Remote Inpatient UM Coordinator — Weekend Shifts

Alignment Healthcare USA, LLC in; Orange (CA); Remote; USD 41,000 - 62,000; Part time

Job summary

Alignment Health is seeking a remote part-time weekend UM Coordinator (inpatient) to support census management, records retrieval, and discharge planning while collaborating with CM leadership. The role requires Saturday/Sunday availability, plus four weeks of weekday training within Pacific Time hours.

Responsibilities include obtaining medical records, attaching docs to authorizations, and entering referrals in the system using ICD-10 and CPT codes.

Qualifications

• Inpatient concurrent review experience required.
• Experience with census and admission management.
• Experience in discharge planning.
• Experience entering referrals and prior authorizations.
• Experience with Medicare Advantage.
• Knowledge of ICD10 and CPT codes.
• Knowledge of Medicare, HMO, MMO, managed care plans.
• Computer proficient; Medical assistant experience preferred.
• Knowledge working in Access Express / Portal, Epic preferred.

Responsibilities

• Assist team with daily census by entering face sheets for hospitals and SNF.
• Obtain medical records from hospitals and SNF’s.
• Attach medical records to authorizations.
• Enter referral requests / authorizations in system using ICD 10 and CPT coding.
• Monitor fax folders.
• Complete and document tasks as assigned by nurse.
• Maintain documentation on facilities contacted.
• Assist with maintaining and updating member’s records.
• Assist with mailing or faxing correspondence to facilities, as needed.
• Request medical records from facilities, etc., related to members activities, as needed.
• Attend case management presentations and participates, as appropriate.
• Recognize work‑related problems and contributes to solutions.
• Meet specific deadlines and respond to various workloads by assigning task priorities according to department policies, standards and needs.
• Maintain confidentiality of information between and among health care professionals.
• Be a positive team player.

Skills

Inpatient concurrent review

Census & admissions

Discharge planning

Referrals & authorizations

Medicare Advantage

Medical terminology

ICD10 & CPT coding

Microsoft Office

Typing 50 WPM

English fluency

Education

High school diploma or GED

Medical Terminology Certificate

Tools

Access Express / Portal

Epic

Job description

Alignment Health is seeking a remote part-time weekend UM Coordinator (inpatient) to support census management, records retrieval, and discharge planning while collaborating with CM leadership. The role requires Saturday/Sunday availability, plus four weeks of weekday training within Pacific Time hours.

Responsibilities include obtaining medical records, attaching docs to authorizations, and entering referrals in the system using ICD-10 and CPT codes.