is a full-service Real Estate... ...firms. Monument’s remote workplace model has been... ...Position Summary The Utility Coordinator plays a key role in... ...related project records. Review utility company plans,... ...hours (Pacific Time) and be available for...Full timeRemote workFor contractorsWork at officeLocal areaRelocation- ...Cascade Mountains, is looking for a full time Utilization Review Coordinator . Job Summary: The... ...and denials, and promotes complete clinical documentation. The coordinator works... ...Clinical Social Work, registration, coding, billing, compliance, and Quality to...Full timeMonday to FridayShift work
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...Humana is seeking a Utilization Management (UM) Coordinator to join the... ...will provide non-clinical support for the... ...member for clinical review. Multi- tasking... ...is defined as remote but will use Humana... ...Standard Time (CST) Work at Home... ...starting base pay for full time (40 hours...Full timeRemote workWeekly payTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to FridayHumana
Madison, WI4 days ago$27 - $30 per hour
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Minneapolis, MN2 days ago- ...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
Central Montana Medical Center
Lewistown, MT5 days ago $37.44k - $41.6k
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Citizens Health
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Canopy
Jackson, MS3 days ago $24 - $26 per hour
...Job Type Full-time Description Utilization Review Coordinator Canaan, CT About the Position: The Utilization Review position focuses... ...with insurance providers, reviewing clinical documentation, and collaborating with treatment...Full timeHourly payMountainside Treatment Center
Canaan, CT4 days ago$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 hoursPyramid Healthcare
Allentown, PA2 days ago$46.44 - $59.42 per week
...Utilization Review CoordinatorUS:NY:Buffalo | Nursing | Full-TimePosted On September 16, 2026Utilization... ...Work Type: Full-Time Scheduled Work... ...responsible for coordinating utilization... ...to meet quality, clinical and cost outcomes... ...Arrangement: Onsite Union Code: U06 - CWA 1168...Full timeBi-weekly payWork at officeShift workWeekend workKaleida Health
Buffalo, NY1 day ago$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,... ...credentials and licensure. Employment Status Full Time Shift Days Equal Employment...Full timeWork at officeLocal areaShift workTalentify.io
Ontario, CA1 day ago- ...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
ExamWorks
United States4 days ago - 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
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Utilization Management Coordinator - Casual# Careers## Utilization Management... ...- CasualApply: Remote: Full time: Posted 5 Days Ago:... ...to authorizations.* Review authorization... ...telephone for missing clinical documentation necessary... ..., HCPCS, and ICD coding required. The Compensation...Full timeRemote workCasual workWork at officeLocal areaFlexible hours- ...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
$84k - $126k
...healthcare. The Virtual Utilization Review Supervisor is a... ..., quality, and clinical performance of... ...care givers, and coding professionals to... ...physician advisor in a timely manner.... ...DENIAL MANAGEMENT: Coordinates the appeal process... ...hire #LI-LS1 #LI-REMOTE Join an award-...Full timeRemote workWork at officeLocal area$46 - $59 per hour
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$95.2k - $130.9k
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Nashville, TN3 days ago
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