28 jobs found

Hawai'i Island Community Health Center in Hilo, HI, is seeking a Billing Specialist to handle billing data entry, maintain patient accounts, and process claims. Candidates should be High School graduates with two years of experience or equivalent training in medical billing. The ideal candidate must possess strong office and computer skills, attention to detail, and the ability to manage multiple tasks effectively. The role offers a competitive pay rate ranging from $22.39 to $30.29 per annum, determined by qualifications and experience. #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...

Compliance Auditor Req number: R7829 Employment type: Full time Worksite flexibility: Remote Who we are CAI is a global services firm with over 9,000 associates worldwide and a yearly revenue of $1.3 billion+. We have over 40 years of excellence in uniting talent and technology to power the possible for our clients, colleagues, and communities. As a privately held company, we have the freedom and focus to do what is right—whatever it takes. Our tailor-made solutions create lasting results across the public and commercial sectors, and we are trailblazers in bringing neurodiversity to the enterprise. Job Summary As the Compliance Auditor you will lead strategic risk initiatives, mentor junior analysts, and interface with leadership on IT risk posture. This role is responsible for designing control frameworks, managing complex audit engagements, and driving continuous improvement in risk management practices. Job Description We are seeking a...

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

ABOUT DLS Diagnostic Laboratory Services, Inc. (DLS) is Hawaii's largest locally owned and operated medical testing laboratory. DLS is considered a leader in the Hawaii, Guam and Saipan communities we serve. As an integral part of the patient care team, DLS uses state of the art testing and value-based informatics to promote optimal patient care and positively impact patient outcomes. SCHEDULE Regular Full-Time Position (Eve/Night) Must be available Monday through Friday, starting as early as 2:00 PM. Must be flexible with schedule changes to meet operational needs. HIRING RANGE $83,320 to $102,717 annual Actual pay commensurate with experience JOB SUMMARY Supervises employees and operations for the department. Ensures operations meet regulatory requirements. Partners with the manager in hiring, developing and coaching employees. With department Manager, directs supervisory team and the overall operations of the department in support of the company and department...

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...

A major healthcare services provider is seeking an Inpatient Medical Coding Auditor to review hospital claims for reimbursement accuracy. This remote role requires strong attention to detail and certifications (RHIA, RHIT, CCS). Candidates should have experience in medical coding audits and the ability to work independently. The position offers a competitive compensation and benefits package in a metric-driven environment focused on wellness and quality healthcare. #J-18808-Ljbffr

A healthcare data collaboration platform is seeking an Inpatient Auditing Specialist to perform coding audits and provide education to coders. The role requires strong organizational skills and proficiency in inpatient coding. Ideal candidates should have 3+ years of experience and relevant certifications like CCS. This fully remote role allows for a flexible schedule with a competitive salary range of $35—$45 USD/hour. Join to impact healthcare positively. #J-18808-Ljbffr

A technology company is looking for proficient programmers to contribute to the advancement of AI development. Enjoy the flexibility of remote work and set your own schedule while collaborating on innovative projects. Candidates are expected to design coding problems for AI systems, write quality code, and evaluate AI-generated outputs. Fluency in English and experience in programming languages like Kotlin, JavaScript, and Python are preferred. This role offers competitive pay up to $60/hour with opportunities for growth. #J-18808-Ljbffr

Become a part of our caring community The 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 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. Where you Come In 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 the accuracy of...

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 a Medical Omnichannel Data Scientist , with strong expertise in artificial intelligence, encompassing machine learning, data mining,...

Job Description Oracle Health is a comprehensive suite of healthcare technology solutions designed to help organizations advance patient care, improve operational efficiency, and enhance caregiver experiences. Building on Oracle’s global expertise in cloud technology, data management, and analytics, Oracle Health delivers integrated electronic health records (EHR), population health tools, and data-driven insights for hospitals, clinics, and health systems. By connecting data and workflows across the continuum of care, Oracle Health empowers providers to make informed decisions, streamline processes, and drive better health outcomes. The Senior Compliance Specialist provides guidance to cross-functional teams on medical device quality system compliance, with a focus on quality system support for CE marking processes and requirements under the EU Medical Device Regulation (EU MDR). Responsibilities The Senior Compliance Specialist will provide quality system support...

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

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...

Waianae Coast Comprehensive Health Center is hiring a Medical Coder II. The position involves coding diagnoses and procedures under limited supervision, following AMA guidelines to ensure compliance and reimbursement. Candidates must hold a high school diploma, have CPC or CCS certification, and possess two years of medical coding experience. This role includes assisting with training medical support staff and ensuring accurate documentation of medical services and charges. A competitive hourly salary range of $21.23 to $23.00 is offered. #J-18808-Ljbffr

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Medical Coder II Full Time A Clerical Waianae Mall, Suite 309 - Billing Services, Waianae, HI, US 30+ days ago Requisition ID: 3334 Salary Range: $21.23 To $23.00 Hourly POSITION SUMMARY: Under limited supervision, performs coding on all diagnoses, procedures, professional services, and supplies following the American Medical Association (AMA) official coding/reporting guidelines and other third party payer criteria for the purpose of reimbursement, research, and compliance with state and federal regulations. This person provides feedback to WCCHC physicians and/or professional staff to facilitate monitoring of medical records to reflect accurate and timely documentation of medical services and charges. Answer coding questions, assists in the development of programs and plans for orienting and training medical support staff in...

Job Description This position is responsible for assigning ICD-10-CM and CPT-4 codes to hospital outpatient diagnoses and procedures documented in narratives in the charge system, which will determine reimbursement for the Medical Center. Performs other duties as assigned. Required Qualifications Education : High school diploma or equivalent. Received ICD-10 training, coursework, or classes within the last 2 years. Experience Requirements Coder I – 1 year specialized experience, 1 year coding experience, certification: CCA or CPC-A or COC-A. Coder II – Valid CCS‑P from AHIMA or CPC or COC from AAPC. Coder III/IV – Valid CCS from AHIMA or CIC or CEMC from AAPC. Certification for Coder II, III, or IV level may be substituted for the Coder I level. Substitutions Allowed Excess Coding Experience may be substituted for Specialized Experience. Successful completion of an associate degree in a health information technology program accredited by CAHME may be substituted for up to...

US Lawns is hiring for an ICD-10 Coding Specialist in Hilo, Hawaii. The position entails assigning accurate ICD-10 and CPT-4 codes for outpatient diagnoses, ensuring compliance and appropriate reimbursement for services. Candidates should possess a high school diploma, relevant coding certifications, and recent ICD-10 training. The role offers competitive benefits including paid holidays, sick leave, medical plans, and state retirement participation. Must be available for shifts, weekends, and holidays. #J-18808-Ljbffr

Job Summary: Under supervision, is responsible for assigning accurate diagnosis and procedure codes to the patients health information records, for: Observation, Hospital Ambulatory Surgery, Complex Hospital Outpatient Visit {Cardiac Catheterization (Percutaneous Coronary Intervention) Lab, Interventional Radiology}, Emergency Departments, and other select OP records. This responsibility requires appropriate code assignment for physician-documented patient diagnoses, conditions and procedures; utilizing various coding classification schemes including ICD- 10CM (may include PCS), and HCPCS/CPT. All work will be carried out in accordance with the: International Classification of Diseases - Official Coding Guidelines for coding and reporting as established by the Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS); American Medical Association (CPT) National Correct Coding Initiative (NCCI), and Kaiser Permanente...

A client of Innova Solutions is immediately hiring for a HIM Coder Position type: Full-time,Contract Duration: 5+ Months Location: Remote (Looking for candidates based out in HI, CA, WA or OR) As a HIM Coder, you will: The HIM Hospital Coder I is responsible for reviewing medical records and accurately assigning diagnosis and procedure codes in accordance with recognized coding guidelines and organizational standards. Day to Day Responsibilities Review inpatient and outpatient medical records daily to identify and assign accurate diagnosis and procedure codes. Abstract clinical data and ensure coding is completed within required productivity and compliance timelines. Apply ICD-10-CM, CPT, and HCPCS Level II guidelines to ensure proper code selection and sequencing. Communicate with physicians and internal teams to clarify documentation, diagnoses, and procedures when needed. Monitor coding accuracy, resolve discrepancies (including DRG-related...

Job Summary: Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements and complications. Researches and analyzes data needs for reimbursement. Analyzes medical record and identifies documentation deficiencies. Serves as resource and subject matter expert to other coding staff. Essential Responsibilities: Reviews and verifies documentation supports diagnoses, procedures and treatment results. Identifies diagnostic and procedural information. Audits clinical documentation and coded data to validate documentation supports services rendered for reimbursement and reporting purposes. Assigns codes for reimbursements, research and compliance with regulatory requirements utilizing guidelines. Follows coding conventions. Serves as coding consultant to care providers. Identifies discrepancies, potential quality of care, and billing issues. Researches, analyzes, recommends and facilitates plan...

Medical Coding Specialist Under limited supervision, performs coding on all diagnoses, procedures, professional services, and supplies following the American Medical Association (AMA) official coding/reporting guidelines and other third party payer criteria for the purpose of reimbursement, research, and compliance with state and federal regulations. This person provides feedback to physicians and/or professional staff to facilitate monitoring of medical records to reflect accurate and timely documentation of medical services and charges. Answer coding questions, assists in the development of programs and plans for orienting and training medical support staff in basic coding techniques. Education/Experience: 1. High School Diploma or equivalent 2. Current CPC or CCS certification, AND 3. Two (2) years of medical coding experience in each of the following coding classification systems: a. ICD-9-CM b. CPT-4 c. E&M d. HCPCS OR 4. Equivalent combination of desired...

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...

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...