16 jobs found in Honolulu

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...

Become a part of our caring community Humana, a Fortune 100 Company, is looking for an experienced and Certified Inpatient 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...

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)...

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...

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...

This is a remote based position. Applicants can be located nationwide Back Medical Coder - Surgery/Anesthesia #2889 United States Apply X Facebook LinkedIn Email Copy Position Description About You You are a person who is passionate about accurate Evaluation and Management (E&M) ICD-10-CM, ICD-10- PCS, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) codes, modifiers and quantities derived from medical record documentation (paper or electronic) for encounters dependent upon record type. Tell us about your experience with 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 manage multiple projects using your problem-solving skills. We are looking for someone UNCOMMON. What is uncommon about you? Are you highly committed? Are you team-oriented? Do you value professionalism, trust, honesty, and...

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

This is a remote based position. Applicants can be located nationwide Back Medical Billing Specialist II #2878 United States Apply X Facebook LinkedIn Email Copy Position Description About You You are someone who has a strong understanding of medical billing processes, payer guidelines, and attention to detail. We need someone who can ensure proper claim details, billing compliance, and timely claims resolution to support the organization's financial goals. In the role of Medical Billing Specialist II, you will be responsible for accurately preparing and submitting medical claims to appropriate payers. Tell us about your experience with Medical Billing or in Revenue Cycle Operations. 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 manage multiple projects using your problem-solving skills. We are looking for someone UNCOMMON. What is uncommon about you?...

About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note:...

This is a remote based position. Applicants can be located nationwide Back Outpatient Coding Auditor #2814 United States Apply X Facebook LinkedIn Email Copy Position Description About You You are a person who is passionate about performing quality reviews and audits of the assigned staff. We need someone who ensures standards are met in accordance with department and organization policy. In the role of Outpatient Coding Auditor, you will demonstrate skills in organization, prioritization, professionalism and coaching others. Tell us about your experience with Outpatient Coding Auditing. Are you a team player and a self-motivator? We are counting on you to manage multiple projects using your problem-solving skills. We are looking for someone UNCOMMON. What is uncommon about you? Are you highly committed? Are you team-oriented? Do you value professionalism, trust, honesty, and integrity? If so, we cannot wait to meet you. About The Position Advanced...

Signature Performance is seeking a Medical Billing Specialist II for a remote position to manage and submit medical claims accurately. Candidates must have a strong background in medical billing processes, payer guidelines, and attention to detail. The role requires verifying billing information, resolving claims, and ensuring compliance with healthcare regulations. The ideal candidate will have experience in revenue cycle operations and proficiency in billing software such as Epic or Cerner. #J-18808-Ljbffr

EMS|MC is seeking a Customer Service Professional - Inbound to handle patient calls with care, assist with billing questions, and update insurance information. This in-office Honolulu role emphasizes accuracy, HIPAA compliance, and strong written and verbal communication. You will support the EMS|MC mission while working a Monday–Friday schedule in a controlled office setting, with opportunities to mentor new hires and grow within the company. #J-18808-Ljbffr

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 professional environmental services company seeks an Environmental Compliance Specialist to provide compliance consulting to various clients. This part-time role involves auditing and assessing facilities to ensure compliance with environmental regulations. The ideal candidate will have a degree in Environmental Science, strong communication skills, and relevant experience in audits. This position requires significant travel and offers a salary range of $108,000 - $162,000 based on location. #J-18808-Ljbffr

Stantec is searching for a part-time Environmental Compliance Specialist to join our team in the United States, specifically in Honolulu, Hawaii. This vital role involves providing environmental compliance consulting to both government and commercial clients while ensuring that facilities meet federal, state, and local regulatory standards. Ideal candidates will have a degree in Environmental Science or related fields, alongside 3-5 years of relevant auditing experience. Strong communication skills and proficiency in software tools are essential to succeed in this position. Join us in making a positive impact on the environment! #J-18808-Ljbffr