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Remote Medical Chart Review Jobs in Puerto Rico (NOW HIRING)

OncoHealth

Case Review Representative

Guaynabo, PR · On-site +1

$13 - $15/hr

Remote/hybrid work experience preferred * A minimum of 2 years of healthcare related administrative ... The Opportunity The cost of cancer related medical services and prescription drugs in the United ...

OncoHealth

Case Review Specialist - PR

Guaynabo, PR · On-site +1

Remote/hybrid experience preferred * A minimum of 2-4 years' administrative experience and/or ... The Opportunity The cost of cancer related medical services and prescription drugs in the United ...

LifeLink

Remote Administrator on Call PR

Guaynabo, PR · On-site +1

  • Medical

  • Dental

  • Life

  • Retirement

  • PTO

Engages in review, education, and required organizational meetings to promote best practice sharing ... Advanced knowledge of human anatomy and medical terminology, organ perfusion, strong decision ...

Capitol Bridge, LLC

Senior Billing Specialist (Remote)

PR · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Review and analyze Job Cost Reports for invoice validation and research discrepancies. * Establish ... Health Insurance- medical, dental, vision & pharmacy benefits. (Employer contribution included)

Deloitte

Epic Denials Management Operator

San Juan, PR · Remote

$17.75 - $23.50/hr

This is a primarily remote role supporting enterprise Epic support, with minimal travel and ... Review hospital account records and payer remittance records, communicate with relevant Client RCM ...

Red Ventures

Senior Software Engineer | Education | RVPR

San Juan, PR · On-site +1

$120K - $158K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Participate in code reviews, design discussions, and mentoring opportunities to help raise the bar ... Medical, dental, and vision coverage * Casual dress code, yes, that means jeans! Who We Are:

Bristol Myers Squibb

... Medical Affairs, IT, and HR. Key Responsibilities * APAC Privacy Legal Advisor. Serve as the ... Advise on applicable transfer mechanisms and review/negotiate DPAs, vendor contracts, and data ...

DaVita

Regional Operations Director (ROD)

San Juan, PR · Remote

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

This is a field-based/remote position. Candidates can reside in Newport News, Hampton, Norfolk ... Review, analyze, and address gaps in service excellence, policies, and/or procedures proactively ...

DaVita

Regional Operations Director (ROD)

San Juan, PR · Remote

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

This is a field-based/remote position. Candidates can reside in Newport News, Hampton, Norfolk ... Review, analyze, and address gaps in service excellence, policies, and/or procedures proactively ...

DaVita

Regional Operations Director (ROD)

San Juan, PR · Remote

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

This is a field-based/remote position. Candidates can reside in Newport News, Hampton, Norfolk ... Review, analyze, and address gaps in service excellence, policies, and/or procedures proactively ...

DaVita

Regional Operations Director (ROD)

San Juan, PR · Remote

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

This is a field-based/remote position. Candidates can reside in Newport News, Hampton, Norfolk ... Review, analyze, and address gaps in service excellence, policies, and/or procedures proactively ...

All JobsMedical Chart Review JobsRemote Medical Chart Review JobsRemote Medical Chart Review Jobs in Puerto Rico

Remote Medical Chart Review information

What is a remote medical chart review?

A Remote Medical Chart Review job involves evaluating patient medical records to ensure accuracy, compliance, and completeness. Professionals in this role typically review charts for coding accuracy, quality assurance, or risk adjustment purposes. This position is commonly held by healthcare professionals such as nurses, medical coders, or physicians. Work is done remotely using secure electronic health record (EHR) systems. It requires strong attention to detail, medical knowledge, and familiarity with healthcare regulations.

What are the key skills and qualifications needed to thrive in remote medical chart review?

To thrive as a Remote Medical Chart Review professional, you need a strong knowledge of medical terminology, clinical guidelines, and healthcare documentation, often supported by experience in nursing or health information management. Familiarity with electronic health record (EHR) systems, chart audit tools, and sometimes certification as a Registered Nurse (RN) or Certified Professional Coder (CPC) is typically required. Strong attention to detail, time management, and clear written communication make candidates stand out in this data-focused, independent role. These skills ensure accurate and compliant chart reviews, supporting healthcare quality and risk management while working remotely.

What are some typical challenges faced by professionals in remote medical chart review roles?

One common challenge in Remote Medical Chart Review positions is managing large volumes of medical records while maintaining accuracy and compliance with healthcare regulations. Working remotely requires a high degree of self-motivation, time management, and discipline to meet productivity targets and deadlines. Additionally, interpreting diverse documentation styles across facilities can require strong analytical and problem-solving skills. By understanding these aspects, applicants can better prepare for success and find strategies to thrive in this detail-oriented role.

How to become a remote medical chart review?

To become a remote medical chart reviewer, typically one needs a healthcare background such as a registered nurse, medical coder, or healthcare administrator, along with knowledge of medical terminology and chart documentation. Relevant certifications like CPC or RHIT can enhance prospects, and strong attention to detail is essential. Many roles require experience with electronic health records (EHR) systems and the ability to work independently in a remote environment.

What are popular job titles related to Remote Medical Chart Review jobs in Puerto Rico?

For Remote Medical Chart Review jobs in Puerto Rico, the most frequently searched job titles are:

What job categories do people searching Remote Medical Chart Review jobs in Puerto Rico look for?

The top searched job categories for Remote Medical Chart Review jobs in Puerto Rico are:

What cities in Puerto Rico are hiring for Remote Medical Chart Review jobs?

Cities in Puerto Rico with the most Remote Medical Chart Review job openings:

Remote Medical Chart Review jobs near you
Infographic showing various Remote Medical Chart Review job openings in Puerto Rico as of August 2026, with employment types broken down into 55% Full Time, 29% Part Time, and 16% Contract. Highlights an 100% Remote job distribution.

Case Review Representative

OncoHealth

Guaynabo, PR • On-site, Remote

$13 - $15/hr

Full-time

Re-posted 9 days ago

Job description

About OncoHealth
OncoHealth is a leading digital health company dedicated to helping health plans, employers, providers, and patients navigate the physical, mental, and financial complexities of cancer through technology enabled services. Supporting more than 14 million people in the US and Puerto Rico, OncoHealth offers digital solutions for treatment review and virtual care across all cancer types.
About the Role
The Case Review Representative serves as a one-stop shop and intake of all calls (members and providers). Resolves tier one issues (user resets, provider data management, fax and letter receipt, general questions).
Primary Responsibilities
  • Flexible to work rotational shifts inside our office hours from 8:00 a.m. – 8:00 p.m. EST to cover the operational needs of the company. Shifts can range anywhere between Monday – Friday 8:00 am to 8:00 pm EST and Saturdays 8:30 am - 5:00 pm EST (Office hours may change/extend upon operational needs)
  • Fax intake and labeling
  • Prior authorization creation
  • Quality Performance Program Outreach when assigned
  • Triage and manage inbound calls, routing case specific calls to an appropriate team member, and resolving tier 1 level issues
  • Triage and manage inbound emails from health plan clients, routing case specific emails to an appropriate team member, and resolving tier 1 level issues
  • Triage request/claims processing issues to health plans as needed Prior authorization creation
  • Quality Performance Program Outreach when assigned
About You
  • College degree or relevant experience preferred
  • Fully Bilingual (English and Spanish)
  • Remote/hybrid work experience preferred
  • A minimum of 2 years of healthcare related administrative experience and/or customer service or relevant educational attainment required
  • Skills for implementation of systems for program effectiveness and productivity required
  • Systems/Tools: MS Office Suite proficient
About the Location
OncoHealth is committed to remote, hybrid or in office work options. Our Team in Puerto Rico reports to the office at least 2 times per month (advance notice provided/mandatory requirement) and can work remotely from home the rest of the days. Employees are welcome to work from the office every day if wanted.

Our Culture

Taking ownership of quick action, critically thinking through the needs, and working well with others are key competencies of team member success. Our leadership is dedicated to building a culture based on respect, clinical excellence, innovation – all with a focused mission of putting patients first!

We offer a full benefit package on your first day, along with a company bonus. You may visit or work from our very modern and engaging offices, and experience a fun, collaborative environment where social activities and community events matter. We enjoy being together!
OncoHealth is committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and team members without regard to race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law. All employment decisions are based on qualifications, merit, and business need.

The Opportunity

The cost of cancer related medical services and prescription drugs in the United States is expected to reach $246 billion by 2030. OncoHealth has enjoyed rapid growth over the past 3 years and seeks smart, collaborative people to join its team. We have just under 250 team members, so we can move swiftly but precisely to the market needs of our customers. Strongly backed financially by Arsenal Capital Partners amp; McKesson Corporation, we remain in an investment and growth mode. This means we are open-minded to how we get the work done – now is the perfect time to talk to us!

Our Current Solutions

Through the use of OncoHealth's utilization management system, OneUM, our customers can use a single e-Prior Authorization portal for all oncology drug request and treatments. Our system improves quality of care, reduces provider abrasion and gives health plans visibility into the total cost of oncology treatment.

OncoHealth offers Oncology Insights Pro, an analytic software solution that enables health plans to use data and analytics to improve oncology programs. Using real world data, our engineers normalize data to create analytic dashboards with drill down compatibilities. The data is the paired with expert guidance providing the strategies an insight needed to keep up with the continuing evolving cancer treatment landscape.

OncoHealth offers Pharmacy Consulting services to health plans and pharmaceutical companies. New cancer treatments are entering the market at an unrelenting pace. Since 2018, the FDA approved 121 new cancer applications including 49 novel cancer drug entities. Our Board-Certified Oncology Pharmacologists can help health plans update drug policies, offer utilization management and formulary advice, and development training for staff.

OncoHealth's latest offering is Iris, a digital telehealth platform that delivers personalized, oncology-specific support to navigate the physical symptoms and emotional challenges caused by cancer and cancer treatment. Powered by technology, staffed 24X7, and delivered with empathy, Iris allows patients to connect with trained oncology experts and receive personalized, oncology-specific telehealth support.

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