Utilization Review Coordinator
UW CODE AND REPRESENTATIVE GROUP
18028 (NE S SEIU 925 Non Supv)
22472 (NE H NI SEIU 925 Non Supv)
CLASS SERIES CONCEPT
Assess chart documentation to determine appropriateness of hospitalization of patients in an acute care setting;
BASIC FUNCTION
Justify admission and length of stay of designated patients as required for agency reimbursements; abstract and code patient data;
DISTINGUISHING CHARACTERISTICS
Under general direction, review chart documentation to justify patient care in order to meet agency reimbursement requirements;
TYPICAL WORK
Review all designated admissions for appropriateness; follow-up at predetermined intervals for continued stay;
Monitor patient length of stay, evaluate for variation from regulatory agency standards and consult with physician advisor as necessary;
Complete patient abstracts per agencies’ guidelines;
Participate with Quality Assurance Department in compiling data for audits;
Justify, in writing, the patients’ need for continued hospitalization;
Assist in coordinating monthly meetings;
Attend meetings or conferences to maintain professional accreditation;
May take minutes of scheduled meetings;
May compile and maintain departmental record systems;
Perform related duties as required.
MINIMUM QUALIFICATIONS
Graduation from an accredited School of Nursing of Health Care Records Program approved by the American Medical Records Association;
Equivalent education/experience will substitute for all minimum qualifications except when there are legal requirements, such as a license/certification/registration.
CLASSIFICATION HISTORY
12/14/1973: New Class
12/07/1978: Revise Title & Class
10/24/1983: Revise Class
07/02/1990: Revise MQ
06/01/2005: CSR Class Conversion