Remote Risk Adjustment Coder Jobs in Luquillo, PR

Are you an experienced, passionate pioneer in technology who wants to work in a collaborative environment? As an experienced Accounts Receivable Analyst, you will have the ability to share new ideas and collaborate on projects as an Analyst without the extensive demands of travel. If so, consider an opportunity with Deloitte under our Project Delivery Talent Model. Project Delivery Model (PDM) is a talent model that is tailored specifically for long-term, onsite and/or remote client service delivery.

Recruiting for this role ends on 08/01/2026

Work you'll do
As an Accounts Receivable Analyst you will deliver Back End Revenue Cycle Management (RCM) services, including Billing and Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds, for health care provider client

• Review AR aging reports and work queues to identify unpaid and delayed claims.
• Follow up with third party payers, including commercial and government payers, on outstanding balances to understand claim status and payer requirements to adjudicate claim.
• Analyze claim status, remittance advice, and Explanation of Benefits (EOBs) to determine root causes of non-payment.
• Document claim status details and payer-provided information
• Provide account information to payers and required and resolve issues related to eligibility, authorizations, claim edits, coordination of benefits, and missing documentation.
• Rebill corrected claims and route issues to coding, billing, credentialing, denials, and/or clinical teams as needed.
• Review payments, contractual adjustments, denials, and patient responsibility balances to validate accurate account resolution.
• Adhere to defined SOPs and workflows and work within Epic Resolute Hospital Billing, claims clearinghouse, payer websites and portals, and other systems and required by workflows.
• Meet and exceed minimum productivity and quality standards; submit to performance improvement plans as required according to guidance from engagement management.
• Support team members in resolving complex claims.
• Support engagement management in pulling performance reporting.

A successful candidate would possess these skills:

• Ability to work independently and collaborate as part of a team
• Effective written and verbal communication skills
• Meticulous attention to detail and quality of work product
• Ability to build and sustain professional relationships
• Ability to lead projects or workstreams
• Ability to manage and prioritize multiple tasks in a fast-paced and dynamic environment
• Strong interpersonal skills and professional demeanor
• Ability to meet deadlines
• Ability to provide clear guidance to others

The team
AI & Engineering leverages cutting-edge engineering capabilities to build, deploy, and operate integrated/verticalized sector solutions in software, data, AI, network, and hybrid cloud infrastructure. These solutions are powered by engineering for business advantage, transforming mission-critical operations. We enable clients to stay ahead with the latest advancements by transforming engineering teams and modernizing technology & data platforms. Our delivery models are tailored to meet each client's unique requirements.
Our Industry Solutions offering provides verticalized solutions that transform how clients sell products, deliver services, generate growth, and execute mission-critical operations. We deliver integrated business expertise with scalable, repeatable technology solutions specifically engineered for each sector.
Qualifications
Required:

• Bachelor's degree in information technology, business, healthcare, or a related field; or equivalent experience
• 2+ years of experience in hospital accounts receivable follow-up operations or related revenue cycle functional area; intermediate proficiency in ; experience working according to high performing productivity and quality standards; experience working in claims clearinghouse system; familiarity with Epic Analytics and Reporting applications.
• Experience using Epic Resolute Hospital Billing application
• Experience working in claims clearinghouse systems
• Experience using Epic Analytics and Reporting applications
• Ability to travel 10%, on average, based on the work you do and the clients and industries/sectors you serve.
• Limited immigration sponsorship may be available.

Preferred:

• Experience using Microsoft Word, Excel, and PowerPoint
• Experience supporting clinical or healthcare business operations
• Experience managing multiple projects or workstreams
• Experience preparing and delivering technical demonstrations
• Experience analyzing billing workflows, claim issues, or operational data

For individuals assigned and/or hired to work in a remote role, Deloitte is required by law to include a reasonable estimate of the compensation range for this role. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. At Deloitte, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is $70,000 to $90,000.
You may also be eligible to participate in a discretionary annual incentive program, subject to the rules governing the program, whereby an award, if any, depends on various factors, including, without limitation, individual and organizational performance.

Are you an experienced, passionate pioneer in technology who wants to work in a collaborative environment? As an experienced Accounts Receivable Analyst, you will have the ability to share new ideas and collaborate on projects as an Analyst without the extensive demands of travel. If so, consider an opportunity with Deloitte under our Project Delivery Talent Model. Project Delivery Model (PDM) is a talent model that is tailored specifically for long-term, onsite and/or remote client service delivery.

Recruiting for this role ends on 08/01/2026

Work you'll do
As an Accounts Receivable Analyst you will deliver Back End Revenue Cycle Management (RCM) services, including Billing and Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds, for health care provider client

• Review AR aging reports and work queues to identify unpaid and delayed claims.
• Follow up with third party payers, including commercial and government payers, on outstanding balances to understand claim status and payer requirements to adjudicate claim.
• Analyze claim status, remittance advice, and Explanation of Benefits (EOBs) to determine root causes of non-payment.
• Document claim status details and payer-provided information
• Provide account information to payers and required and resolve issues related to eligibility, authorizations, claim edits, coordination of benefits, and missing documentation.
• Rebill corrected claims and route issues to coding, billing, credentialing, denials, and/or clinical teams as needed.
• Review payments, contractual adjustments, denials, and patient responsibility balances to validate accurate account resolution.
• Adhere to defined SOPs and workflows and work within Epic Resolute Hospital Billing, claims clearinghouse, payer websites and portals, and other systems and required by workflows.
• Meet and exceed minimum productivity and quality standards; submit to performance improvement plans as required according to guidance from engagement management.
• Support team members in resolving complex claims.
• Support engagement management in pulling performance reporting.

A successful candidate would possess these skills:

• Ability to work independently and collaborate as part of a team
• Effective written and verbal communication skills
• Meticulous attention to detail and quality of work product
• Ability to build and sustain professional relationships
• Ability to lead projects or workstreams
• Ability to manage and prioritize multiple tasks in a fast-paced and dynamic environment
• Strong interpersonal skills and professional demeanor
• Ability to meet deadlines
• Ability to provide clear guidance to others

The team
AI & Engineering leverages cutting-edge engineering capabilities to build, deploy, and operate integrated/verticalized sector solutions in software, data, AI, network, and hybrid cloud infrastructure. These solutions are powered by engineering for business advantage, transforming mission-critical operations. We enable clients to stay ahead with the latest advancements by transforming engineering teams and modernizing technology & data platforms. Our delivery models are tailored to meet each client's unique requirements.
Our Industry Solutions offering provides verticalized solutions that transform how clients sell products, deliver services, generate growth, and execute mission-critical operations. We deliver integrated business expertise with scalable, repeatable technology solutions specifically engineered for each sector.
Qualifications
Required:

• Bachelor's degree in information technology, business, healthcare, or a related field; or equivalent experience
• 2+ years of experience in hospital accounts receivable follow-up operations or related revenue cycle functional area; intermediate proficiency in ; experience working according to high performing productivity and quality standards; experience working in claims clearinghouse system; familiarity with Epic Analytics and Reporting applications.
• Experience using Epic Resolute Hospital Billing application
• Experience working in claims clearinghouse systems
• Experience using Epic Analytics and Reporting applications
• Ability to travel 10%, on average, based on the work you do and the clients and industries/sectors you serve.
• Limited immigration sponsorship may be available.

Preferred:

• Experience using Microsoft Word, Excel, and PowerPoint
• Experience supporting clinical or healthcare business operations
• Experience managing multiple projects or workstreams
• Experience preparing and delivering technical demonstrations
• Experience analyzing billing workflows, claim issues, or operational data

For individuals assigned and/or hired to work in a remote role, Deloitte is required by law to include a reasonable estimate of the compensation range for this role. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. At Deloitte, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is $70,000 to $90,000.
You may also be eligible to participate in a discretionary annual incentive program, subject to the rules governing the program, whereby an award, if any, depends on various factors, including, without limitation, individual and organizational performance.