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This position is responsible for developing, implementing and maintaining professional cost outlier chart reviews that ensure complete and accurate posted charges, preparation of appeals to maximize the resolution of cost outlier charges denials and identification of charge capture weaknesses.  The incumbent works with ancillary departments to strengthen our charge system, provides support to the department and Medical Center on a clinical basis.  This professional is required to have a broad knowledge of medical procedures, good analytical skills and strong interpersonal communication skills.




Bachelor's degree.

Currently licensed and registered R.N.

Two years experience in Utilization Review or other relevant positions with previous medical record review experience.

Strong written and oral communication skills.

P.C. literacy preferred.


Department: Health Service Receivables Bargaining Unit: Non Union Campus: FORDHAM  Employment Status: Regular Full-Time Address: 1 Fordham Plaza, Bronx
Shift: Day Scheduled Hours: 7:30 AM-4 PM Req ID: 132387 


Montefiore is an equal employment opportunity employer. Montefiore will recruit, hire, train, transfer, promote, layoff and discharge associates in all job classifications without regard to their race, color, religion, creed, national origin, alienage or citizenship status, age, gender, actual or presumed disability, history of disability, sexual orientation, gender identity, gender expression, genetic predisposition or carrier status, pregnancy, military status, marital status, or partnership status, or any other characteristic protected by law. 



To heal, to teach, to discover and to advance the health of the communities we serve.

To be a premier academic medical center that transforms health and enriches lives.

Define our philosophy of care, they shape our actions and motivate and inspire us to pursue excellence and achieve the goals we have set forth for the future. Our values include:

  • Humanity
  • Innovation
  • Teamwork
  • Diversity
  • Equity