[Hiring] Healthcare Operations Workflow Specialist @24-MAG

Role Description

We are sharing a specialised part-time consulting opportunity for professionals experienced in healthcare operations, revenue cycle workflows, medical billing and coding, patient administration, clinical documentation support, compliance, and care coordination processes. This role supports current and upcoming remote consulting opportunities focused on structured healthcare operations review, revenue cycle workflow analysis, patient access documentation, clinical documentation support, compliance review, and high-quality project execution. Selected professionals will apply their healthcare operations expertise to review realistic healthcare scenarios, evaluate process requirements, prepare structured written outputs, and support accurate, evidence-based healthcare workflow tasks.

Key Responsibilities

• Revenue Cycle, Claims & Billing Review
  • Review healthcare operations scenarios involving claims submission, denial appeals, prior authorization, medical coding, charge entry, billing inquiries, and payer documentation.
  • Evaluate claim forms, coded charts, denial materials, charge records, and billing outputs against documented requirements and source materials.
  • Support structured review of ICD-10, CPT, HCPCS, payer policy, prior authorization workflows, and reimbursement documentation.
  • Identify missing information, coding issues, documentation gaps, denial causes, and expected revenue cycle outcomes.
• Patient Access & Healthcare Administration
  • Review healthcare administration scenarios involving patient scheduling, intake, eligibility verification, referral coordination, records requests, and patient communications.
  • Evaluate scheduling, intake, eligibility, referral, and records workflows against required fields, process rules, provider availability, and documentation standards.
  • Support structured review of patient communication templates, records request letters, scheduling workflows, referral notes, and administrative healthcare artifacts.
  • Prepare clear written explanations for healthcare administration decisions based on source materials and verifiable criteria.
• Clinical Documentation, Compliance & Care Coordination
  • Review clinical documentation support scenarios involving chart abstraction, note formatting, discharge summary preparation, order entry support, and template management.
  • Evaluate care coordination and compliance materials involving HIPAA documentation, care plan tracking, case management notes, and regulatory quality reporting.
  • Support structured review of care plans, patient communications, coded charts, denial appeals, clinical documentation, and compliance materials.
  • Maintain accuracy, consistency, and professional judgment across submitted work.

Qualifications

• 3+ years of experience in healthcare operations, revenue cycle management, medical billing, medical coding, clinical documentation, healthcare administration, patient access, payer operations, or provider operations.
• Working fluency in at least two areas such as ICD-10/CPT coding, claims workflows, denial management, EHR systems, prior authorization, HIPAA documentation, scheduling, intake workflows, or care coordination.
• Familiarity with healthcare systems and tools such as Epic, Cerner, athenahealth, eClinicalWorks, Meditech, NextGen, payer portals, billing systems, or similar platforms.
• Comfort reading and preparing healthcare artifacts such as claim forms, denial appeals, coded charts, care plans, patient communications, intake forms, referral notes, and clinical documentation materials.
• Strong written communication skills and ability to explain healthcare workflow decisions clearly.
• Ability to follow structured instructions and produce evidence-based work.

Educational Background

• A degree or professional background in healthcare administration, health information management, medical billing and coding, nursing, public health, clinical documentation, business administration, or a related field is helpful.
• Equivalent practical experience in healthcare operations, revenue cycle management, medical office administration, coding, billing, or care coordination is also highly relevant.

Nice to Have

• CPC, CCS, COC, CPB, RHIT, RHIA, CRC, RN, MA, healthcare administration credential, or equivalent healthcare operations background.
• Experience with claims submission, denial appeals, prior authorization, charge entry, coding review, patient scheduling, referral coordination, or records requests.
• Familiarity with HIPAA documentation, payer workflows, EHR documentation, clinical note workflows, case management, or quality reporting.
• Experience preparing or reviewing claim forms, coded charts, denial letters, care plans, intake forms, patient communications, or compliance documentation.
• Strong attention to detail in documentation-heavy and process-heavy healthcare environments.

Why This Opportunity

• Apply healthcare operations expertise to structured remote project work.
• Contribute to high-quality revenue cycle review, patient access workflow analysis, clinical documentation support, and compliance assessment.
• Work on flexible, project-based assignments aligned with your professional background.
• Use your healthcare workflow judgment in a focused, detail-oriented work environment.
• Remote structure with competitive hourly compensation.

Contract Details

• Independent contractor role.
• Fully remote with flexible scheduling.
• Part-time commitment depending on project availability.
• Competitive rates between $35–$75 per hour depending on expertise.
• Weekly payments via Stripe or Wise.
• Projects may be extended, shortened, or adjusted depending on scope and performance.
• Work will not involve access to confidential or proprietary information from any employer, client, or institution.