Medical Records, Coding

4 days ago

Manila, National Capital Region, Philippines RemoteRaven Full time

Remote Medical Records, Denials Coder & Utilization Review Specialists – Full-Time, $6–$10/hr

Job Summary:

We're hiring qualified healthcare professionals for remote roles: Medical Records Specialist, Denials Coder (CPC), and Utilization Review Specialist. Join our team to support patient care, billing integrity, and insurance authorization processes. Full-time positions, flexible remote work.


Job 1: Medical Records Specialist (Release of Information)

Rate: Up to $6/hr | Location: Remote | Schedule: Standard business hours

Responsibilities:

  • Intake, validate, and securely release medical records per HIPAA and 42 CFR Part 2.
  • Verify authorizations, review subpoenas/court orders, and ensure provider clearance.
  • Assemble, redact, and transmit records via secure methods; maintain accurate logs.
  • Meet all federal/state timelines and participate in audits.
  • Follow strict privacy, security, and compliance protocols.

Qualifications:

  • 2+ years' experience in medical records, release of information, or health information management.
  • Strong knowledge of HIPAA/privacy rules, behavioral health record handling.
  • Proficient with EHR systems, secure email/fax, Microsoft 365 or Google Workspace.
  • Excellent written communication and attention to detail.

Preferred:

  • Experience with minors, guardianship, psychotherapy notes, and payer/Medicare audits.
  • RHIT, CHDS, CHPS, or related certification.

Job 2: Denials Coder (CPC – Denial Management Specialist)

Rate: Up to $10/hr | Location: Remote | Schedule: Flexible full-time

Responsibilities:

  • Analyze and resolve claim denials due to coding errors or coverage issues.
  • Hard-code from medical documentation (ICD-10-CM, CPT, HCPCS) and submit appeals.
  • Identify trends in coding denials and advise billing teams or providers.
  • Handle inbound patient or payer inquiries as needed.

Qualifications:

  • Current CPC (Certified Professional Coder) certification required.
  • 2+ years coding experience; strong focus on denial management preferred.
  • Knowledge of anatomy, physiology, medical terminology, and EMR/EHR systems.
  • Strong attention to detail, problem-solving, and investigative skills.

Preferred:

  • Hard coding expertise, prior billing experience, call center experience handling inquiries.

Job 3: Utilization Review Specialist

Rate: Up to $6/hr | Location: Remote | Schedule: Full-time

Responsibilities:

  • Manage preauthorizations, SingleCaseAgreements (SCAs), and continued authorizations.
  • Collaborate with clinical staff to ensure documentation meets insurance requirements.
  • Advocate for clients with insurers and appeal authorization denials.
  • Provide training and guidance to clinicians on documentation and medical necessity.
  • Track authorizations, report on outcomes, and ensure compliance.

Qualifications:

  • Bachelor's degree in healthcare administration, social work, or related field preferred.
  • 3–5 years' experience in utilization review, medical billing, or related field (behavioral health preferred).
  • Strong knowledge of insurance authorization processes and EMR documentation.
  • Excellent communication, negotiation, and organizational skills.

How to Apply:

Send your resume to with the subject line:

  • JobStreet Applicant | Position You're Applying For | Complete Name
  • Ex: JobStreet Applicant | Medical Records Specialist Application | Jane Doe

Include your relevant experience and certifications. Only candidates meeting the qualifications will be contacted.

Employment Type: Full-Time | Remote: 100%

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