Utilization Review Coordinator Healthcare Reimbursement

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

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.