28 jobs found in Honolulu, HI

Health Information Coder And Abstractor Job Summary/Responsibilities: Manages the daily operations of the Health Information Coder and Abstractor department. Ensures coding and abstracting of health records meet established standards of accuracy, timeliness and quality. Ensures alignment with the goals and objectives of the Quality and Clinical Documentation department as well as the overall goals and objectives of The Queen's Health Systems. Typical Physical Demands: Essential: sitting, finger dexterity, seeing, hearing, speaking, carrying usual weight of 5 pounds, repetitive arm/hand motions, static gripping of an object for prolonged periods, frequent gripping of an object. Occasional: standing, walking, stooping/bending, kneeling, climbing stairs, squatting, twisting body, lifting usual weight of 5 pounds up to 10 pounds, pushing/pulling usual weight of 2 pounds up to 5 pounds, carrying weight up to 10 pounds, reaching above, at and below shoulder level. Operates computer,...

Professional Coder The Professional Coder will review, analyze, and validate CPT and ICD-10 diagnosis codes and charges applied by providers to assure compliant with federal and state regulations and insurance carrier guidelines. Perform accurate and compliant coding of CPT and ICD-10 DX codes. This position is remote. Essential Duties And Responsibilities Effectively reviews, analyzes, and validates CPT, ICD-10 diagnosis codes, HCPCS, modifiers and charges applied by providers to assure compliant with federal and state regulations and insurance carrier guidelines. Perform accurate and compliant coding of CPT and ICD-10 diagnosis codes. Understands National Correct Coding Initiative (NCCI) edits and relative value units as appropriate for the role. Ensure established productivity and quality standards are met. Review denials, research and respond appropriately and timely. Perform audits as determined by management. Assist with all levels of application testing for...

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. We're looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role possesses...

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...

Outpatient 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. We're looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role...

Inpatient Hospital Medical Coder An inpatient hospital medical coder is a healthcare professional responsible for reviewing and analyzing patient medical records from hospital stays and assigning standardized codes for diagnoses and procedures. These codes are primarily based on ICD-10-CM (International Classification of Diseases) and PCS (Procedure Coding System) standards. Responsibilities: Review clinical documentation to assign accurate ICD-10-CM and ICD-10-PCS codes. Communicate with physicians to clarify diagnoses and procedures through the query process. Utilize electronic encoder applications to assign codes in compliance with practice policies and regulatory guidelines. Maintain a minimum accuracy rate of 98% while meeting internal productivity standards. Achieve productivity expectations: Inpatient 1624 encounters per day or 23 encounters per hour. Complete reports and perform additional duties as requested by management from the hospital side of forms (not...

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...

Inpatient Coder Opportunity 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...

Hcc (Hierarchical Condition Category) 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...

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...

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...

RESPONSIBILITIES I. JOB SUMMARY/RESPONSIBILITIES: • Manages the daily operations of the Health Information Coder and Abstractor department. • Ensures coding and abstracting of health records meet established standards of accuracy, timeliness and quality. • Ensures alignment with the goals and objectives of the Quality and Clinical Documentation department as well as the overall goals and objectives of The Queen’s Health Systems. II. TYPICAL PHYSICAL DEMANDS: • Essential: sitting, finger dexterity, seeing, hearing, speaking, carrying usual weight of 5 pounds, repetitive arm/hand motions, static gripping of an object for prolonged periods, frequent gripping of an object. • Occasional: standing, walking, stooping/bending, kneeling, climbing stairs, squatting, twisting body, lifting usual weight of 5 pounds up to 10 pounds, pushing/pulling usual weight of 2 pounds up to 5 pounds, carrying weight up to 10 pounds, reaching above, at and below shoulder level. • Operates...

[Medical Biller] Employment type: Temporary, Part-time 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...

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 candidate...

SPECIALTY SCOPE FOR THIS CODER II POSITION TO INCLUDE BUT NOT LIMITED TO: Upper Extremity: - Shoulders: Total/Hemi Arthroplasty, Arthroscopy, Rotator cuff repair, Biceps tenodesis, Acromioplasty, Distal claviculectomy, Superior Labrum Anterior to Posterior tear (SLAP) repair - Elbows: Cubital tunnel release, Bursectomy, Arthroplasty - Wrist: Carpal tunnel release, Carpectomy, TFCC debridement/repair, 4-corner fusion, De Quervain (1st dorsal compartment) - Hands: Trigger fingers, Ganglions, Mallet fingers, Carpometacarpal (CMC) arthroplasty, , Dupuytren's (Palmar fascial fibromatosis), Amputations Lower Extremity: - Hips: Dislocation reductions, Total/partial Arthroplasty, Femoral fracture treatments, Arthroscopy - Pelvis: Fracture repairs - Femur: ORIF neck fractures, Trochanteric repairs, shaft fracture repairs - Knees: Dislocation repairs/reductions, Total/hemi arthroplasty, Meniscal repairs, Ligamentous reconstructions and repairs,...

This is a remote based position. Applicants can be located nationwide Back Medical Coder #2621 United States Apply X Facebook LinkedIn Email Copy Position Description About You You are a person who has Profee Outpatient Coding experience. We need someone who is responsible for assignment of 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 Profee Outpatient 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...

Job Description About the Role: We are seeking a highly skilled and experienced Senior Inpatient HIM Coder to join our dynamic healthcare information management team. This role is crucial in bridging the gap between clinical data and technology, as we aim to develop cutting-edge AI solutions for medical coding and billing processes. The successful candidate will play a pivotal role in providing valuable insights and expertise to enhance our product development efforts. Requirements and Qualifications: A minimum of 3 years of hands-on experience as an acute HIM inpatient medical coder in a hospital environment. Proficiency in identifying and extracting ICD-10-CM, ICD-10-PCS, HCPCS/CPT codes, and associated modifiers from patient records. In-depth understanding of supporting evidence requirements for accurate coding. Practical experience using grouper software for MS-DRG and APR-DRG assignment. Strong communication skills to interact...

Join Datavant, the leader in health data exchange, and contribute to a mission where every healthcare decision is driven by accurate data. Our extensive platform connects the healthcare ecosystem, providing secure and accessible data that enhances health decisions. We are proud to work with top life sciences companies, government entities, and healthcare providers. As a part of our high-performing, values-focused team, you will help tackle complex healthcare challenges with innovative, technology-driven solutions. At Datavant, we value diverse experiences and backgrounds, and we’re seeking experienced and credentialed outpatient coders like you! This fully remote position offers a flexible schedule, allowing you to make a difference in healthcare from the comfort of your own home. Role Overview: Review medical records to accurately code diagnoses and procedures. Sequence codes based on medical record documentation. Assign appropriate discharge dispositions. Abstract...

Join Datavant, a leading data platform company revolutionizing health data exchange! We are dedicated to ensuring every healthcare decision is supported by the right data at the right time. Our extensive health data network provides secure, accessible, and usable data, enabling healthcare professionals to make informed decisions. By becoming a part of our high-performing team, you will tackle some of healthcare's most complex challenges with innovative technology solutions. We value diversity in professional, educational, and personal experiences to achieve our ambitious vision. We are seeking experienced and credentialed outpatient coders to enhance our team. Candidates should have exceptional attention to detail and a robust understanding of medical terminology. This fully remote role offers a flexible schedule, allowing you to contribute to the future of healthcare from your own workspace! Key Responsibilities: Review medical records and accurately assign codes for...

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 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 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 guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these...

Inpatient Medical Coding Auditor Become a part of our caring community and help us put health first. The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing...

divh2Medical Billing Specialist/h2pNeolytix is a boutique Consulting and Management Services Organization that works with small medium-sized healthcare providers across the United States. Our portfolio of services caters to micro verticals and is built on the expertise we have developed in enabling these practices./ppAt Neolytix, you will learn to hone your Consultative skills, develop drive leadership, balance work with family time and importantly have fun!/ppMedical Billing Specialist is responsible for posting medical charges, payments, and journal entries to patient accounts in a timely and accurate manner./ppResponsibilities include:/pulliWork directly with the insurance company, healthcare provider, and the patient to get a claim processed and paid./liliVerifying correct insurance filing information on behalf of the client and the patient./liliVerifying receipt of all patient registration data from the client and notifying the client of potential coding problems./liliPrepare,...

A state government agency in Hawaii is seeking an Eligibility Worker V to supervise the determination of entitlement for medical assistance. This full-time position involves significant management responsibilities, including planning and directing unit activities. Candidates should possess strong communication skills and relevant experience in public service sectors. The role offers a chance to contribute to the welfare of low-income families in the community. #J-18808-Ljbffr

Job Description Job Description Benefits: 401(k) Dental insurance Health insurance Paid time off Vision insurance Billers experience in rehabilitation, physical therapy, occupational therapy billing WELCOME to Movementplus! Job Overview We are seeking a detail-oriented and organized Medical Biller to join our healthcare team. The ideal candidate will be responsible for managing the billing process, ensuring accurate coding, and maintaining compliance with medical billing regulations. This role requires a strong understanding of medical terminology, coding systems, and the ability to work efficiently in a fast-paced environment. Responsibilities Process and submit medical billing claims to insurance companies and government payers. Review and verify patient information and insurance coverage. Utilize ICD-9, ICD-10, and DRG coding systems to ensure accurate billing. Maintain detailed records of billing transactions and follow up on unpaid claims. Communicate with...