Financial Clearance Center Specialist
Jackson, MS · On-site +1
Prefer candidate be in Jackson Mississippi, remote available. Responsibilities * Verifies ... Employment Type: PART_TIME
Financial Clearance Center Specialist
Jackson, MS · On-site +1
Prefer candidate be in Jackson Mississippi, remote available. Responsibilities * Verifies ... Employment Type: PART_TIME
Part Time Remote Coding Auditor information
What is a part time remote coding auditor?
A Part Time Remote Coding Auditor is a healthcare professional who reviews medical records and coding documentation to ensure accuracy and compliance with regulations, typically working from home and on a flexible, part-time schedule. They verify that diagnoses, procedures, and billing codes are correctly assigned according to established guidelines. This role helps healthcare organizations maintain coding integrity, prevent billing errors, and comply with legal requirements. Part time remote coding auditors often need certification and experience in medical coding, along with strong attention to detail and analytical skills.
What are the key skills and qualifications needed to thrive as a part time remote coding auditor?
To thrive as a Part Time Remote Coding Auditor, you need a strong understanding of medical coding standards (ICD-10, CPT, HCPCS), healthcare regulations, and auditing procedures, often backed by certifications like CPC or CCS. Familiarity with electronic health record (EHR) systems, coding software, and secure data transfer tools is typically required. Exceptional attention to detail, analytical thinking, and effective written communication are important soft skills for this role. These competencies ensure coding accuracy, regulatory compliance, and the integrity of healthcare billing processes in a remote work environment.
What are some common challenges faced by part time remote coding auditors, and how can they be managed effectively?
Part-time remote coding auditors often encounter challenges such as effective time management, staying updated with evolving coding guidelines, and maintaining consistent communication with healthcare teams. Balancing workload with limited hours can be addressed by setting clear daily goals and using productivity tools. Regular participation in virtual meetings and ongoing professional development help auditors remain current and connected with their team, ensuring accuracy and compliance in their work.
What is the difference between Part Time Remote Coding Auditor vs Part Time Remote Medical Biller?
| Aspect | Part Time Remote Coding Auditor | Part Time Remote Medical Biller |
|---|---|---|
| Required Credentials | Certification in coding (e.g., CPC, CCS) | Certification in billing or coding (e.g., CPC, CPC-H) |
| Work Environment | Remote, healthcare facilities, insurance companies | |
| Industry Usage | Healthcare, insurance, auditing firms | |
| Job Focus | Reviewing medical codes for accuracy and compliance |
Part Time Remote Coding Auditors primarily review medical codes to ensure accuracy and compliance, often requiring coding certifications. In contrast, Part Time Remote Medical Billers focus on submitting and following up on insurance claims. Both roles are remote, serve the healthcare industry, and may require similar credentials, but their core responsibilities differ in the coding review versus billing process.
What are popular job titles related to Part Time Remote Coding Auditor jobs in Mississippi?
For Part Time Remote Coding Auditor jobs in Mississippi, the most frequently searched job titles are:
What job categories do people searching Part Time Remote Coding Auditor jobs in Mississippi look for?
The top searched job categories for Part Time Remote Coding Auditor jobs in Mississippi are:
Financial Clearance Center Specialist
Jackson, MS • On-site, Remote
Adoration Health •
Hospitals • 51 - 200 employees51 - 200 employees
Part-time
Posted 15 days ago
Job description
Our Company
Adoration Health
OverviewThe Financial Clearance Center (FCC) Specialist contacts insurance companies, branch operations, and patients to ensure accurate patient demographic and insurance information including insurance verification/benefits/authorizations, and the status of a used/remaining benefits.
Prefer candidate be in Jackson Mississippi, remote available.
Responsibilities- Verifies eligibility and insurance benefits including but not limited to: Confirming the status of used/remaining benefits using electronic and telephonic resources, communicating, and identified insurance plan to billing manager for system updates.
- Obtains pre-certification, authorizations, and referrals to ensure managed care compliance for necessary services.
- Fulfills notification requirements.
- Partners and maintains working relationship with various departments throughout the organization, including Business HUB, Clinical Coordinators and Branch Operations
- Provides patient education as needed on various topics including patient rights, regulatory requirements, and financial policies.
- Prepares oral/written communications including periodic status updates.
- Maintains documentation and notes in computer system regarding all conversations with patients, insurance company representatives, and pre-certification.
- Supports BrightSpring Health's Compliance Program by adhering to policies and procedures pertaining to HIPAA, FCRA, and other laws applicable to BrightSpring Health's business practices.
- Completes all required training, maintains active working knowledge of BrightSpring health's Code of ethics (LEGACY), and immediately follows reporting procedures related to compliance, incidents, HIPAA, and adheres to confidentiality obligations.
- Maintains effective communication strategies and style with patients, insurance companies both verbally and in writing to ensure a positive overall internal/external customer service experience.
- HR Diploma/GED required; Preferred Associates Degree or BS/BA from accredited college.
- 2+ years of experience in a role that interfaces with commercial or government insurance payers to verify medical coverage or to perform billing, collections or follow up activities on covered charges for patients
- Medical billing certificate/ medical insurance specialty certificate preferred
- Strong analytical skills to process admissions and accurately and timely
- Demonstrated ability to navigate Web Based programs and Microsoft Office/including Excel
- Demonstrated ability to communicate effectively and to simplify complex information to all stakeholders in verbal and written form
- Ability and willingness to work cohesively in a team environment locally and across other departments and locations
- Demonstrate patience with a strong attention to detail
- Demonstrated ability to apply critical thinking skills, creativity, and a commitment to ensure that we meet the needs of stakeholders and patients.
- Minimal travel, rarely or as needed
About Adoration Health
Sourced by ZipRecruiter
Adoration Home Health and Hospice provides quality and compassionate services in the comfort of home, providing support for patients, families and caregivers in their time of need. Adoration was formed to fill the need for a loving, community-focused, caring organization. We empower patients to live with dignity, find a sense of fulfillment, and celebrate with their families a life well-lived. Our employees and caregivers are proud to be a part of the Adoration team and the mission of our company. For more information about Adoration, please visit www.AdorationHealth.com. Follow us on Facebook and LinkedIn.
Industry
Hospitals
Company size
51 - 200 Employees
Headquarters location
Nashville-Davidson, TN, US
Year founded
2015