31 jobs found in Hawaii

Coding Compliance AuditorHIM 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...

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...

This is a remote based position. Applicants can be located nationwide Back Medical Billing Specialist II #2878 United States Apply X Facebook LinkedIn Email Copy Position Description About You You are someone who has a strong understanding of medical billing processes, payer guidelines, and attention to detail. We need someone who can ensure proper claim details, billing compliance, and timely claims resolution to support the organization's financial goals. In the role of Medical Billing Specialist II, you will be responsible for accurately preparing and submitting medical claims to appropriate payers. Tell us about your experience with Medical Billing or in Revenue Cycle Operations. 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?...

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:...

This is a remote based position. Applicants can be located nationwide Back Outpatient Coding Auditor #2814 United States Apply X Facebook LinkedIn Email Copy Position Description About You You are a person who is passionate about performing quality reviews and audits of the assigned staff. We need someone who ensures standards are met in accordance with department and organization policy. In the role of Outpatient Coding Auditor, you will demonstrate skills in organization, prioritization, professionalism and coaching others. Tell us about your experience with Outpatient Coding Auditing. Are you a team player and a self-motivator? 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 team-oriented? Do you value professionalism, trust, honesty, and integrity? If so, we cannot wait to meet you. About The Position Advanced...

Become a part of our caring community The Inpatient Medical Coding Auditor - PPI Coding Disputes reporting to the Manager reviews the appropriate DRG and ICD-10-CM/ PCS coding assignments for accuracy within the coding disputes team from a variety of medical records. The Disputes Auditor - MSDRG Inpatient Coding on the Disputes Team consults and collaborates with coding professionals within and across departments to ensure high accountability of coding disputes outcomes for timeliness, compliance and quality. Will be an experienced medical coding auditor with in-depth experience in inpatient coding audits (MSDRG/APDRG) Ensures overall accuracy and compliance of coding disputes reviews by adhering to all appropriate coding guidelines and communicates disputes outcomes to providers in a professional and concise manner. Leverages advanced auditing expertise to make coding decisions based on standard industry guidelines and best practices Manages multiple...

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...

Signature Performance is seeking a Medical Billing Specialist II for a remote position to manage and submit medical claims accurately. Candidates must have a strong background in medical billing processes, payer guidelines, and attention to detail. The role requires verifying billing information, resolving claims, and ensuring compliance with healthcare regulations. The ideal candidate will have experience in revenue cycle operations and proficiency in billing software such as Epic or Cerner. #J-18808-Ljbffr

A leading healthcare company is looking for a Medical Coding Auditor to review claims and ensure compliance with coding guidelines. This remote position requires strong experience in outpatient specialty surgeries and relevant certifications. The role mandates independent decision-making and adherence to strict confidentiality. The compensation ranges from $59,300 to $80,900 annually, plus bonus opportunities. Additionally, the company offers comprehensive benefits supporting well-being for you and your family. #J-18808-Ljbffr

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

SGI Global, LLC is seeking a qualified Junior Compliance Officer based in Honolulu, HI, to assist a federal law enforcement client with I-9 audit support and compliance activities. The position is designed for early-career professionals and includes responsibilities such as reviewing eligibility documentation, conducting research, and preparing case files. The role requires an on-site presence during core business hours and involves interaction with Auditors and Criminal Investigators in a high-visibility mission environment. #J-18808-Ljbffr

Medical Coding SpecialistUnder 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, AND2. Six (6) months of medical coding experience in each of the following coding classification systems:ICD-10-CMCPT-4E&MHCPCSOR3. Equivalent combination of desired education/certification and work experienceDesired Education/Certification:1....

**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...

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 (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. 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...

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...

Datavant is seeking a Profee Auditing & Education Specialist to lead coding audits, develop educational content, and provide expert guidance on coding quality and compliance. The role supports multiple cases, delivers virtual education programs, and collaborates with clients to create resources that improve accuracy and outcomes. The position is fully remote with a flexible schedule, offering a sign-on bonus and a strong focus on professional development, ethics, and collaboration within #J-18808-Ljbffr

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

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