At Lake Huron Medical Center, our dedicated team of professionals are committed to our core values of quality, compassion, and community. As a member of Prime Healthcare, a Top-15 hospital system in the United States, Lake Huron Medical Center is actively seeking new members to join its award-winning team!

Lake Huron Medical Center is a 144-bed community hospital that provides a wide range of inpatient and outpatient health care services to residents of St. Clair and Sanilac counties including emergency services, cancer and comprehensive breast care, bariatric surgery, physical therapy and rehabilitation services, pulmonary rehabilitation, and specialized diabetes programs.

Lake Huron Medical Center affiliated with Lake Huron Medical Group which offers patient-centered care through primary and specialty care physician practices located throughout the Blue Water Area. Raising the bar for quality health care, Lake Huron Medical Center received the Women's Choice Award for Emergency Care, Leapfrog Group's grade "A" in hospital safety, Healthgrades Patient Safety Excellence Award, rated five stars by the Centers for Medicare & Medicaid Services and earned The Joint Commission's Gold Seal of Approval® for Hospital Accreditation by demonstrating continuous compliance with its performance standards. Learn more at www.mylakehuron.com.

Coordinates and completes the clinical reviews for all patient medical records while working closely with CMO (Chief Medical Officer). Actively participates in the Case management and UR meetings. Serves as on-going educator to all departments. Responsible for reviewing patient charts in order to assess whether the clinical criteria for admission and continuation of treatment is being met; gathering data and responding to request for records from payers/fiscal intermediary etc.; gathering clinical and fiscal information and communicating status of both open and closed accounts for multiple levels of Utilization Review and Case Management reporting. Able to work independently and use sound judgment. Knowledge of Federal, State, and intermediary guidelines related to inpatient, acute care hospitalization, as well as lower levels of care for the continuity of treatment. Coordinates discharge referrals as requested by clinical staff, fiscal intermediary, patients, and families. Performs other duties as assigned.

Education and Work Experience

1. Medical Graduate, Physician Assistant, Nursing Graduate required.
2. ECFMG Certification and/or Bachelor's or higher from a US-based accredited institution in a Health and Human Services field is highly preferred.
3. Utilization Review experience is highly preferred.
4. Must meet the performance standards set forth by the Hospital/ Department at Medical Review Coordinator position for at least 6 months.
5. 1+ year of clinical experience in acute care setting preferred.
6. 1+ year of experience with ICD-10 and CPT coding in an acute care setting preferred.
7. Experience with use of an encoder software product for code assignment in an acute care setting preferred.
8. Excellent written and verbal communication skills. Excellent critical thinking skills.
9. Excellent interpersonal skills to build effective partnering relationships with physicians, nurse staff, coding staff and hospital management staff.
10. Ability to work independently in a time-oriented environment.
11. Computer literacy and familiarity with the operation of basic office equipment
12. Computer data entry with 10-key preferred, with accurate typing speed of 35 wpm preferred.

We are an Equal Opportunity/ Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources. EEO is the Law: https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf