Denial and Audit Coordinator, RAC

About CarolinaEast Medical Center

CarolinaEast Health System is dedicated to quality and compassionate care across the Coastal Carolina region. The flagship of the health system is a 350 bed full service medical center housing a complete complement of inpatient and outpatient services with the latest technology. CarolinaEast Health System employs 2,600 dedicated team members. We have physician practices in various specialties spanning four counties. Our employees create a culture of excellence that connects our patients to the same level of care that is usually found at larger medical centers while maintaining a friendly, community feel throughout our facilities. CarolinaEast offers a comprehensive benefits package to all full time employees as well as benefits to part time plus and part time employees.

Job Summary: Under the general direction of the manager, the Denial and Audit Coordinator will provide ongoing clinical review and coordination of audits and denied claims/appeals processes for CarolinaEast Health System.

Minimum Requirements: Graduate of an accredited school of nursing. Current license with the North Carolina State Board of Nursing. As an RN, a minimum of five years of clinical experience. Experience in Utilization Review and/or Denials Management preferred. Possess good written and oral communication skills as well as analytical skills. Possess computer skills including Microsoft Word, Excel, and other word processing software.