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Last updated: April 18, 2024
Utilization Review Coordinator Salary
in Charleston, South Carolina
This page is a promotion for ERI’s Assessor Series and is not intended for professional use.
Professionals should subscribe to ERI’s Assessor Series.
$108,427 (USD)
Average Salary
$52/hr
Average Hourly
$6,115
Average Bonus
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Last updated: April 18, 2024
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Salary Recap
The average pay for an Utilization Review Coordinator is $108,427 a year and $52 an hour in Charleston, South Carolina, United States. The average salary range for an Utilization Review Coordinator is between $74,598 and $132,389. This compensation analysis is based on salary survey data collected directly from employers and anonymous employees in Charleston, South Carolina.
ERI's compensation data are based on salary surveys conducted and researched by ERI. Cost of labor data in the Assessor Series are based on actual housing sales data from commercially available sources, plus rental rates, gasoline prices, consumables, medical care premium costs, property taxes, effective income tax rates, etc.
Find actuarial salary survey data and benchmark salary and pay.
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Salary Potential
Salary Potential
Estimated salary in 2029:
$121,792
5 Year Change:
12 %
Shift Differentials
Shift Differentials
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About Charleston, South Carolina
Charleston Cost of Living Score:
Description:
Charleston is the most populous city in the U.S. state of South Carolina, the county seat of Charleston County, and the principal city in the Charleston metropolitan area. The city lies just south of the geographical midpoint of South Carolina's coastline on Charleston Harbor, an inlet of the Atlantic Ocean formed by the confluence of the Ashley, Cooper, and Wando rivers. Charleston had a population of 150,227 at the 2020 census. The population of the Charleston metropolitan area, comprising Berkeley, Charleston, and Dorchester counties, was estimated to be 849,417 in 2023. It ranks as the third-most populous metropolitan...
Job Summary
Description:
- Analyzes and evaluates patients' medical records, charts, computer printouts, and support documents to ensure criteria for admission to health-care facility, treatment, and length of stay are met, and to ensure cost effective utilization of resources, according to established criteria: Analyzes insurance, governmental, and accrediting agency standards to determine criteria concerning admissions, treatment, and length of stay of patients.
- Reviews admission records, medical records, charts, and supporting documentation to establish reason for admission, diagnosis, and length of stay.
- Approves admission or refers case to facility utilization review committee for review and course of action when case fails to meet admission standards.
- Determines necessity, cost effectiveness, and documentation of treatment and care provided, utilizing coding and classification manuals, insurance, governmental, and accrediting agency regulations and standards to determine that established criteria for admission and care have been met.
- Reviews pre-certification request and application for admission, calculates estimated cost of prescribed medical treatment, prepares required paperwork, and approves admission based on predetermined criteria for pre-hospitalization request from health providers or insurance subscribers.
- Monitors health care treatment provided to patient during patient's stay in medical facility and compares inpatient medical records to established criteria and confers with medical personnel and other professional staff to determine legitimacy of treatment and length of stay, to ensure services are within prescribed limitations, to ensure availability of future benefits, and to guard against potentially abused medical procedures and diagnoses.
- Retrieves medical data from medical records, charts, and computer, and abstracts required data from records to use in compiling reports and for statistical purposes.
- Acts as liaison for insurance provider, contractors, and subscribers to explain and interpret provisions of contractual agreements and health benefits and to process complaints.
- May assist review committee to plan and conduct federally mandated quality assurance reviews.
- May direct activities of utilization review staff.
- May conduct telephone reviews to ensure that patient admission to provider facility meets established criteria.
- May interview patient to obtain medical history information and determine necessity of treatment.
Utilization Review Coordinator Job Listings for
No listings found
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Salary Recap
The average pay for an Utilization Review Coordinator is $108,427 a year and $52 an hour in Charleston, South Carolina, United States. The average salary range for an Utilization Review Coordinator is between $74,598 and $132,389. This compensation analysis is based on salary survey data collected directly from employers and anonymous employees in Charleston, South Carolina.
ERI's compensation data are based on salary surveys conducted and researched by ERI. Cost of labor data in the Assessor Series are based on actual housing sales data from commercially available sources, plus rental rates, gasoline prices, consumables, medical care premium costs, property taxes, effective income tax rates, etc.
Find actuarial salary survey data and benchmark salary and pay.
Powered by ERI's Database
Who We Are
ERI Economic Research Institute compiles the best salary, cost-of-living, and executive compensation survey data available.
View our ProductsJob Statistics
Utilization Review Coordinator Job Prevalence in the United States
Job family: Medical and Health Services Managers
Job family population: 476,750
Estimated population of Utilization Review Coordinator jobs: 10,960
Rate of error: 0.4%
Take the guess work out of setting pay
Determine competitive salary levels, compare employee compensation with market benchmarks, and get instant access to reliable salary survey data online.
About Charleston, South Carolina
Charleston Cost of Living Score:
Description:
Charleston is the most populous city in the U.S. state of South Carolina, the county seat of Charleston County, and the principal city in the Charleston metropolitan area. The city lies just south of the geographical midpoint of South Carolina's coastline on Charleston Harbor, an inlet of the Atlantic Ocean formed by the confluence of the Ashley, Cooper, and Wando rivers. Charleston had a population of 150,227 at the 2020 census. The population of the Charleston metropolitan area, comprising Berkeley, Charleston, and Dorchester counties, was estimated to be 849,417 in 2023. It ranks as the third-most populous metropolitan...
Job Summary
Description:
- Analyzes and evaluates patients' medical records, charts, computer printouts, and support documents to ensure criteria for admission to health-care facility, treatment, and length of stay are met, and to ensure cost effective utilization of resources, according to established criteria: Analyzes insurance, governmental, and accrediting agency standards to determine criteria concerning admissions, treatment, and length of stay of patients.
- Reviews admission records, medical records, charts, and supporting documentation to establish reason for admission, diagnosis, and length of stay.
- Approves admission or refers case to facility utilization review committee for review and course of action when case fails to meet admission standards.
- Determines necessity, cost effectiveness, and documentation of treatment and care provided, utilizing coding and classification manuals, insurance, governmental, and accrediting agency regulations and standards to determine that established criteria for admission and care have been met.
- Reviews pre-certification request and application for admission, calculates estimated cost of prescribed medical treatment, prepares required paperwork, and approves admission based on predetermined criteria for pre-hospitalization request from health providers or insurance subscribers.
- Monitors health care treatment provided to patient during patient's stay in medical facility and compares inpatient medical records to established criteria and confers with medical personnel and other professional staff to determine legitimacy of treatment and length of stay, to ensure services are within prescribed limitations, to ensure availability of future benefits, and to guard against potentially abused medical procedures and diagnoses.
- Retrieves medical data from medical records, charts, and computer, and abstracts required data from records to use in compiling reports and for statistical purposes.
- Acts as liaison for insurance provider, contractors, and subscribers to explain and interpret provisions of contractual agreements and health benefits and to process complaints.
- May assist review committee to plan and conduct federally mandated quality assurance reviews.
- May direct activities of utilization review staff.
- May conduct telephone reviews to ensure that patient admission to provider facility meets established criteria.
- May interview patient to obtain medical history information and determine necessity of treatment.
Utilization Review Coordinator Job Listings for
No listings found
Who We Are
ERI Economic Research Institute compiles the best salary, cost-of-living, and executive compensation survey data available.
View our ProductsTake the guess work out of setting pay
Determine competitive salary levels, compare employee compensation with market benchmarks, and get instant access to reliable salary survey data online.
You May Also Like
White Papers
National Compensation Forecast April 2024
Review compensation trends and get guidance on expected total salary increases for the upcoming year with ERI's National Compensation Forecast.
Read More
Planning Compensation Incentives That Maximize Workforce Engagement
Improve employee engagement and performance by implementing compensation incentive plans into your strategy.
Read More
Planning Global Compensation Budgets for 2024 - March Updated
Learn about global compensation trends and salary increases for 2024, so you can make more informed salary planning decisions.
Read More