27 jobs found in Hawaii

Job Description This position is responsible for assigning ICD-10-CM and CPT-4 codes to hospital outpatient (i.e. lab, radiology and nuclear medicine, emergency department, clinics, urgent care, etc.) 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 : To qualify, you must meet all of the following requirements. Please note that unless specifically indicated, the required education and experiences may not be gained concurrently. In addition, qualifying work experience is credited based on a 40-hour workweek. Education : High school diploma or equivalent. Received ICD-10 training, coursework, or classes, within the last 2 years. Except for the substitutions provided for elsewhere in these specifications, applicants must have had progressively responsible experience of the kind and quality described below, and in the amounts shown in...

Job 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 corrective action plan to ensure resolution of problem areas identified during auditing and monitoring activity. This position will serve as a liaison with HIM staff, Revenue Cycle, External and Internal practitioners, and other regional departments as appropriate including...

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...

Signature Performance is seeking an Inpatient Professional Fee, Profee Medical Coder for a remote role nationwide. You will review records to assign accurate diagnoses and procedures, ensuring compliance with guidelines, CMS, and payer requirements. Responsibilities include abstracting data, correcting discrepancies, and documenting coding decisions to support correct reimbursement. AHIMA/AAPC certifications are preferred, with a minimum of 2 years coding experience. #J-18808-Ljbffr

Baylor Scott & White Health seeks a Coding Auditor I to perform coding quality reviews and provide feedback to coders. The role ensures accurate ICD-10-CM/PCS, HCPCS, and CPT coding with adherence to HIPAA and regulatory requirements. Responsibilities include data abstraction, collaboration with Clinical Documentation Specialists, and completing production coding as assigned to support compliant documentation and coding accuracy. #J-18808-Ljbffr

Humana Inc. is seeking an experienced Certified Inpatient Medical Coding Auditor to review inpatient hospital claims and ensure proper reimbursement. You will extract clinical information, assign ICD-10-CM/PCS and DRG codes, and support accurate payer payments. The role is remote with potential travel to Humana offices for training or meetings. Hours are typically 40 per week, with a bonus incentive plan based on performance and company results. #J-18808-Ljbffr

CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between $57,400 to $99,000 annually based on experience The Physician Coding Auditor develops and implements strategic needs analyses and training plans for coding leadership; coordinates and evaluates curriculum development and conducts the preparation and delivery of training for Medical Coders employed by Ensemble and providers that are contracted/employed and outlined in the client SOW. Provides guidance and leadership to coding and billing management in the implementation and administration of effective systems, processes, and procedures. Performs annual performance reviews and quality assurance reviews to assess comprehension of training efforts. Serves as a subject matter expert for professional fee coding for all involved personnel; ensures that information is accurate and current, meeting...

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

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

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

Medical Coding Specialist Under general 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. Answer coding questions from non-clinical staff. This position runs reports and monitors charges to ensure timely accurate coding of medical and behavioral health services and charges. Also, works in a collaborated effort to assist in the development of programs and plans for training medical staff in basic coding techniques. Minimum Qualifications: 1. High School Diploma or equivalent, AND 2. Six (6) months of medical coding experience in each of the following coding classification systems: ICD-10-CM CPT-4 E&M HCPCS OR 3. Equivalent combination of desired education/certification and work experience Desired...

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: Benefits may vary based upon position type and/or level. Job...

6AM City, LLC is seeking a skilled Medical Technologist Supervisor in Hilo, HI. The successful candidate will lead laboratory operations, ensuring quality control and compliance while overseeing personnel. Applicants should have a Bachelor's Degree in medical technology and at least four years of relevant experience. In addition to competitive pay, the role offers benefits such as paid time off, health insurance, and opportunities for professional growth. #J-18808-Ljbffr

CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between $57,400 to $99,000 annually based on experience The Coder Quality Auditor conducts monthly and quarterly quality assessments of individual codes . Provides guidance and education to coding associates and leaders on established coding guidelines and procedures. Performs additional quality assurance follow-up reviews to assess comprehension of education and training efforts. Serves as a subject matter expert for professional fee coding for all involved personnel; ensures that information is accurate and current, meeting professional coding standards and following CMS/AMA guidelines .  Candidate should possess the ability to code and a clear understanding of the coding principles and guidelines for multiple specialties.   Job Responsibilities: Quality Review - Monitors and audits inpatient...

Job Functions, Duties, Responsibilities and Position Qualifications: You put the pro in medical laboratory professional. You are a natural leader. As a Medical Technologist Supervisor, you will direct and control personnel, equipment, resources, and testing procedures within the laboratory and/or a specific section. Location Hilo, HI Schedule Full-time Days/Hours TBD Base hourly pay $43.33 to $47.67 D.O.E. Sign-on Bonus/Relocation Eligible Under the supervision of a Pathologist and other supervisors, in accordance with company policies, procedures, and guidelines, in this role you will: Perform routine laboratory test procedures outlined in the laboratory standard operating procedures manuals. Adheres to quality assurance and quality control procedures in performing all testing. Correlate clinical information and/or previous lab results and report discrepancies to the Medical Technologist, senior, or supervisors. Consult with superiors or a pathologist when no preset...

Job Title Job Description

CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between $24.65 - $27.10/hr based on experience We are seeking candidates with experience in at least one of the following; Cardiology, Ortho, Podiatry, Radiology Oncology, OBGYN, Gynecology Oncology, Behavioral Health, RHC, Urology, Nephrology, Vascular, Neurosurgery and General Surgery. The Forensic Coder is a certified coder with expert knowledge in front and back end coding. This position is responsible for root cause analysis of trending front and/or back end identified coding opportunities; internal and external coding/documentation education; supporting and at times leading coding opportunity improvement projects. This position will also perform and/or assist with special coding projects as determined by leadership. Job Responsibilities: Complete root cause analysis of...

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 future...

A pharmaceutical company based in Honolulu is seeking an Associate Director, Scientific Communications to manage the execution of core scientific communications strategies. This role will oversee the creation of content assets and manage the global publications plan, ensuring scientific accuracy and compliance. Ideal candidates should hold an advanced scientific degree and have over 7 years of experience in Medical Affairs, with strong project management and collaboration skills. A competitive salary range is offered, with various company benefits. #J-18808-Ljbffr

Datavant in Honolulu is seeking experienced outpatient coders to join their team. This role involves reviewing medical records and accurately assigning codes for diagnoses and procedures, ensuring a high accuracy rate. Ideal candidates will have AHIMA or AAPC credentials and at least 2 years of coding experience. This fully remote position offers a flexible schedule and a sign-on bonus. Benefits include medical, dental, vision, paid time off, and comprehensive training. #J-18808-Ljbffr