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Remote Medical Record Reviewer Jobs in Puerto Rico

Epic Denials Management Operator

San Juan, PR · Remote

$17.75 - $23.50/hr

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

$254K - $400K/yr

Supervision shall include review of medical records, patient care, treatment, and consultation requests. * Ensures that high quality patient care is delivered in a resource efficient manner. * Manage ...

Advise on applicable transfer mechanisms and review/negotiate DPAs, vendor contracts, and data ... For field-based and remote-by-design roles the ability to physically travel to visit customers ...

Showing results 21-40

Remote Medical Record Reviewer information

What is a remote medical record reviewer?

A Remote Medical Record Reviewer is a healthcare professional who evaluates patient medical records from a remote location, typically to ensure accuracy, compliance, and completeness. They may work for hospitals, insurance companies, or third-party review organizations, analyzing documentation for coding, billing, or quality assurance purposes. This role often requires knowledge of medical terminology, healthcare regulations, and electronic health record (EHR) systems. Remote Medical Record Reviewers help maintain data integrity and support proper healthcare reimbursement.

What are the key skills and qualifications needed to thrive as a remote medical record reviewer?

To thrive as a Remote Medical Record Reviewer, you need a solid background in healthcare documentation, medical terminology, and coding, usually supported by credentials such as RHIT, RHIA, or CPC certification. Familiarity with electronic health record (EHR) systems, coding software, and secure data management platforms is essential. Attention to detail, strong organizational skills, and effective written communication help you excel in reviewing records independently and accurately. These skills ensure compliance, data integrity, and support for quality assurance initiatives in healthcare organizations.

What are some common challenges faced by remote medical record reviewers, and how can they be managed?

Remote Medical Record Reviewers often encounter challenges such as interpreting complex or incomplete documentation, managing large volumes of records within tight deadlines, and ensuring data privacy while working from home. To manage these, it's important to have strong attention to detail, effective time management skills, and a secure, quiet workspace. Regular communication with team members and supervisors also helps clarify ambiguities and maintain workflow efficiency.

What is the difference between Remote Medical Record Reviewer vs Remote Medical Coder?

AspectRemote Medical Record ReviewerRemote Medical Coder
CredentialsTypically requires medical background, certifications like RHIT or RHIARequires coding certifications such as CPC, CCS, or CCS-P
Work EnvironmentHealthcare facilities, insurance companies, or remoteHealthcare providers, insurance companies, or remote
Industry UsageUsed for reviewing medical records for accuracy and complianceUsed for translating medical records into standardized codes for billing
Search/Comparison IntentOften compared for medical record review rolesCompared for billing and coding roles

The Remote Medical Record Reviewer and Remote Medical Coder roles share similarities in healthcare settings and remote work options. However, reviewers focus on assessing medical records for accuracy and compliance, while coders translate records into billing codes. Both require specialized certifications and are vital in healthcare documentation and billing processes.

What are popular job titles related to Remote Medical Record Reviewer jobs in Puerto Rico?

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

What job categories do people searching Remote Medical Record Reviewer jobs in Puerto Rico look for?

The top searched job categories for Remote Medical Record Reviewer jobs in Puerto Rico are:

What cities in Puerto Rico are hiring for Remote Medical Record Reviewer jobs?

Cities in Puerto Rico with the most Remote Medical Record Reviewer job openings:

Remote Fraud Call Center Representative - Puerto Rico

Conduent, Inc.

Guaynabo, PR • On-site, Remote

$12.10/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 17 days ago


Conduent rating

6.1

Company rating: 6.1 out of 10

Based on 190 frontline employees who took The Breakroom Quiz

35th of 72 rated call and contact centers


Job description


Remote Fraud Call Center Representative
Location: Remote - Must reside in Puerto Rico
Pay Rate: $12.10/hour
Employment Type: Full-Time
Shift Information: Must be available to work any 8-hour shift, Monday through Sunday
Job Summary:
We're hiring a Remote Fraud Call Center Representative in Puerto Rico to provide high-quality customer service support in a fast-paced call center environment. In this role, you will handle inbound customer calls, resolve inquiries, and deliver a positive customer experience while meeting performance goals.
Key Responsibilities:
  • Provide professional customer service support via inbound calls
  • Handle high-volume call center interactions efficiently and accurately
  • Resolve customer inquiries, issues, and complaints in a timely manner
  • Maintain accurate records through data entry and system updates
  • Follow company processes, compliance standards, and quality guidelines
  • Meet productivity, attendance, and performance metrics
  • Collaborate with team members to improve customer satisfaction

Required Qualifications:
  • High school diploma or GED required
  • Minimum of 6 months of call center, customer service, or dispatch experience
  • Strong communication and customer service skills
  • Ability to work in a fast-paced call center environment
  • Basic computer skills and ability to navigate multiple systems
  • Reliable attendance and strong work ethic
  • Proficient in English
  • Must reside in Puerto Rico and be authorized to work in the U.S. permanently.
  • Ability to successfully complete a background check, credit check, and security fingerprinting

Preferred Qualifications:
  • Banking or financial services experience

What We Offer:
  • Competitive hourly pay
  • Monthly incentive opportunity of up to $350 after training by meeting performance metrics
  • Night or weekend differential, based on shift worked
  • Benefits from day one (medical, dental, vision) for eligible roles
  • Paid time off and holidays
  • Paid training
  • Career growth and advancement opportunities
  • Supportive and inclusive work environment

Training Requirements:
  • Complete a mandatory 3-week paid training program (Week 1 classroom training; Weeks 2-3 supported call handling).
  • Maintain an average quiz score of 80% or higher and complete all required E-Learning courses.

Technical & Workspace Requirements:
  • Secure wired high-speed internet connection, including a verified speed test of at 50 Mbps download & 10 Mbp upload; (Wi-Fi not permitted).
  • Dedicated workspace with a desk, chair, and a quiet, distraction-free environment.
  • Company equipment provided

Apply now and make an impact from day one
Looking for more information?
We're happy to help. Visit our landing page to explore key details about the role, including shift schedules, examples of call types, FAQs, and our workspace and internet requirements. It's a great resource to help you understand what to expect and determine whether this opportunity is the right fit for you. Landing Page: About Call Center Representative Role in San Antonio & Puerto Rico
Pay Transparency Laws in some locations require disclosure of compensation and/or benefits-related information. For this position, actual salaries will vary and may be above or below the range based on various factors including but not limited to location, experience, and performance. In addition to base pay, this position, based on business need, may be eligible for a bonus or incentive. In addition, Conduent provides a variety of benefits to employees including health insurance coverage, voluntary dental and vision programs, life and disability insurance, a retirement savings plan, paid holidays, and paid time off (PTO) or vacation and/or sick time. The estimated hourly rate for this role is $12.10, which may be below your state's minimum wage. Please consider this when applying.
About Us
Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them. You have an opportunity to personally thrive, make a difference and be part of a culture where individuality is noticed and valued every day.
About the Team
Conduent is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, gender expression, sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law.
For US applicants: People with disabilities who need a reasonable accommodation to apply for or compete for employment with Conduent may request such accommodation(s) by submitting their request through this form that must be downloaded: click here to access or download the form. Complete the form and then email it as an attachment to FTADAAA@conduent.com. You may also click here to access Conduent's ADAAA Accommodation Policy.

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About Conduent

Sourced by ZipRecruiter

Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them. You have an opportunity to personally thrive, make a difference and be part of a culture where individuality is noticed and valued every day.

Industry

It services

Company size

10,000+ Employees

Headquarters location

Florham Park, NJ, US

Year founded

2017