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From Home Remote Medical Data Entry Jobs in Oregon

Remote Medical Director, Appeals

OR · On-site +1

$236K - $449K/yr

Current state license as a MD or DO without restrictions, limitations, or sanctions from government ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...

Our teams help biopharma, medical device and diagnostic companies get their therapies to the people ... We are excited to announce that currently we are looking for a 100% remote (work from home-WFH) ...

Remote Medical Director, Inpatient Medicare

OR · On-site +1

$236K - $449K/yr

Current state license as a MD or DO without restrictions, limitations, or sanctions from government ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...

WORK FROM HOME

Bend, OR · On-site +1

$300 - $500/wk

We are looking for individuals interested in working from home, remotely, as life insurance sales ... We use data driven systems and cutting edge lead generation that gets you connected with interested ...

WORK FROM HOME

Lake Oswego, OR · On-site +1

$300 - $500/wk

We are looking for individuals interested in working from home, remotely, as life insurance sales ... We use data driven systems and cutting edge lead generation that gets you connected with interested ...

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From Home Remote Medical Data Entry information

What is the difference between From Home Remote Medical Data Entry vs From Home Remote Medical Coding?

AspectFrom Home Remote Medical Data EntryFrom Home Remote Medical Coding
Required CredentialsHigh school diploma or equivalent; training in data entryCertification in medical coding (e.g., CPC, CCS)
Work EnvironmentHome-based, computer-focusedHome-based, computer and medical record-focused
Industry UsageData management in healthcareAssigning medical codes for billing and insurance
Search & Comparison IntentData entry tasks, remote healthcare jobsMedical coding, billing, healthcare compliance

While both roles are remote healthcare jobs, From Home Remote Medical Data Entry focuses on inputting patient information into systems, requiring basic data skills. In contrast, From Home Remote Medical Coding involves translating medical records into standardized codes for billing, requiring specific certifications. Both are essential in healthcare but differ in skill requirements and responsibilities.

What cities in Oregon are hiring for From Home Remote Medical Data Entry jobs?

Cities in Oregon with the most From Home Remote Medical Data Entry job openings:

Medical Claim Reviewer (CGS, DMEC-B)

Broadway Ventures

OR • On-site, Remote

Full-time

Re-posted 3 days ago


Job description

Max Salary: W-2 ($65,000/$31.25)

Location: Remote (U.S. - Work from home)
Remote Work Requirements: High-speed internet (non-satellite) and a private, lockable home office
Equipment: You will be provided with all necessary equipment to perform your job effectively, including but not limited to a desktop computer, dual monitors, a headset, an ethernet cable, and additional accessories as needed.

About the Role

We are seeking a dedicated Registered Nurse (RN) to join our Medical Review team. This role involves conducting pre- and post-payment medical reviews to ensure compliance with established clinical criteria and guidelines. The ideal candidate will use their clinical expertise to assess medical necessity, appropriateness, and reimbursement eligibility while documenting decisions in accordance with regulatory and organizational requirements.

Key Responsibilities
  • Review medically complex claims, pre-authorization requests, appeals, and fraud/abuse referrals.
  • Assess payment determinations using clinical information and established guidelines.
  • Evaluate medical necessity, appropriateness, and reasonableness for coverage and reimbursement.
  • Provide clear, well-documented rationales for service approvals or denials.
  • Educate internal and external teams on medical review processes, coverage determinations, and coding requirements.
  • Support quality control activities to meet corporate and team objectives.
  • Provide guidance to LPN team members and support non-clinical staff through training and discussions.
  • Assist with special projects and additional responsibilities as assigned.
Minimum QualificationsLicensure:
  • Active, unrestricted RN license in the U.S. and in the state of hire
    OR
  • Active compact multistate RN license (as defined by the Nurse Licensure Compact).
Education:
  • Associate Degree in Nursing
    OR
  • Graduate of an accredited School of Nursing.
Experience:
  • Two years of clinical experience.
Skills & Competencies:
  • Strong clinical background in managed care, home health, rehabilitation, and/or medical-surgical settings.
  • Ability to interpret and apply medical review criteria and clinical guidelines.
  • Proficiency in Microsoft Office and word processing software.
  • Strong analytical, organizational, and decision-making skills.
  • Ability to work independently while managing priorities effectively.
  • Excellent customer service, communication, and critical thinking skills.
  • Ability to handle confidential information with discretion.