RN Clinical Reviewer (CPC Medical Coding Academy) San Juan, PR

UnitedHealth Group • San Juan, Puerto Rico

Location San Juan, San Juan
Job Type Full-time
Posted June 04, 2026

Role Description

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

Positions in this function investigates Optum Waste and Error stopped claims by gathering information, researching state and federal guidelines, and following internal procedure to determine the viability of the claim for further review in a production environment.

Primary Responsibilities:

  • Clinical Case Reviews -75%Perform clinical review of professional (or facility) claims...
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