Denial and Audit Coordinator, RAC

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.

About CarolinaEast Health System

CarolinaEast Health System is committed to providing high quality, compassionate care across the Coastal Carolina region. At the heart of our system is a 350-bed, full-service medical center equipped with a comprehensive range of inpatient and outpatient services, utilizing the latest medical technologies. We employ over 3,200 dedicated team members and operate physician practices across various specialties in four counties. Our employees foster a culture of excellence that ensures our patients receive the same high level of care found at larger medical centers, all while maintaining a friendly, community-centered atmosphere throughout our facilities. CarolinaEast offers a robust benefits package to all full-time employees, as well as benefits for part-time plus and part-time staff. We are proud to be the first medical center in North Carolina recognized as a Cardiovascular Center of Excellence by the American College of Cardiology and the American Heart Association. Additionally, we are honored to be named one of America’s Best-In-State Hospitals by Newsweek, among numerous other prestigious accolades.

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.
• Deliver outstanding customer service that upholds CarolinaEast's Standards of Excellence.

**This Position would be a Hybrid Position after completion of Probationary Period**