16 jobs found in Honolulu

Job Description Job Description Seeking a qualified a full and part-time Medical Biller/Coder. Needs to be efficient, accurate, hardworking and a team player. Must have experience verifying insurance, filing claims, payment posting, credentialing, and working appeal/denials. Check practitioners' codes for accuracy, work with outsource medical billing company and follow up with insurance companies in regards to denials/payments. Partner with the Clinic Manager to follow up with patients' insurance eligibility, co-pays, referrals, and authorizations. Strong communication skills and friendly personality. Must have at least 3 years Medical billing experience( to include charge capture, claims handling, payment posting, claims appeals/disputes) and certified coder.   Kū Aloha Ola Mau is an Equal Opportunity Employer Company Description We have locations in Honolulu and Hilo Approximately 500 persons are served daily, with more than half of these on Hawai`i Island. Research and...

Inpatient Medical Coding Auditor As an Inpatient Medical Coding Auditor, you will make an impact by auditing consultant inpatient. You will be a valued member of the Cognizant team and work collaboratively with stakeholders and teams. In this role, you will: Review ICD-10 inpatient patient records for accuracy and compliance Review physician documentation to verify diagnosis and procedures Communicate with physicians to obtain or clarify diagnosis and/or procedures via the query process Assign accurate ICD-10-CM and ICD-10-PCS codes utilizing an electronic encoder application, 3M, in accordance with practice policy and regulatory guidelines Complete reports as requested Provide ICD-10-CM and ICD-10-PCS education and mentoring to Company's clients in coding, billing and compliance Perform Peer Reviews of Company Health Information Management coding auditors and coders Assure that services provided to Clients of Company are current and up-to-date with industry...

Pro Fee Coder Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE). The Pro Fee Coder will review clinical documentation to assign and sequence diagnostic and procedural codes for specific patient types to meet the requirements of hospital data or physician data retrieval for billing and reimbursement. Coder I may validate APC calculations to accurately capture the diagnoses/procedures documented in the clinical record for hospitals. The Coder I performs documentation review and assessment for accurate abstracting of clinical data to meet regulatory and compliance requirements. Coder I may...

Job Posting Job Summary/Responsibilities: Ensures consistent and accurate coding of patient accounts through a thorough review of conditions and procedures as documented by qualified health care providers in the medical record. Typical Physical Demands: Seeing, hearing, speaking, finger dexterity. Frequent: sitting. Typical Working Conditions: Not substantially subjected to adverse environmental conditions. Minimum Qualifications: Education/Certification and Licensure: Current certification in one of the following: Certified Coding Specialist (CCS) by the American Health Information Management Association (AHIMA). Certified Professional Coder (CPC) by the American Academy of Professional Coders (AAPC) and three years of acute care facility coding experience. Coursework and/or demonstrated knowledge of medical terminology, body systems/anatomy, pathophysiology, surgeries/treatments, and pharmacology. Experience: Two years experience in coding/abstracting. Proficiency...

Allegheny Health Network Job Posting Company: Allegheny Health Network Job Description: 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. (60%) 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 and implementing...

Medical Billing Specialist / Insurance Claims Verifier The company is a growing therapy group providing speech therapy services to children and families. We collaborate closely with providers and caregivers to deliver coordinated care and maintain a supportive, patient-first experience. In this role, the Medical Billing Specialist / Insurance Claims Verifier is responsible for ensuring accurate insurance verification, efficient claim submission, and timely billing resolution so families receive clarity in their care costs and providers can deliver care without disruption. The ideal candidate is detail-oriented, reliable, comfortable communicating with payers and families, and experienced in end-to-end medical billing workflows. Your accuracy and communication will directly support the clinic's mission of delivering uninterrupted, high-quality care. By maintaining smooth billing operations and resolving claims efficiently, you ensure that both families and providers experience...

Inpatient Coder Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for 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...

We are seeking a dedicated Non-Medical Counseling Supervisor to lead our team in providing exceptional support to military service members and their families. In this role, you will oversee direct reports who deliver resources, referrals, and consultations on Employee Assistance Programs (EAP) and various work/life issues. You will have the opportunity to make a significant impact by training, coaching, and mentoring your team to handle high-risk calls with professionalism and care. Oversee the hiring, training, coaching, counseling, and evaluation of direct reports to ensure excellence in service delivery. Ensure that performance standards are consistently met or exceeded while collaborating with both internal and external partners for optimal service efficiency. Act as a liaison between internal departments, and assist in developing and implementing effective policies and procedures. Facilitate training sessions to empower staff with the necessary skills and...

Assembler Language Coder Location: Remote Clearance: IRS MBI This program requires US Citizenship Description of Assignment: Work in an Agile team to support back-end mainframe systems and provide interfaces to front-end systems. This means that they can develop mainframe applications (with databases and mainframe systems): Work with development teams and product managers to ideate software solutions. Analyze existing software as well as incoming business rules and conversion details, producing application requirements and detailed design documents. Working knowledge of mainframe tools including TSO, JCL, Control-M. Develop and manage well-functioning databases and applications. Write effective interfaces to system applications and services. Troubleshoot, debug and upgrade software and assist in defect resolution. Create security and data protection settings. Build features and applications with a high availability design. Write technical...

Coding Auditor - Drg/Apc Coordinator Be a part of a world-class academic healthcare system at UChicago Medicine as a Coding Auditor - DRG/APC Coordinator for the Health Information Management department. This is a remote, work from home opportunity and you may be based outside of the greater Chicagoland area. In this role, the Coding Auditor - DRG/APC Coordinator is responsible for ensuring accuracy and quality of coding assignments for all records requiring DRG and/or APC coding, and ensures optimal and timely reimbursement. Essential Job Functions Performs data quality reviews on inpatient and outpatient records to ensure proper coding guidelines have been followed and appropriate DRG or APC assignments have been made for appropriate reimbursement Provides DRG/APC and coding quality information and statistical reports to the Coding Manager Communicates with the Medical Staff and House staff as needed to discuss clinical questions with respect to the assignment of...

Hcc Coder Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a standardized system,...

Medical Biller Times Pharmacy is looking for medical billers or pharmacy technicians for vaccination clinic billing. We are looking to hire independent, organized, detail-oriented, and motivated individuals to help us process and submit vaccination clinic claims. Availability: Monday through Friday Most days start around 8am and end around 5pm. May potentially end later (around 7PM) or may work on Saturday and/or Sunday if there is a need. Position begins in July or August and ends in mid November (~3-4 months) Responsibilities: Enter vaccination clinic claims into pharmacy billing systems Process and organize vaccination clinic files Follow all operating policies and procedures Conduct work in a professional manner at all times and provide excellent customer service Proper phone etiquette when verifying health information with patients and/or healthcare professionals Additional duties to be assigned as needed, such as attending vaccination clinics and assisting...

IP Coder 3 How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives. Work Shift: Various (United States of America) Job Summary: The IP Coder 3 position reports directly to the Supervisor of Coding. Key responsibilities of the role include: Reviewing documentation in inpatient and/or IVR (interventional radiology) medical records, and accurately and completely assigning appropriate ICD-10-CM diagnostic and ICD-10-PCS/CPT-4 HCPCS procedural codes to the greatest specificity, assigning the most accurate DRG/APC, when appropriate. Abstracts demographic and coding...

Medical Biller (Temporary, Part‑time) Times Pharmacy is looking for medical billers or pharmacy technicians for vaccination clinic billing. Availability Monday through Friday – Most days start around 8 am and end around 5 pm. May potentially end later (around 7 pm) or may work on Saturday and/or Sunday if there is a need. Position begins in July or August and ends in mid‑November (~3‑4 months) Responsibilities Enter vaccination clinic claims into pharmacy billing systems Process and organize vaccination clinic files Follow all operating policies and procedures Conduct work in a professional manner at all times and provide excellent customer service Proper phone etiquette when verifying health information with patients and/or healthcare professionals Additional duties to be assigned as needed, such as attending vaccination clinics and assisting with paperwork Qualifications Medical billing and coding experience preferred Cash register experience preferred Data entry...

Join to apply for the Medical Billing Specialist role at KU ALOHA OLA MAU Seeking a qualified full and part-time Medical Biller/Coder. Must be efficient, accurate, hardworking, and a team player. Responsibilities include verifying insurance, filing claims, payment posting, credentialing, and handling appeals/denials. Check practitioners' codes for accuracy, collaborate with an outsourced medical billing company, and follow up with insurance companies regarding denials and payments. Partner with the Clinic Manager to follow up on patients' insurance eligibility, co-pays, referrals, and authorizations. Requires at least 3 years of medical billing experience (including charge capture, claims handling, payment posting, and claims disputes) and certification as a coder. Kū Aloha Ola Mau is an Equal Opportunity Employer. #J-18808-Ljbffr

About Otsuka We defy limitation, so that others can too. In going above and beyond-under any circumstances-for patients, families, providers, and for each other. It's this deep-rooted dedication that drives us to uncover answers to complex, underserved medical needs, so that patients can push past the limitations of their disease and achieve more than they thought was possible each day. About the Role The Omnichannel Center of Excellence is dedicated to driving innovation, building, and delivering capabilities that enhance Otsuka's opportunity to make an impact in the lives of those we serve. We achieve this through our relentless focus on customer centricity, patient empathy, expertise in enabling pathways for disease education and awareness of management options, and our unwavering commitment to supporting access to treatment. We are looking for an Omnichannel Data Scientist , Medical Omnichannel with strong expertise in artificial intelligence, encompassing...