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 2,500 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: Primarily responsible for providing support to the RAC Department in medical record review and/or denial review.

 Minimum Requirements: Minimum of an Associate's degree in nursing. Prefer a Bachelor of Science in Nursing. Minimum five years hospital clinical experience. Must possess strong clinical knowledge of patient care techniques, treatment modalities, and disease processes. Knowledge of utilization review, denial concepts and reimbursement methodologies. Ability to communicate effectively with interdisciplinary team (Physicians, Nursing, RAC Manager, Care Coordinators, Billing and Finance). Proficient in Microsoft Word, Excel, and selected RAC tracking software.