23 jobs found in Honolulu

Become a part of our caring community Humana, a Fortune 100 Company, is looking for an experienced and Certified medical coding auditor to review inpatient hospital claims for proper reimbursement and resolve provider disputes. Your expertise will directly contribute to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, ensuring correct claims payment and appropriate diagnosis related group assignments. The Certified Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The goal is to ensure the accuracy and integrity of hospital claim payments. Responsibilities include the following: Review inpatient medical records and claims to ensure accurate coding and reimbursement Assign and validate ICD-10-CM, ICD-10-PCS, and DRG codes Audit coding quality and identify opportunities for...

CAREER OPPORTUNITY OFFERING:   Bonus Incentives   Paid Certifications   Tuition Reimbursement   Comprehensive Benefits   Career Advancement   This position will pay between $29 .75   and $ 3 2 . 7 0 / hr   based on experience   Specialized Coders Wanted —$3,000 Sign‑On Bonus Awaits -- We are seeking candidates with experience in Cardiology, Vascular or Thoracic Surgery specialties.   The   Specialized Coder   is a certified coder with expert knowledge in physician coding   for  Cardiology,   Cardiovascular Thoracic Surgery or Vascular Surgery . This position  is responsible for   reviewing physician charges to accurately code encounters, correct coding edits, and  assist   with research for denied claims. The Specialized Coder's role also includes tracking, trending coding issues, mentoring/training other coders, and supporting provider education.   Job Responsibilities:    Code claims directly from the medical record/operative...

Job Title Job Description

CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between $24.65 - $27.10/hr based on experience * We are seeking candidates with experience in at least one of the following; Cardiology, Ortho, Podiatry, Radiology Oncology, OBGYN, Gynecology Oncology, Behavioral Health, RHC, Urology, Nephrology, Vascular, Neurosurgery and General Surgery. * The Forensic Coder is a certified coder with expert knowledge in front and back end coding.  This position is responsible for root cause analysis of trending front and/or back end identified coding opportunities; internal and external coding/documentation education; supporting and at times leading coding opportunity improvement projects. This position will also perform and/or assist with special coding projects as determined by leadership.       Job Responsibilities: Complete root...

Job Description Job Description Certified Medical Coder (Puyallup, WA — In-Office if Local / Remote if Non-Local) Our mission to change wound care and improve the lives of others isn’t easy, but it’s worth it! One in ten residents in a skilled nursing facility will develop a skin condition requiring expert medical care. We believe that every person deserves the very best wound care. Building and leading wound care teams is how we do it! Our wound care providers bring education and encouragement to the people who take care of our patients 24/7. When they get better at their jobs, our patients’ wounds heal faster, and that is our goal! ***We are accepting applications for potential future opportunities and do not currently have an open position.*** Main Responsibilities (may include but are not limited to): Meet minimum production goals...

RESPONSIBILITIES I. JOB SUMMARY/RESPONSIBILITIES: • Ensures consistent and accurate coding and charging of emergency department (ED) and outpatient accounts through a thorough review of conditions and procedures as documented by qualified health providers in the medical record. II. TYPICAL PHYSICAL DEMANDS: • Seeing, hearing, speaking, finger dexterity. • Frequent: sitting. • Infrequent: walking, stooping/bending, reaching at and below shoulder level. III. TYPICAL WORKING CONDITIONS: • Not substantially subjected to adverse environmental conditions. IV. MINIMUM QUALIFICATIONS: A. EDUCATION/CERTIFICATION AND LICENSURE: • Current certification in one (1) of the following: o Certified Professional Coder (CPC) by the American Academy of Professional Coders (AAPC) o Certified Coding Associate (CCA) by the American Health Information Management Association (AHIMA) o Certified Coding Specialist (CCS) by AHIMA o Registered Health Information Technician (RHIT)...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources...

A pharmaceutical company based in Honolulu is seeking an Associate Director, Scientific Communications to manage the execution of core scientific communications strategies. This role will oversee the creation of content assets and manage the global publications plan, ensuring scientific accuracy and compliance. Ideal candidates should hold an advanced scientific degree and have over 7 years of experience in Medical Affairs, with strong project management and collaboration skills. A competitive salary range is offered, with various company benefits. #J-18808-Ljbffr

CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between $57,400 to $99,000 annually based on experience The Coder Quality Auditor conducts monthly and quarterly quality assessments of individual codes . Provides guidance and education to coding associates and leaders on established coding guidelines and procedures. Performs additional quality assurance follow-up reviews to assess comprehension of education and training efforts. Serves as a subject matter expert for professional fee coding for all involved personnel; ensures that information is accurate and current, meeting professional coding standards and following CMS/AMA guidelines .  Candidate should possess the ability to code and a clear understanding of the coding principles and guidelines for multiple specialties.   Job Responsibilities: Quality Review - Monitors and audits inpatient...

Immediate need for a talented Insurance Billing / Medical Biller- Need local to Hawaii. This is a 06+ months contract opportunity with long-term potential and is located in Hawaii (REMOTE). Please review the job description below and contact me ASAP if you are interested. Job ID: 26-00754 Pay Range: $20 - $23/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location). Key Responsibilities Note: Need local candidates to Hawaii Process and follow up on insurance claims and denials Work unpaid insurance balances to ensure accurate reimbursement Submit payer-requested documentation Enter charges, payments, and adjustments Communicate with insurance companies, providers, and internal teams Track and report insurance trends Key Requirements and Technology Experience Key Skills; 1 year experience in insurance billing, patient accounts, or AR follow-up Experience working insurance...

A leading healthcare consulting firm is seeking an Insurance Billing / Medical Biller for a remote position based in Hawaii. This 6+ months contract role offers a competitive pay range of $20 to $23 per hour. Ideal candidates will have at least 1 year of experience in insurance billing, with knowledge of Epic as the primary billing system. Responsibilities include processing claims, following up on denials, and ensuring accurate reimbursements. Employee benefits include health insurance and a 401(k) plan. #J-18808-Ljbffr

Signature Performance is seeking an Inpatient Professional Fee, Profee Medical Coder for a remote role nationwide. You will review records to assign accurate diagnoses and procedures, ensuring compliance with guidelines, CMS, and payer requirements. Responsibilities include abstracting data, correcting discrepancies, and documenting coding decisions to support correct reimbursement. AHIMA/AAPC certifications are preferred, with a minimum of 2 years coding experience. #J-18808-Ljbffr

Datavant in Honolulu is seeking experienced outpatient coders to join their team. This role involves reviewing medical records and accurately assigning codes for diagnoses and procedures, ensuring a high accuracy rate. Ideal candidates will have AHIMA or AAPC credentials and at least 2 years of coding experience. This fully remote position offers a flexible schedule and a sign-on bonus. Benefits include medical, dental, vision, paid time off, and comprehensive training. #J-18808-Ljbffr

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world’s health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient’s request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you’re stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. We’re looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to help shape the future...

Humana Inc. is seeking an experienced Certified Inpatient Medical Coding Auditor to review inpatient hospital claims and ensure proper reimbursement. You will extract clinical information, assign ICD-10-CM/PCS and DRG codes, and support accurate payer payments. The role is remote with potential travel to Humana offices for training or meetings. Hours are typically 40 per week, with a bonus incentive plan based on performance and company results. #J-18808-Ljbffr

Baylor Scott & White Health seeks a Coding Auditor I to perform coding quality reviews and provide feedback to coders. The role ensures accurate ICD-10-CM/PCS, HCPCS, and CPT coding with adherence to HIPAA and regulatory requirements. Responsibilities include data abstraction, collaboration with Clinical Documentation Specialists, and completing production coding as assigned to support compliant documentation and coding accuracy. #J-18808-Ljbffr

CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between $57,400 to $99,000 annually based on experience The Physician Coding Auditor develops and implements strategic needs analyses and training plans for coding leadership; coordinates and evaluates curriculum development and conducts the preparation and delivery of training for Medical Coders employed by Ensemble and providers that are contracted/employed and outlined in the client SOW. Provides guidance and leadership to coding and billing management in the implementation and administration of effective systems, processes, and procedures. Performs annual performance reviews and quality assurance reviews to assess comprehension of training efforts. Serves as a subject matter expert for professional fee coding for all involved personnel; ensures that information is accurate and current, meeting...

6AM City, LLC is seeking a skilled Medical Technologist Supervisor in Hilo, HI. The successful candidate will lead laboratory operations, ensuring quality control and compliance while overseeing personnel. Applicants should have a Bachelor's Degree in medical technology and at least four years of relevant experience. In addition to competitive pay, the role offers benefits such as paid time off, health insurance, and opportunities for professional growth. #J-18808-Ljbffr

Walt Disney is seeking an experienced Auditor to review medical records, coding, and billing practices, ensuring compliance with industry standards. The role requires expertise in medical office procedures, coding systems, and terminology to conduct thorough audits. Responsibilities include audits of claims, reporting findings, and providing education to staff. Remote/hybrid work options may be available; prior HIM coding leadership interaction is valued. #J-18808-Ljbffr

Become a part of our caring community Code Edit Disputes team reviews and educates providers when there is a dispute on adjudicated claims that contain a code editing related denial or financial recovery. The Medical Coding Coordinator performs advanced administrative, operational, and customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills. Where you Come In The Medical Coding Coordinator extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Decisions typically focus on methods, tactics and processes for completing administrative tasks/projects. Regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes and techniques, and...