28 jobs found in Hawaii

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

Benefits 401(k) Dental insurance Health insurance Paid time off Vision insurance Billers experience in rehabilitation, physical therapy, occupational therapy billing WELCOME to Movementplus! Life insurance Tuition reimbursement 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...

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

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

Note : This is an educational program, not a job. Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market. Looking to start a rewarding career path in the healthcare industry? Use Dreambound to find a Medical Billing and Coding program that will prepare you for this high-demand, entry-level role. What does a Medical Billing and Coding Specialist do? A medical billing and coding specialist processes and codes healthcare claims to ensure accurate billing and insurance reimbursement, supporting the financial operations of healthcare facilities. Highlights : Complete in as short as a few weeks to a few months Online and in-person options available Payment plans and financial aid may be available for those who qualify Cost : This program is an educational opportunity that requires a financial investment. Cost varies per partner school, but payment plans and / or financial aid may be available to...

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...

Note : This is an educational program, not a job. Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market. Looking to start a rewarding career path in the healthcare industry? Use Dreambound to find a Medical Billing and Coding program that will prepare you for this high-demand, entry-level role. What does a Medical Billing and Coding Specialist do? A medical billing and coding specialist processes and codes healthcare claims to ensure accurate billing and insurance reimbursement, supporting the financial operations of healthcare facilities. Highlights : Complete in as short as a few weeks to a few months Online and in-person options available Payment plans and financial aid may be available for those who qualify Cost : This program is an educational opportunity that requires a financial investment. Cost varies per partner school, but payment plans and / or financial aid may be available to...

Coding Compliance AuditorPrimary Location Wailuku, Hawaii Facility Name Maui Memorial Medical Center Employee Status: Regular Worker Location: Flexible Schedule Full-time Scheduled Weekly Hours: 40 Shift Day Salary $79500 - $93500 / year Job Number 1367157 Date Posted 06/09/2026Job Summary: HIM Coding auditor/trainer will coordinate, monitor, and audit documentation and coding of inpatient and/or outpatient services in all applicable health care settings. Audits will focus on correct assignment of CPT, ICD-10, ICD-9-CM, HCPSC codes and clinician documentation to ensure that Kaiser Permanente is compliant with all regulatory guidelines and internal controls. Audits will encompass internal practitioners, contracted practitioners, coders, internal facilities and contracted facilities. The auditor will analyze audit results, identify patterns, trends or variations in coding and documentation practices and make recommendations for improvement. When necessary, this position will initiate...

Kaiser exposes an Outpatient Coder Specialist role at Maui Health in Wailuku, Hawaii. The position requires coding diagnoses and procedures across ambulatory settings including observation, surgeries, ED, and other records, using ICD-10-CM, CPT4, and HCPCS guidelines. Engage with physicians to clarify documentation, ensure data integrity, and meet regulatory quality metrics while upholding privacy and security policies. #J-18808-Ljbffr

HHSC East Hawaii Region seeks a hospital outpatient coder to assign ICD-10-CM and CPT-4 codes for lab, radiology, ED, clinics and urgent care procedures. This role supports reimbursement by ensuring accurate coding in the charge system. Requirements include a high school diploma, ICD-10 training within the last 2 years, and HIM experience. Certifications (CCA/CCS-P/CPC-A/COC-A/CIC) may substitute for experience and are highly valued. #J-18808-Ljbffr

Description At BLS, we pride ourselves on providing high-quality financial services with a focus on supporting our clients’ unique needs. We are currently seeking an experienced Employee Benefit Plan Accountant to join our growing team. This position offers the opportunity to work with a dynamic group of professionals in an engaging and fast-paced environment. Job Responsibilities: Assist in the preparation and review of financial statements of employee benefit plans (including defined contribution (401(k), 403(b), etc.), defined benefit, and health & welfare plans) Assist in the preparation of Form 5500 and related filings Manage the audits of employee benefit plans and coordinate with clients and their service providers Ensure compliance with ERISA regulations and other applicable laws Perform related testing procedures including reconciliation of reports, analysis of certifications and trust reports, sample selection procedures, participant data, contribution,...

**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 and...

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

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

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

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...

Diagnostic Laboratory Services, Inc. (DLS) in Hawaii seeks an experienced operations supervisor to lead the department, ensure regulatory compliance, and partner with management on staffing, development, and coaching. You will direct the supervisory team to meet service levels for clients and patients, representing the department and company professionally. Responsibilities include staffing, safety, budget oversight, quality control, and adherence to CLIA requirements, DOH and CDC #J-18808-Ljbffr

A healthcare provider in Aiea, HI seeks a detail-oriented Medical Biller to manage the billing process within their healthcare team. The ideal candidate will process claims, verify patient information, and ensure compliance with regulations. Strong knowledge of medical terminology and coding systems is essential. Candidates should have excellent attention to detail and the ability to work effectively both independently and as part of a team. This position offers full-time, part-time, and contract opportunities. #J-18808-Ljbffr

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) by AHIMA...

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