Performs admission and concurrent stay medical record review to determine appropriateness of admission, continued stay, and setting
Job Summary
Performs admission and concurrent stay medical record review to determine appropriateness of admission, continued stay, and setting.
Contributes to appropriate throughput and length of stay, assists with denial management, and reviews physician medical record documentation.
Lexington Health is committed to offering quality, cost-effective benefits choices for our employees and their families, including Day ONE medical, dental and life insurance benefits.
Matching Summary
Performs admission and concurrent stay medical record review to determine appropriateness of admission, continued stay, and setting.
Skills & Requirements
Must-have
medical record review
third party payor communication
InterQual criteria
regulatory compliance
denial management
Nice-to-have
cooperative manner
teamwork and harmonious relationships
service recovery process
receptiveness to change
positive working relationships
Key Requirements
Registered Nurse currently licensed in the State of South Carolina
3 Years of experience in an acute care hospital setting
ADN, Diploma Nursing Degree, or Bachelor of Science in Nursing