Coordinator-Utilization Review(Clinical Coding)

Henry Ford Health; Troy (MI); On-site; USD 70,000 - 90,000; Full time

Job summary

Henry Ford Health seeks a qualified reviewer to support utilization management by assessing patient admissions. You will apply evidence-based criteria to ensure accurate coding and optimal reimbursement with minimal supervision.

The ideal candidate holds RHIT or RHIA certification, has 3–5 years of clinical experience, and is familiar with case or utilization management. Michigan residency is required for this on-site opportunity.

Qualifications

• Must hold RHIT, RHIA, or related coding certification.
• 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 criteria to maximize appropriate reimbursement.
• Utilize best practice workflows and critical thinking in daily reviews.

Skills

Clinical judgement

Utilization management

Education

RHIT/RHIA or related coding certification

Job description

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