Full-Time Clinical Reviewer jobs in San Juan, PR

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CLINICAL REVIEWER (MEDICAL CODING ACADEMY - COC) SAN JUAN, PR

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 defin...

CompanyOptum
AddressSan Juan, PR
CategoryHealthcare
Salary$64.3K - $81.4K a year
Job typeFull-time
Date Posted a month ago See detail

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

Optum

San Juan, PR

$64.3K - $81.4K a year

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 defin...

Clinical Review Nurse

Novitas

United States

$51.1K - $64.7K a year

Medical, dental, vision, life and supplemental insurance plans effective the first day of the month following date of hire. Short- and long-term disability benefits. 401(k) plan with company match and immediate vesting. Free teleh...

Clinical Review RN

Centers Plan For Healthy Living

Margate, FL

$80.2K - $102K a year

Audits and reviews Medicare/non-Medicare charts to ensure that proper standards are maintained in compliance with Federal and State regulations. Reviews Outcome Assessment Information Set (OASIS) and visit documentation for errors...

Clinical Nurse Reviewer, Specialty Solutions

Clario

Remote

$74K - $93.7K a year

Reviewing study requirements and endpoint definitions and collaborates with key stakeholders to develop study start-up activities and associated documents for endpoint adjudication Assists the Clinical Endpoint Project Manager in...

Clinical Pharmacist Reviewer- REMOTE

Prime Therapeutics

Remote

$109,480 - $186,120 a year

Pharmacy Data Review: Regularly reviews and monitors prescription claims data and prescribing practices identified as outliers by internal and/or external analysis of pharmacy claims data. Telephonic Consultations/Interventions: C...