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Cpc Coding Jobs in San Juan, PR (NOW HIRING)

Firstsource

Claims Examiner

Guaynabo, PR

$21/hr

  • Retirement

  • PTO

We are seeking an experienced Certified Professional Coder (CPC) to support medical record reviews and coding validation activities for U.S. healthcare clients. This position will play a critical ...

All JobsCpc Coding JobsCpc Coding Jobs in San Juan, PR

Cpc Coding information

See San Juan, PR salary details

$16

$28

$69

How much do cpc coding jobs pay per hour?

As of Aug 18, 2026, the average hourly pay for cpc coding in San Juan, PR is $28.72, according to ZipRecruiter salary data. Most workers in this role earn between $21.44 and $28.51 per hour, depending on experience, location, and employer.

What is CPC coding?

CPC coding refers to the process of assigning standardized medical codes to diagnoses, procedures, and services for billing and insurance purposes. CPC stands for Certified Professional Coder, a credential offered by the AAPC that demonstrates expertise in medical coding. CPC coders use systems like CPT, ICD-10-CM, and HCPCS Level II to accurately translate clinical documentation into codes. This ensures healthcare providers are properly reimbursed and helps maintain compliance with regulations.

What are the key skills and qualifications needed to thrive as a CPC coder, and why are they important?

To thrive as a CPC Coder, you need a solid understanding of medical terminology, anatomy, and coding guidelines, typically demonstrated by earning the Certified Professional Coder (CPC) credential. Proficiency with medical coding software, electronic health records (EHR) systems, and familiarity with ICD-10, CPT, and HCPCS coding sets are essential. Attention to detail, analytical thinking, and strong organizational skills help coders ensure accuracy and compliance. These skills are crucial for maximizing reimbursement, minimizing errors, and maintaining regulatory compliance in healthcare billing processes.

What are some common challenges faced by CPC coders when working with complex medical records?

CPC Coders often encounter challenges when deciphering incomplete or ambiguous documentation in patient records, which can make accurate code selection difficult. They must stay updated on frequent changes in coding guidelines and payer requirements, which adds complexity to their daily tasks. Additionally, balancing productivity with accuracy, especially when working under tight deadlines or high-volume workloads, is a common challenge. Collaboration with physicians and other healthcare staff is essential to clarify documentation and ensure compliance.

What is the difference between Cpc Coding vs Medical Billing Specialist?

AspectCpc CodingMedical Billing Specialist
CredentialsCertified Professional Coder (CPC)Billing and Coding Certification (e.g., CPC, CBCS)
Work EnvironmentHospitals, clinics, outpatient facilitiesMedical offices, billing companies, healthcare providers
Primary ResponsibilitiesAssigning codes to diagnoses and proceduresSubmitting claims, follow-up, payment processing
Industry UsageWidely used in coding and documentationUsed in billing, claims processing, revenue cycle management

While both roles involve healthcare documentation, Cpc Coding focuses on assigning accurate medical codes, whereas Medical Billing Specialists handle the billing process and insurance claims. Understanding these differences helps healthcare professionals choose the right career path or job focus.

How long does it take to become a CPC coder?

Becoming a Certified Professional Coder (CPC) typically takes about 4 to 6 months of dedicated study, including completing a training program and passing the CPC exam. Candidates often study medical coding principles, anatomy, and coding guidelines, and may need to gain some practical experience or training hours to prepare effectively.

Is becoming a CPC worth it?

Becoming a Certified Professional Coder (CPC) can be a valuable credential for medical billing and coding careers, often leading to job opportunities in healthcare settings. The role requires knowledge of medical terminology, coding systems like ICD-10 and CPT, and typically involves working in an office or remote environment. Certification can improve job prospects and earning potential in the healthcare industry.

What job categories do people searching Cpc Coding jobs in San Juan, PR look for?

The top searched job categories for Cpc Coding jobs in San Juan, PR are:

Cpc Coding jobs near you
Infographic showing various Cpc Coding job openings in San Juan, PR as of August 2026, with employment types broken down into 1% Internship, 1% As Needed, 81% Full Time, 12% Part Time, and 5% Contract. Highlights an 78% Physical, 5% Hybrid, and 17% Remote job distribution, with an average salary of $59,736 per year, or $28.7 per hour.

RN Clinical Reviewer (CPC Medical Coding Academy) - San Juan, PR

UnitedHealth Group

San Juan, PR • On-site

Full-time

Re-posted 28 days ago

UnitedHealth Group rating

7.6

Company rating: 7.6 out of 10

Based on 146 frontline employees who took The Breakroom Quiz

190th of 888 rated healthcare providers

Job description

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

Positions in this function investigates Optum Waste and Error stopped claims by gathering information, researching state and federal guidelines, and following internal procedure to determine the viability of the claim for further review in a production environment.  

Primary Responsibilities:

  • Clinical Case Reviews -75%
    • Perform clinical review of professional (or facility) claims vs. medical records to determine if the claim is supported or unsupported
    • Maintain standards for productivity and accuracy.  Standards are defined by the department
    • Provide clear and concise clinical logic to the providers when necessary
    • Examine, assess, and document business operations and procedures to ensure data integrity, data security and process optimization
    • Investigate, recover, and resolve all types of claims as well as recovery and resolution for health plans, commercial customers, and government entities
    • Investigate and pursue recoveries
    • Ensure adherence to state and federal compliance policies, reimbursement policies, and contract compliance
    • Use pertinent data and facts to identify and solve a range of problems within area of expertise
    • Other internal customer correspondence and team needs - 15%
    • Attend and provide feedback during monthly meetings with assigned internal customer department
    • Provide continuous feedback on how to improve the department relationships with internal team members and departments
  • Continuing education - 10%
    • Keep up required Coding Certificate and/or Nursing Licensure
    • Complete compliance hours as required by the department

***ENGLISH PROFICIENCY ASSESSMENT WILL BE REQUIRED AFTER APPLICATION***

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

  • Coding Certificate or Nursing Licensure, for example:
    • Puerto Rico Registered Nurse
    • Certified Professional Coder (CPC) CPC A
    • Certified Inpatient Coder (CIC)
    • Certified Outpatient Auditor (COC)
    • Certified Professional Medical Auditor (CPMA)
    • Certified Coding Specialist (CCS)
  • Demonstrated proficiency with computers, including Microsoft Suite of products
  • Ability to observe an on-site work model
  • Willing or able to work from Monday to Friday, 40 hours per week during our business operating hours of 8am - 7pm ATL
  • Professional proficiency in both English and Spanish (Please note that an English proficiency assessment will be required for this position)

Preferred Qualifications:

  • Experience working with medical claims platforms
  • Medical record coding experience with experience in Evaluation and Management Services in the outpatient/office setting
  • Presentation or policy documentation experience
  • Proven knowledge of CMS and AMA coding rules specific to CPT, HCPCS
  • Proven knowledge of CMS Coverage, Federal and State Statues, Rules and Regulations
  • Proven knowledge of Medicaid/Medicare Reimbursement methodologies
  • Proven working knowledge of the healthcare insurance/managed care industry
  • Proven working knowledge of medical terminology and claim coding

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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