Clinical Coding & Utilization Review Specialist

Henry Ford Health; Troy (MI); On-site; USD 65,000 - 93,000; Full time

Job summary

Henry Ford Health in Michigan is seeking an experienced Health Information Management reviewer to assist admissions decisions, applying clinical judgment under supervision and aligning with policy.

You will leverage evidence-based screening criteria and best-practice workflows to maximize reimbursement; prior utilization or case management experience is valued. Must reside in Michigan.

Qualifications

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

Responsibilities

• Review and assess patient admissions under minimal supervision.
• Apply evidence-based screening criteria to maximize reimbursement.
• Utilize best practice workflows and critical thinking to support decisions.

Skills

Clinical judgment

Critical thinking

Reimbursement review

Education

RHIT/RHIA certification

3-5 years clinical experience

Job description

Henry Ford Health in Michigan is seeking an experienced Health Information Management reviewer to assist admissions decisions, applying clinical judgment under supervision and aligning with policy.

You will leverage evidence-based screening criteria and best-practice workflows to maximize reimbursement; prior utilization or case management experience is valued. Must reside in Michigan.