Medical Record Reviewer

hace 1 día


San Juan, San Juan, Puerto Rico Optum A tiempo completo

About This Opportunity

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This Recovery Resolutions Analyst RN/Coder position is an exciting opportunity to join our team at Optum. As a key member of our healthcare team, you'll play a critical role in ensuring the accuracy of disputed claims and providing high-quality patient care.

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Responsibilities

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  • Review and investigate post-service, pre-payment or post-payment claims">
  • Analyze and interpret data and medical records/documentation to identify areas of improvement">
  • Communicate findings to senior leadership and work with healthcare providers to resolve disputes">
  • Assume additional responsibilities as assigned and participate in client/network meetings">
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Qualifications and Requirements

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To be successful in this role, you should possess a strong analytical mindset, excellent communication skills, and a valid RN license or certified coder credentials.



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