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Establish and review relevant policies and procedures for best practices and compliance. * Deliver ... shift. * Work with the production and maintenance teams as well as other sites to establish best ...

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As of Jul 16, 2026, the average hourly pay for day shift code review in the United States is $17.92, according to ZipRecruiter salary data. Most workers in this role earn between $13.46 and $19.23 per hour, depending on experience, location, and employer.
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Utilization Review Support Specialist-2

Utilization Review Support Specialist-2

Nationwide Children's Hospital

Columbus, OH • On-site

Full-time

This job post has expired today. Applications are no longer accepted.


Nationwide Children's Hospital rating

6.9

Company rating: 6.9 out of 10

Based on 129 frontline employees who took The Breakroom Quiz

533rd of 1,020 rated hospitals


Job description

Overview:


Schedule: M-F (Day Shift)


Job Description Summary:


Provides administrative support to the Utilization Review Team and assists with eligibility verification, data entry, and coordination of information.


Job Description:


Essential Functions:

  • Coordinates with external healthcare providers, payors, patients, and internal teams to obtain and provide necessary account information.
  • Serves as a liaison for inquiries and issues regarding authorizations, denials, and utilization reviews.
  • Manages incoming and outgoing telephones, emails, and faxes. Monitors and completes multiple work queues.
  • Maintains accurate and complete documentation of admission authorizations and other utilization review information.
  • Reports utilization review progress to leadership and ensures compliance with contractual standards and regulations.
  • Participates in quality improvement initiatives to enhance utilization review processes.


Education Requirement:

  • High School Diploma or equivalent, required.
  • Associate's Degree, preferred.


Licensure Requirement:

(not specified)


Certifications:

(not specified)


Skills:

Working knowledge of medical terminology, general medical office procedures, and HIPAA regulations.


Experience:

  • One year of experience in hospital setting or medical office, required.
  • Experience with CPT, ICD-10 and HCPCS coding, preferred.
  • Two years of managed care experience including experience in a call center, preferred.


Physical Requirements:

OCCASIONALLY: Lifting / Carrying: 0-10 lbs, Lifting / Carrying: 11-20 lbs, Machinery, Pushing / Pulling: 0-25 lbs, Standing

FREQUENTLY: Color vision, Flexing/extending of neck, Interpreting Data, Reaching above shoulder, Repetitive hand/arm use, Walking

CONTINUOUSLY: Audible speech, Computer skills, Decision Making, Depth perception, Hand use: grasping, gripping, turning, Hearing acuity, Peripheral vision, Problem solving, Seeing - Far/near, Sitting


Additional Physical Requirements performed but not listed above:

Talking on the phone/in person Constantly




"The above list of duties is intended to describe the general nature and level of work performed by individuals assigned to this classification. It is not to be construed as an exhaustive list of duties performed by the individuals so classified, nor is it intended to limit or modify the right of any supervisor to assign, direct, and control the work of employees under their supervision. EOE M/F/Disability/Vet"


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About Nationwide Children's Hospital

Sourced by ZipRecruiter

Nationwide Children's Hospital, established in 1894, is a leading pediatric healthcare system based in Columbus, Ohio, United States. They serve as a primary pediatric network, providing wellness, preventive, diagnostic, treatment, and rehabilitative care for infants, children, adolescents, and adults with congenital disease. Being the third-largest pediatric hospital in the nation, Nationwide Children's Hospital prides itself on its relentless commitment to children and their families, driven by their core values of respect, integrity, determination, empathy, and solidarity. The institution's comprehensive mission is to enhance the health of children by providing high-quality, family-centered care, conducting groundbreaking research, advocating for pediatric health, and training top healthcare professionals.

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

Columbus, OH, US

Year founded

1892