26 jobs found in Hawaii

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, HCPCS 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 plans to resolve problem areas identified during auditing and monitoring activity. The role will serve as a liaison with HIM staff, Revenue Cycle, external and internal practitioners, and other regional departments as appropriate, including IT, benefits, and...

Kaiser Permanente is seeking a HIM Coding auditor/trainer to coordinate, monitor, and audit documentation and coding of inpatient and outpatient services. You will ensure compliance with regulatory guidelines and internal controls, analyze audit results, and initiate corrective actions as needed. The role requires extensive inpatient coding experience, strong communication skills, and the ability to develop training programs based on audit findings. #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...

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...

East Hawaii Region HHSC is seeking a clinical coding professional to assign ICD-10-CM and CPT-4 codes to hospital outpatient narratives in the charge system to determine reimbursement. The role requires training in ICD-10 within the last two years and a valid coding credential. Candidates should have hospital health information management experience with coding, filing, and reporting. Substitutions with HIT degrees or RHIT credentials may apply; shifts include 24/7 operations, and benefits are #J-18808-Ljbffr

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...

Remedy Intelligent Staffing in Aiea, HI is seeking a Medical Billing Representative for a full-time role. You will handle patient billing inquiries, process payments, and resolve denials with accuracy while delivering exceptional customer service. The position offers a Monday–Friday schedule from 8:30 am to 5:00 pm, with a pay rate of $20 per hour. Benefits include weekly pay, medical/dental/vision, and free online skill classes. #J-18808-Ljbffr

EMS|MC is seeking a Customer Service Professional - Inbound to handle patient calls with care, assist with billing questions, and update insurance information. This in-office Honolulu role emphasizes accuracy, HIPAA compliance, and strong written and verbal communication. You will support the EMS|MC mission while working a Monday–Friday schedule in a controlled office setting, with opportunities to mentor new hires and grow within the company. #J-18808-Ljbffr

Immediate need for a talented Insurance Billing / Medical Biller- Need local to Hawaii. This is a 06+ months contract opportunity with long-term potential and is located in Hawaii (REMOTE). Please review the job description below and contact me ASAP if you are interested. Job ID: 26-00754 Pay Range: $20 - $23/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location). Key Responsibilities Note: Need local candidates to Hawaii Process and follow up on insurance claims and denials Work unpaid insurance balances to ensure accurate reimbursement Submit payer-requested documentation Enter charges, payments, and adjustments Communicate with insurance companies, providers, and internal teams Track and report insurance trends Key Requirements and Technology Experience Key Skills; 1 year experience in insurance billing, patient accounts, or AR follow-up Experience working insurance...

Become a part of our caring community Code Edit Disputes team reviews and educates providers when there is a dispute on adjudicated claims that contain a code editing related denial or financial recovery. The Medical Coding Coordinator performs advanced administrative, operational, and customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills. Where you Come In The Medical Coding Coordinator 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. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Decisions typically focus on methods, tactics and processes for completing administrative tasks/projects. Regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes and techniques, and...

We are seeking a detail-oriented and experienced Medical Billing Specialist with a strong background in medical billing, coding, and insurance processes. The ideal candidate will be skilled in medical terminology, procedure coding, cost estimation, insurance appeals, and working within electronic health record systems. This role requires accuracy, excellent communication skills, and the ability to work with both patients and payers to ensure timely and correct reimbursement. This position may offer the opportunity to work from home, depending on experience and performance. Key Responsibilities: Accurately process and submit medical claims to insurance companies, government payers, and other third-party organizations. Perform medical coding using ICD-10, CPT, and HCPCS standards for a variety of procedures and diagnoses. Generate and communicate cost estimates for procedures based on insurance coverage and contract agreements. Review and verify accuracy of billing data within...

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

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

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

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

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

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

Nwregionalheart is looking for a Registered Nurse in Kailua, Hawaii to provide coordinated nursing care to patients. The role involves supervising nursing staff and collaborating with healthcare providers to ensure a safe and healing environment. The ideal candidate should hold a Bachelor's Degree in Nursing and possess relevant certifications like BLS and ACLS. There is a strong emphasis on critical thinking and patient care. #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