Coordinator-Utilization Review(Clinical Coding)

Posted 2 Days Ago
Be an Early Applicant
Hiring Remotely in Troy, MI, USA
In-Office or Remote
Mid level
Healthtech
The Role
Reviews and assesses patient admissions using clinical judgment, evidence-based screening criteria, established utilization review workflows, and critical thinking to support appropriate care decisions and maximize reimbursement.
Summary Generated by Built In
Company Description

At Henry Ford Health, we're committed to advancing health and improving lives for the millions of people we serve across Michigan and around the world. As one of the nation's leading academic health systems, we provide a comprehensive continuum of care that includes primary and preventive services, specialty and complex care, virtual care, pharmacy, home health, eye care, health insurance, and more. With 12 hospitals and hundreds of ambulatory care locations, including former Ascension Southeast Michigan and Flint Region facilities, our growing network expands access to exceptional care in the communities we serve.

Headquartered in Detroit, Henry Ford Health is helping shape the future of healthcare through the transformative Future of Health: Detroit initiative, a $3 billion investment that is redefining our academic healthcare campus and advancing innovation, research, education, and community impact.

Our work is grounded in purpose, collaboration, and belonging. We empower team members to grow their careers, contribute innovative ideas, and make a meaningful difference every day. Whether you're caring for patients, supporting operations, conducting research, or driving new solutions, you'll be part of a team united by a shared mission: delivering exceptional care, advancing health outcomes, and building healthier communities for all.

Job Description

Under minimal supervision, in accordance with established policies, procedures, guidelines and criteria, regularly exercises clinical judgment in the review and assessment of patient¿s admissions. Utilizes best practice workflows, evidence-based screening criteria and critical thinking to maximize reimbursement.

Qualifications

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

Must live in the State of Michigan

Skills Required

  • RHIT, RHIA, or related coding certification
  • Minimum 3-5 years of clinical experience
  • Previous utilization management or case management experience
  • Must live in the State of Michigan
Am I A Good Fit?
beta
Get Personalized Job Insights.
Our AI-powered fit analysis compares your resume with a job listing so you know if your skills & experience align.

The Company
50,000 Employees
Year Founded: 1915

What We Do

Henry Ford Health is a Detroit-headquartered academic healthcare system serving more than 2 million people across Michigan and beyond. Its integrated offerings include primary, preventive, urgent, specialty, home, and virtual care, health insurance, pharmacy, and eye care. The organization also advances clinical innovation, research, clinical trials, medical education, community health, health equity, and services for vulnerable communities throughout the region.

Similar Jobs

HiBob Logo HiBob

Broker Partner Manager - PST

HR Tech • Information Technology • Professional Services • Sales • Software
Remote or Hybrid
US
1350 Employees
136K-170K Annually

SailPoint Logo SailPoint

Product Manager

Artificial Intelligence • Cloud • Sales • Security • Software • Cybersecurity • Data Privacy
Remote or Hybrid
United States
2461 Employees
122K-206K Annually

Navan Logo Navan

Account Manager

Fintech • Information Technology • Payments • Productivity • Software • Travel • Automation
Easy Apply
Remote or Hybrid
USA
3300 Employees
68K-90K Annually

Samsara Logo Samsara

CX Strategy Manager, AI Transformation

Artificial Intelligence • Cloud • Computer Vision • Hardware • Internet of Things • Software
Easy Apply
Remote or Hybrid
United States
4000 Employees
107K-162K Annually

Similar Companies Hiring

Sailor Health Thumbnail
Healthtech • Social Impact • Telehealth
New York City, NY
20 Employees
Granted Thumbnail
Artificial Intelligence • Healthtech • Insurance • Mobile • Financial Services
New York, New York
23 Employees
OneImaging Thumbnail
Healthtech
Miami, FL
62 Employees

Sign up now Access later

Create Free Account

Please log in or sign up to report this job.

Create Free Account