12 jobs found in Honolulu

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

Baylor Scott & White Health (BSWH) is seeking a Provider Coding Compliance Consultant to support the organization's compliance program. The role reports to the Coding Compliance Manager and helps develop, implement, and maintain BSWH policies to ensure adherence to federal, state, and local laws and regulations. The position involves identifying audit projects, conducting provider service audits, generating reports with actionable guidance, obtaining corrective action plans, and coordinating #J-18808-Ljbffr

Humana Inc is seeking a Medical Coding Auditor for the Outpatient Facility/APC Coding Team. You will review medical claims against records to ensure correct ICD-10-CM, CPT and HCPCS coding and support cost reduction through accurate payments. Key duties include verifying procedure codes, evaluating documentation against clinical criteria, using coding resources and performing CPT/HCPCS reviews. You will maintain confidentiality and stay current with ICD-10 and CPT guidelines. #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

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...

This is a remote based position. Applicants can be located nationwide Back Inpatient Medical Coder #2922 United States Apply X Facebook LinkedIn Email Copy Position Description About You You are a person who is passionate about interpreting health record documentation using your knowledge of anatomy, physiology, clinical disease process, pharmacology, and medical terminology to determine appropriate diagnosis and procedural coding. We need someone who has a deep understanding of coding conventions, instructions, and Official Guidelines for Coding and Reporting and Coding Clinics. In the role of Inpatient Medical Coder, you will be responsible for ICD-10-CM diagnosis coding and ICD-10-PCS procedure coding for complex, inpatient acute care discharges. Tell us about your experience with Inpatient Medical Coding. Are you a team player and a self-motivator? What is your experience with conducting business in a way that is credit to a company? We are counting on you to...

Datavant is seeking an Inpatient Auditing Specialist to conduct facility inpatient coding audits and provide detailed rationale for changes. The role supports onboarding, focuses reviews, and adherence to SLAs across various EMR systems. This fully remote position requires 5+ years in inpatient coding/auditing, CCS certification, and strong knowledge of DRG accuracy. Epic and Cerner experience are preferred as you collaborate with healthcare clients. #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. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical role in translating clinical...

Medical CoderWe are seeking a Medical Coder to join our team. In this role, you will transcribe patient records and process claims for reimbursements. You will be responsible for selecting the correct codes and functions to be assigned to each instance. The ideal candidate is detail-oriented with strong people skills and computer skills.Locations: San Francisco, CA / Palo Alto, CA / Northern California, CA / Las Vegas, NV / Fresno, CA / Reno, NV / Honolulu, HIType: Full-timeCertification: CCS, RHIA, or CPCBenefits/Perks:Flexible SchedulingCompetitive CompensationCareers AdvancementResponsibilitiesAccount for coding and abstracting of patient medical appointmentsResearch and analyze data needs for reimbursementEnsure codes are properly sequencedAnalyze, file, and process medical recordsKeep detailed documentation of any deficiencies or issues with medical recordsProvide education and training to other coding staffReview and verify documentationQualificationsHigh school diploma/GED...

Medical Coder We are seeking a Medical Coder to join our team. In this role, you will transcribe patient records and process claims for reimbursements. You will be responsible for selecting the correct codes and functions to be assigned to each instance. The ideal candidate is detail-oriented with strong people skills and computer skills. Locations: San Francisco, CA / Palo Alto, CA / Northern California, CA / Las Vegas, NV / Fresno, CA / Reno, NV / Honolulu, HI Type: Full-time Certification: CCS, RHIA, or CPC Benefits/Perks: Flexible Scheduling Competitive Compensation Careers Advancement Responsibilities Account for coding and abstracting of patient medical appointments Research and analyze data needs for reimbursement Ensure codes are properly sequenced Analyze, file, and process medical records Keep detailed documentation of any deficiencies or issues with medical records Provide education and training to other coding staff Review and...

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. What We're Looking For We're looking for experienced and credentialed inpatient 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...

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...