Post job

Medical coder jobs in Hawaii - 31 jobs

  • Hierarchical Condition Category (HCC) Coding Specialist

    Highmark Health 4.5company rating

    Medical coder job in Urban Honolulu, HI

    This job will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using skills including but not limited to Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits. Works closely with physicians, team members, Quality, Compliance, partners at Enterprise and leadership to identify and deliver high quality and accurate risk adjustment coding. Supports all Remote Patient Monitoring (RPM) risk adjustment projects to comply with all CMS requirements by analyzing physician documentation and interpreting into ICD10 diagnoses and HCC disease categories. Supports other key objectives to drive capture of correct Risk Adjustment coding including documentation improvement, provider education, analyzing reports, and identifying process improvements. **ESSENTIAL RESPONSIBILITIES** + Performs HCC coding on projects for MA, ACA, and End Stage Renal Disease (ESRD). Flexes between coding projects, including Retro and Prospective, with different MA, ESRD, and ACA HCC Models; works independently in various coding applications and electronic medical record systems to support departmental goals. Adheres to CMS Guidelines for Coding and Highmark's Policy and Procedures to guide HCC coding decision making. Maintains RPM coding accuracy and productivity requirements. + Assists with Regulatory Audits by performing first coding review and ranking of charts. Build partnerships and work within coding teams and internal partners critical to HCC coding. + Participates on ad-hoc projects per the direction of Leadership to address the needs of the department. Provides recommendations for process improvements and efficiencies. + Engages in RPM Coding educational meetings and annual coding Summit. + Other duties as assigned. **EDUCATION** **Required** + None **Substitutions** + None **Preferred** + Associate degree in medical billing/coding, health insurance, healthcare or related field preferred. **EXPERIENCE** **Required** + 3 years HCC coding and/or coding and billing **Preferred** + 5 years HCC coding and/or coding and billing **LICENSES or CERTIFICATIONS** **Required** (any of the following) + Certified Professional Coder (CPC) + Certified Risk Coder (CRC) + Certified Coding Specialist (CCS) + Registered Health Information Technician (RHIT) **Preferred** + None **SKILLS** + Critical Thinking + Attention to Detail + Written and Oral Presentation Skills + Written Communications + Communication Skills + HCC Coding + MS Word, Excel, Outlook, PowerPoint + Microsoft Office Suite Proficient/ - MS365 & Teams **Language (Other than English):** None **Travel Requirement:** 0% - 25% **PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS** **Position Type** Remote Office-based Teaches / trains others regularly Occasionally Travel regularly from the office to various work sites or from site-to-site Occasionally Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required No Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Occasionally Lifting: 25 to 50 pounds Rarely **_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._ **_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._ _As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._ _Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._ **Pay Range Minimum:** $26.49 **Pay Range Maximum:** $41.03 _Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._ Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at ***************************** California Consumer Privacy Act Employees, Contractors, and Applicants Notice Req ID: J273522
    $26.5-41 hourly 30d ago
  • Job icon imageJob icon image 2

    Looking for a job?

    Let Zippia find it for you.

  • Medical Coder II

    Waianae Coast Comprehensive Health Center 4.3company rating

    Medical coder job in Waianae, HI

    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 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 education/certification and work experience An Equal Employment Opportunity / Affirmative Action Employer
    $61k-69k yearly est. Auto-Apply 60d+ ago
  • Medical Coding Modernization Specialist

    AAI 4.8company rating

    Medical coder job in Hawaii

    Pearl Harbor, HI AAI is actively recruiting a Medical Coding Modernization Specialist. This position will support coding operations and compliance as part of the Medical Modernization Program. The coding professional will conduct internal audits; monitor coding practices and documentation deficiencies to identify, develop, deliver training and monitor effectiveness of efforts to ensure improvement to documentation, coding completion, timeliness and accuracy rates for the MTF. RESPONSIBILITIES Knowledge of The International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-CM), procedural coding, healthcare common procedure coding system (HCPCS)/current procedural terminology (CPT) nomenclature, medical and procedural terminology, anatomy and physiology, pharmacology, and disease processes to perform the duties described. Knowledge of reimbursement systems, including Prospective Payment System (PPS) and Diagnostic Related Groupings (DRGs); Ambulatory Payment Classifications (APCs); and, ResourceBased Relative Value Scale (RBRVS). Knowledge of and the ability to interpret guidelines, rules and regulations developed by: Centers for Medicare & Medicaid Services (CMS), American Medical Association (AMA), American Heart Association (AHA) and other applicable Federal requirements so as to provide timely and accurate information relating to coding, billing and documentation. Excellent oral and written communication skills, interpersonal skills along with the confidence to present complex medical coding issues and educational instruction to a diverse audience. Must be comfortable in front of high ranking, professional staff and coding peers to training and respond to questions. Ability to write reports, business correspondence, and procedure manuals. Organizational, analytical, time management, statistical, and problem-solving skills. Advanced knowledge of computers, keyboard skills, and various software programs including Microsoft (word processing, spreadsheet and database) as well as coding software programs. Medical Coding Modernization Specialists will maintain the required continuing education hours and credentials as required by their national association certification at their own expense. Work Environment/Physical Requirements. The work is primarily sedentary. Requirements may include prolonged walking, standing, sitting, or bending. Carrying or lifting of medical records or documentation may be required daily. Use of one or more computer programs and monitors simultaneously is typical and frequent. Assists the MTF in identifying medical coding deficiencies by analyzing documentation and coding practices that may be misrepresenting or incorrectly capturing medical care activities. Analyzes historical encounter documentation and coding records from Government computer systems and medical records to identify clinical documentation improvement (CDI) and training opportunities. Compares documentation to code application to ensure accuracy. Tracks deficiencies for trending and corrective action. Collaborates with MTF leadership, MTF providers/staff, and other coding professionals related to the performance of tasks to address recurring documentation and coding deficiencies, Contacts providers to review findings to improve documentation practices as well as E&M leveling, capturing medical procedures and to improve diagnosis specificity issues IAW with coding guidelines. Develops focused training presentations from thorough analysis as outlined in the MTF modernization action plan. Seeks Government approval prior to delivering Government scheduled training to MTF providers and other staff. Creates and submits training activity reports to the MTF leadership. Presents reports to the Government weekly and identifies scheduling issues and obstacles to meeting improvement objectives. Creates monthly reports showing completed activities and improvement to metrics Education/Certification: 1. Successful completion of academic requirements, at least at an associate's degree level from a health information management program is required. 2. A Registered Health Information Technician (RHIT) or equivalent certification is required. Must have successfully completed requirements for International Classification of Diseases, Tenth Revision ICD-10-CM/PCS proficiency certification by AHIMA standards or the AAPC ICD-10-CM proficiency test prior to their start date if an equivalency determination request for AAPC certification(s) is authorized by the Government. Experience: Candidates will require a minimum of 10 years of medical coding experience in production coding environments within the past 10 years, in more than 4 medical and surgical specialties, involving assignment of ICD, E&M, CPT, and HCPCS codes. Coding, auditing and training for ancillary services such as physical, occupational therapy, speech, and nutritional medicine as well as home health, skilled nursing facilities, rehabilitation care and urgent care clinics are not qualifying. A minimum of four years of auditing, training, and/or compliance functions within the last eight years is required in at least 4 medical and surgical specialties as stated above OR candidates with three years of auditing, compliance, or training experience involving professional coding within the last five years in a DoD coding environment may be considered in lieu of 10 years for those without DoD experience. Auditing, compliance, or training experience is described as: Auditing functions include development and execution of audit plan, conducting audit according to audit plan by reviewing required documentation and determining compliance with audit standards, communicating with stakeholders during all phases of audit, and reporting on audit findings. Training functions include identifying coding training opportunities; developing coding training plans, and development/delivery of coding training to coder and physician/provider audiences. Compliance functions include identifying compliance issues and analyzing practice patterns and recommending changes to policies and procedures; recommending/updating standard policies and procedures; contribute to risk assessments and mitigation strategies; and data collection and statistical report generation. UNIQUE MILITARY HEALTH CARE DYDTEMD/PROCEDURED: Armed Forces Health Longitudinal Technology Application (AHLTA). Composite Health Care System (CHCS) and/or MHS GENESIS. Defense Enrollment Eligibility Reporting System (DEERS). Essentrisâ„¢ The client-server version of the Clinical Information System (CIS). Coding Compliance Editor (CCE). Biometric Data Quality Assurance Service (BDQAS)- *********************** AFMS Internal Coding Audit Methodology - AFMOA Audit Tool/Coding Audit Review System (CARS), or current tool. MHS Coding Guidelines ********************************************************* AFMS Centralized Coding Manual. About AAI AAI is focused on delivering outstanding services to the federal government. We have extensive experience in the fields of cyber security, development, IT infrastructure, supply chain management and other professional services such as system design and continuous improvement. AAI is a VA CVE-certified Service-Disabled Veteran-Owned Small Business (SDVOSB), SBA certified Economically Disadvantaged Woman Owned Small Business (EDWOSB), and a Woman Owned Small Business (WOSB) with offices in Hampton Roads Virginia, Montgomery, AL, Washington DC and Atlanta. Fully qualified candidates are welcome to apply directly on our website at: ********************** Our benefits include: Paid Federal Holidays Robust Healthcare and Dental Insurance Options 401a plan 401k plan Paid vacation and sick leave Continuing education assistance Short Term / Long Term Disability & Life Insurance. Veterans are encouraged to apply AAI does not discriminate in employment opportunities, terms and conditions of employment, or practices on the basis of race, age, gender, religious or political beliefs, national origin or heritage, disability, sexual orientation, or any characteristic protected by law. Pending guidance from the Safer Federal Workforce, employees may in the future be required to provide evidence of COVID-19 vaccination or request and receive approval for a medical or religious exemption.
    $60k-70k yearly est. 60d+ ago
  • Physician Coding Specialist - $5,000 Sign-on Bonus (Full-Time, 40 Hours, Day Shift)

    Queen's Health System 4.8company rating

    Medical coder job in Urban Honolulu, HI

    RESPONSIBILITIES A $5,000 Sign-On bonus is available to external candidates only in exchange for a two (2) year employment commitment. I. JOB SUMMARY/RESPONSIBILITIES Performs review of physician and other health care provider services by QMC and QEC providers to ensure services are coded with appropriate CPT and ICD-9 codes. Conducts education, training, and continuously monitors QMC and QEC providers related to PATH guidelines, coding and documentation of professional services rendered, in accordance with government, insurer, and other regulatory agency standards. Effective October 2014, ICD-10 codes shall be required. II. TYPICAL PHYSICAL DEMANDS: Essential: sitting, stooping/bending, finger dexterity, seeing, hearing, speaking, lifting, and carrying usual weight of 5 pounds, repetitive arm/hand motions, static gripping of an object for prolonged periods, frequent gripping of an object. Occasional: standing, walking, kneeling, climbing stairs, squatting, twisting body, lifting weight up to 10 pounds, pushing/ pulling usual weight of 2 pounds up to 5 pounds, reaching above, at and below shoulder level. Operates computer, calculator, and telephone. III. TYPICAL WORKING CONDITIONS: Not substantially subjected to adverse environmental conditions. IV. MINIMUM QUALIFICATIONS: A. Education/Certification and Licensure: 1. Certification as an Outpatient Physician Coder (CPC) or Certified Coding Specialist -Physician based (CCS-P). 2. Knowledge of CPT-4 and ICD-9 coding. Effective October 2014, knowledge of ICD-10 shall be required. 3. Knowledge of medical terminology and abbreviates. B. Experience: 1. Broad based knowledge of services provided to patients in both inpatient and outpatient settings. 2. Two (2) years experience in physician coding preferred. 3. Knowledge of computerized billing system preferred. 4. Knowledge of billing regulations, PATH guidelines, insurance coverage limitations and managed care protocols preferred. 5. Experience providing one-on-one feedback to physicians and other health care providers preferred. Equal Opportunity Employer/Disability/Vet
    $61k-71k yearly est. 60d+ ago
  • Coder II (Clinic & E/M Coding)

    Baylor Scott & White Health 4.5company rating

    Medical coder job in Urban Honolulu, HI

    **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: + Eligibility on day 1 for all benefits + Dollar-for-dollar 401(k) match, up to 5% + Debt-free tuition assistance, offering access to many no-cost and low-cost degrees, certificates and more + Immediate access to time off benefits At Baylor Scott & White Health, your well-being is our top priority. Note: Benefits may vary based on position type and/or level **Job Summary** + The Coder 2 is skilled in three or more types of outpatient, Profee, or low acuity inpatient coding. + The Coder 2 may code low acuity inpatients, one-time ancillary/series, emergency department, observation, day surgery, and/or professional fee, including evaluation and management (E/M) coding or profee surgery. + For professional fee coding, team members in this job code are proficient for inpatient and outpatient, for multi-specialties. + The Coder 2 uses the International Classification of Disease (ICD-10-CM, ICD-10-PCS), Healthcare Common Procedure Coding System (HCPCS), including Current Procedural Terminology (CPT), and other coding references. + These references ensure accurate coding and grouping of classification assignments (e.g., MS-DRG, APR-DRG, APC, etc.). + The Coder 2 will abstract and enter required data. The pay range for this position is $26.66 (entry-level qualifications) - $40.00 (more experienced) The specific rate will depend upon the successful candidate's specific qualifications and prior experience. **Essential Functions of the Role** + Examines and interprets documentation from medical records and completes accurate coding of diagnosis, procedures and professional fees. + Reviews diagnostic and procedure codes and charges in the applicable documentation system to generate appropriate coding and billing. + Communicates with providers for missing documentation elements and offers guidance and education when needed. + Reconciles billing issues by formulating the rationale for rejecting and correcting inaccurate charges. + Works collaboratively with revenue cycle departments to ensure coding and edits are processed timely and accurately. + Reviews and edits charges. **Key Success Factors** + Sound knowledge of applicable rules, regulations, policies, laws and guidelines that impact the coding area. + Sound knowledge of transaction code sets, HIPAA requirements and other issues impacting the coding and abstracting function. + Sound knowledge of anatomy, physiology, and medical terminology. + Demonstrated proficiency of the use of computer applications, group software and Correct Coding Initiatives (CCI) edits. + Sound knowledge of ICD-10 diagnosis and procedural coding and Current Procedural Terminology (CPT) procedural coding. + Ability to interpret health record documentation to identify procedures and services for accurate code assignment. + Flexibility and adaptability while also balancing requirements and regulatory and accreditation guidelines that are non-negotiables. **Belonging Statement** We believe that all people should feel welcomed, valued and supported, and that our workforce should be reflective of the communities we serve. **QUALIFICATIONS** + EDUCATION - H.S. Diploma/GED Equivalent + EXPERIENCE - 2 Years of Experience + Must have ONE of the following coding certifications: + Cert Coding Specialist (CCS) + Cert Coding Specialist-Physician (CCS-P) + Cert Inpatient Coder (CIC) + Cert Interv Rad CV Coder (CIRCC) - Cert Outpatient Coder (COC) + Cert Professional Coder (CPC) + Reg Health Info Administrator (RHIA) + Reg Health Information Technician (RHIT). As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
    $26.7 hourly 43d ago
  • Medical Coding Specialist (Full-time) - Lanihuli Patient Service Center, Hilo, HI HI

    Sonic Healthcare USA 4.4company rating

    Medical coder job in Hilo, HI

    We're not just a workplace - we're a Great Place to Work certified employer! Proudly certified as a Great Place to Work, we are dedicated to creating a supportive and inclusive environment. At Sonic Healthcare USA, we emphasize teamwork and innovation. Check out our job openings and advance your career with a company that values its team members! Quality is in our DNA; is it in yours? You are a superhero when it comes to attention to detail. You've got problem-solving instincts, a passion for patient care, and the drive to keep things running smoothly. You're also looking for great benefits, the support of an all-star team, and an opportunity to grow your career. Join our front line of #HealthcareHeroes! Our mission is to advance the health and well-being of our communities as a leader in clinical laboratory solutions. This opportunity is- LOCATION: Hilo, Hawaii Status: Full-Time Onsite- Opportunity Days: Monday - Friday HOURS: 1st Shift TBD Base Hourly Pay: $23.38 to to $25.72 In this role, you will- Under direct supervision and in accordance with Company policies, procedures, and guidelines, this position: The DX Coding Specialists code medical/laboratory requisitions with diagnoses and/or procedures ICD-10 coding in accordance with ICD-10 coding practices Investigate and obtain missing diagnoses and/or procedure data Assists and/or trains others in coding practices as necessary Adheres to confidentiality, safety, compliance, and legal requirements Maintains consistent and reliable attendance and complies with company guidelines Performs other duties as assigned All you need is: High School diploma or GED Medical coding certification, required Typing (min 35 wpm) and 10 Key. MUST be able to demonstrate proficiency. Medical coding (ICD-10) knowledge required Understanding of CMS (Medicare) medical necessity policies preferred For hospital settings, additional requirements may apply and change without notice. Successfully pass Company pre-employment drug test and periodic and random thereafter Bonus points if you've got: Minimum of six (6) months of related experience or equivalent combination of experience and education Experience with medical/insurance billing and Customer Service Experience in a multitasking environment Prior experience in a medical billing office is preferred Medical procedure coding (CPT, HCPC) knowledge preferred Understanding of CMS (Medicare) medical necessity policies preferred We'll give you: Appreciation for your work A feeling of satisfaction that you've helped people Opportunity to grow in your profession Free lab services for you and your dependents Work-life balance, including Paid Time Off and Paid Holidays Competitive benefits including medical, dental, and vision insurance Help saving for retirement with a 401(k) plus a company match A sense of belonging - we're a community! We also want you to know: This role will provide routine access to protected health information (PHI). Employees will be trained on reasonable safeguards and are expected to maintain strict confidentiality and abide by all applicable privacy and security standards. Employees are expected only to access PHI when required to fulfill job duties. Scheduled Weekly Hours: 40 Work Shift: Job Category: Accounts Receivable Company: Clinical Laboratories of Hawaii, LLP In 2008 Clinical Labs of Hawaii became a member of Sonic Healthcare Ltd. Sonic is headquartered in Sydney, Australia. Since its establishment in 1987, Sonic Healthcare has grown to become the world's third largest pathology/laboratory medicine company with operations in eight countries. Sonic's success stems from the belief that a global culture of Medical Leadership leads to the delivery of outstanding medical services. Learn more about our medical leadership, values. Sonic Healthcare USA is an equal opportunity employer that celebrates diversity and is committed to an inclusive workplace for all employees. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, age, national origin, disability, genetics, veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.
    $23.4-25.7 hourly Auto-Apply 60d+ ago
  • Coder; Full-time, Maui Health

    Kaiser Permanente 4.7company rating

    Medical coder job in Wailuku, HI

    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 of action to correct discrepancies and prevent future coding errors. Identifies reportable elements, complications and other procedures. + Serves as resource and subject matter expert to other coding staff. Assists lead or supervisor in orienting, training, and mentoring staff. Provides ongoing training to staff as needed. Handles special projects as requested. Basic Qualifications: Experience + Minimum two (2) years of hospital licensed space certified coding experience required. Education + High school diploma or General Education Diploma (GED) required. + Post high school coursework in medical records administration, anatomy, physiology and medical terminology. License, Certification, Registration + Certified Professional Coder OR Certified Coding Specialist OR Registered Health Information Technician OR Registered Health Information Administrator Additional Requirements: + Experience with International Classification of Diseases (ICD-10 and ICD-10-PCS), Current Procedure Terminology (CPT4), and Healthcare Common Procedure Coding System (HCPCS) coding systems, and other related documentation requirements. + Demonstrated ability to understand the clinical content of a health record. + Knowledge of and experience in medical record department functions, diagnosis related groups, and prospective payment system. + Demonstrated knowledge of and skill in word processing, spreadsheet and database PC applications. Preferred Qualifications: + Minimum three (3) years of hospital licensed space experience as a Certified Hospital Coder. + Completion of an accredited Health Information Management program. COMPANY: KAISER TITLE: Coder; Full-time, Maui Health LOCATION: Wailuku, Hawaii REQNUMBER: 1378331 External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.
    $61k-70k yearly est. 60d+ ago
  • Ambulatory CDI Specialist - Coding

    Hawaii Pacific Health 3.8company rating

    Medical coder job in Urban Honolulu, HI

    Hawai'i Pacific Health is a not-for-profit health care network with over 70 locations statewide including medical centers, clinics, physicians and other caregivers serving Hawai'i and the Pacific Region with high quality, compassionate care. Its four medical centers - Kapi'olani, Pali Momi, Straub and Wilcox - specialize in innovative programs in women's health, pediatric care, cardiovascular services, cancer care, bone and joint services and more. Hawai'i Pacific Health is recognized nationally for its excellence in patient care and the use of electronic health records to improve quality and patient safety. Our coding professionals are committed to the management of coded health care information in order to maintain the most accurate reimbursement, tracking and reporting for the organization's medical and billing records. Activities include the processing of billing codes for professional medical services and communication with physicians and Revenue Management staff to ensure that the transfer of information is accurate and secure and in compliance with Federal and State laws and regulations. The Specialist is responsible for the delivery of clinical documentation improvement (CDI) review and education to physicians and other staff in the professional billing settings. You will also be responsible to develop, implement, and evaluate CDI education for Physicians, Physician Coding Department, and administrative staff, including proposing clinical documentation improvements based on chart reviews and data analytics. The Specialist will also complete post-claim reviews as assigned and serve as the primary resource for clinical documentation improvement. We are looking for someone who is confident working with minimal supervision in a diverse professional environment and if you are motivated and enthusiastic, able to set work priorities independently, pay strong attention to detail and are committed to creating a healthier Hawai'i. **Location:** First Insurance Center **Work Schedule:** Day - 8 Hours **Work Type:** Full Time Regular **FTE:** 1.000000 **Bargaining Unit:** Non-Bargaining **Exempt:** Yes **Req ID** 31224 **Pay Range:** 119,267 - 149,074 USD per year **Minimum Qualifications:** Must meet education requirements for Hawai'i State licensing. Current Hawai'i Registered Nurse (RN) or Licensed Practical Nurse (LPN) license. Current Basic Life Support for Healthcare Professionals (BLS/HCP) card. Three (3) years of clinical experience. **Preferred Qualifications:** Certified Professional Coder - Risk Adjustment (CRC) or Certified Documentation Specialist (CCDS). Previous experience providing education to physicians and advanced practice providers (APPs). Previous experience with risk adjustment coding or clinical documentation improvement (CDI). EOE/AA/Disabled/Vets Hawai'i Pacific Health offers a comprehensive and competitive total rewards package that includes pay and benefits. Rate of pay for selected candidates will be determined by various factors including knowledge, skills, abilities, relevant experience and training, as well as internal peer equity.
    $61k-69k yearly est. 54d ago
  • MEDICAL EXAMINER'S RECORDS TECHNICIAN I (SR-16) [1 vacancy]

    City and County of Honolulu (Hi 3.9company rating

    Medical coder job in Urban Honolulu, HI

    Information Knowledgeable about medical terminology? Do you have experience with medical transcription? Join the team in this vital role as the Medical Examiner's Records Technician! The Department of the Medical Examiner (MED) is seeking to fill a vacant Records Technician I position in Honolulu. Working under the general supervision of the Records Technician II, this position performs accurate transcription of postmortem examination reports, which requires a thorough knowledge of medical, anatomical, pathological, microscopic, microbiological, and toxicological terminology. What You Will Do: * Create and transcribe postmortem examination reports. * Review drafts and prepare final reports for signature. * Distribute postmortem examination and investigation reports upon completion. * Safely store and maintain reports in the case management system. * Perform other related duties as assigned. Special Work Requirements: * Performance of the above duties requires on-site work where remote work may not be possible. Apply today!If you qualify for the position, your name will be eligible for referral to the hiring department for further consideration for the current job opening, as well as future vacancies with this job title. Additional Job Information Applications must be submitted online by January 17, 2026, 11:59 P.M., Hawaii Standard Time (HST)to be accepted. * Actual salary will be commensurate with applicable experience, pending approval.* Enjoy excellent employment benefits including generous time off (up to 21 vacation days, 21 sick leave days, and holidays), comprehensive health coverage, retirement plan, career development, and much more! View details about all our available benefits by clicking on the "Benefits" tab at the top of this posting or visiting*************************************** Some notifications may be sent via e-mail.You are responsible for monitoring instructions and correspondence from this office by checking your email account in a timely manner.To ensure proper delivery, please make sure you: * use a valid e-mail account; * verify your e-mail address is entered correctly on your GovernmentJobs account; * are subscribed to email notices; * check your spam folders; and * add *********************** and *********************** to your contact list. Notifications may also be sent via text message if opted into the service. Data and text messaging fees apply. Minimum Qualification Requirements At time of application, you must be a citizen, national or permanent resident alien of the United States or a non-citizen eligible under federal law for unrestricted employment. EDUCATION REQUIREMENT: Equivalent to graduation from high school. Responsible work experience demonstrating the ability to perform the essential functions of the job may be substituted for education. EXPERIENCE REQUIREMENT: Five years of clerical or stenographic experience,two of which shall have involved medical transcription, recordkeeping, and data compilation work. Substitution: Business school or college level credits from an accredited college or university will substitute for up to two years of the required three years of general clerical experience on a month-for-month basis. There is NO substitution for the required two years of medical transcription, recordkeeping, and data compilation work. The substitution must be met at the time of application. Education obtained outside of the United States must be comparable to a degree earned at an accredited college/university in the United States. In order to receive credit for the education, proper documentation, e.g., a foreign credential evaluation (FCE), must be provided. We also reserve the right to request further information about your academic program, evidence of comparability, or an original transcript. Verification of Education: In order to be given credit for your education, clearly list your education credentials on your application. If available, please attach an electronic copy of your diploma, official transcripts, and/or applicable FCE to your application. As part of the hiring process, you may be asked to furnish documentation to verify your education to satisfy this education qualification requirement. Copies will not be returned. All information on your documentation must be legible and complete in order to be given credit. If you do not have your documentation to verify your education at this time, please note that if selected for the job, you will need to furnish verification documents in order to move forward in the hiring process. Typing proficiency of 40 or more net wpm: This class of work requires you to type at 40 or more net words per minute. Your proficiency may be evaluated by the appointing authority as part of the selection/interview process and/or during your probationary period. Failure to meet the proficiency requirement may result in removal from the eligible list and/or termination from appointment. Examination Process EDUCATION AND EXPERIENCE EVALUATION: In addition to meeting the above minimum qualifications, your application will be further evaluated. Your score will be based on the quality and quantity of your education, experience and/or other related job requirements and competencies applicable to the position. Failure to provide sufficient information may result in your application being rejected or your receiving a lower score. EXAMINATION WEIGHT: Education and Experience Evaluation................................100%
    $39k-45k yearly est. Easy Apply 7d ago
  • Medical Records Clerk

    Kahala Nui 3.8company rating

    Medical coder job in Urban Honolulu, HI

    Kahala Nui, considered Hawaii's premier Senior Living Community, is looking for a full time Medical Records Clerk to join our team! The Medical Records Clerk is responsible for assisting with the admissions process and maintaining, securing, and managing all written and electronic medical records for residents. This role ensures that all information contained in the records is complete, accurate, and accessible only to authorized personnel. The Medical Records Clerk also supports and promotes the organization's paperless documentation process. Schedule is Monday - Friday 8:00am - 4:30pm/Depending on business needs, this role may require working outside of the stated days and/or standard working hours. This job is 100% on-site. Remote or hybrid remote work is not available. This position does not include relocation assistance. Minimum Qualifications: High School Diploma or equivalency. 1-year previous experience working with LTC Medical Records required 1-year previous experience working with electronic medical records preferred Proficient in the use of computer programs, preferably MS Word, Excel, and Outlook Proof of annual tuberculosis clearance in accordance with state regulations. Must be available to work varied schedules including weekends and holidays. (Equivalent experience or education may be substituted at the hiring manager's discretion for educational or work experience requirements) Benefits: FREE medical, drug and vision insurance FREE life and AD&D insurance FREE on-site parking or FREE monthly bus pass Company matched 401(k) Discounted Associate meals and services FREE on-site fitness center Flexible Spending Accounts (FSA) Eligibility to apply for Kahala Nui college scholarships and much, much, more!
    $27k-31k yearly est. 4d ago
  • Health Information Specialist I

    Datavant

    Medical coder job in Urban Honolulu, HI

    Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. Datavant is a data platform company for healthcare whose products and solutions enable organizations to move and connect data securely. Datavant has a network of networks consisting of thousands of organizations, more than 70,000 hospitals and clinics, 70% of the 100 largest health systems, and an ecosystem of 500+ real-world data partners. By joining Datavant today, you're stepping onto a highly collaborative, remote-first team that is passionate about creating transformative change in healthcare. We invest in our people and believe in hiring for high-potential and humble individuals who can rapidly grow their responsibilities as the company scales. Datavant is a distributed, remote-first team, and we empower Datavanters to shape their working environment in a way that suits their needs. This is an entry level position responsible for processing all release of information (ROI), specifically medical record requests, in a timely and efficient manner ensuring accuracy and providing customers with the highest quality product and customer service. Associates must at all times safeguard and protect the patient's right to privacy by ensuring that only authorized individuals have access to the patient's medical information and that all releases of information are in compliance with the request, authorization, company policy and HIPAA regulations. **Position Highlights:** + Full-Time: Monday-Friday 8:30-5:00 PM OR 8:00-4:30pm EST + Location: This role will be performed - Remote - WFH + Processing medical records along with by taking calls from patients, insurance companies, and attorneys to provide medical records status + Documenting information on multiple platforms using two computer monitors. + Preferred Customer Service and Data Entry and Release of Information experience + Full Benefits: PTO, Health, Vision, and Dental Insurance and 401k Savings Plan with matching contributions & Tuition Reimbursement **You will:** + Receive and process requests for patient health information in accordance with Company and Facility policies and procedures. + Maintain confidentiality and security with all privileged information. + Maintain working knowledge of Company and facility software. + Adhere to the Company's and Customer facilities Code of Conduct and policies. + Inform manager of work, site difficulties, and/or fluctuating volumes. + Assist with additional work duties or responsibilities as evident or required. + Consistent application of medical privacy regulations to guard against unauthorized disclosure. + Responsible for managing patient health records. + Responsible for safeguarding patient records and ensuring compliance with HIPAA standards. + Prepares new patient charts, gathering documents and information from paper sources and/or electronic health records. + Ensures medical records are assembled in standard order and are accurate and complete. + Creates digital images of paperwork to be stored in the electronic medical record. + Responds to requests for patient records, both within the facility and by external sources, retrieving them and transmitting them appropriately. + Answering of inbound/outbound calls. + May assist with patient walk-ins. + May assist with administrative duties such as handling faxes, opening mail, and data entry. + Must meet productivity expectations as outlined at a specific site. + May schedules pick-ups. + Other duties as assigned. **What you will bring to the table:** + High School Diploma or GED. + Ability to commute between locations as needed. + Able to work overtime during peak seasons when required. + Basic computer proficiency. + Comfortable utilizing phones, fax machines, printers, and other general office equipment on a regular basis. + Professional verbal and written communication skills in the English language. + Detail and quality oriented as it relates to accurate and compliant information for medical records. + Strong data entry skills. + Must be able to work with minimum supervision responding to changing priorities and role needs. + Ability to organize and manage multiple tasks. + Able to respond to requests in a fast-paced environment. **Bonus points if:** + Experience in a healthcare environment. + Previous production/metric-based work experience. + In-person customer service experience. + Ability to build relationships with on-site clients and customers. + Comfortable bringing new ideas, process improvement suggestions, and feedback to internal stakeholders. We are committed to building a diverse team of Datavanters who are all responsible for stewarding a high-performance culture in which all Datavanters belong and thrive. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. _At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your responses will be_ _anonymous and_ _used to help us identify areas of improvement in our recruitment process._ _(_ _We can only see aggregate responses, not individual responses. In fact, we aren't even able to see if you've responded or not_ _.)_ _Responding is your choice and it will not be used in any way in our hiring process_ _._ Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role. The estimated base pay range per hour for this role is: $15-$18.32 USD To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion. This job is not eligible for employment sponsorship. Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here (************************************************** . Know Your Rights (*********************************************************************** , explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay. At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way. Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, (************************************************************** Id=**********48790029&layout Id=**********48795462) by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here (******************************************************************************************************* . Requests for reasonable accommodations will be reviewed on a case-by-case basis. For more information about how we collect and use your data, please review our Privacy Policy (**************************************** .
    $15-18.3 hourly 59d ago
  • Senior Coder - Outpatient

    Highmark Health 4.5company rating

    Medical coder job in Urban Honolulu, HI

    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. (60%) + 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 implementing these updates in daily work.(5%) + Acts as a mentor and subject matter expert to others. (5%) + Performs other duties as assigned or required. (5%) **QUALIFICATIONS:** Minimum + High School/GED + 5 years of Hospital and/or Physician Coding + 1 year of Coding - all specialties and service lines + Extensive knowledge in Trauma/Teaching/Observation guidelines + Successful completion of coding courses in anatomy, physiology and medical terminology + Any of the following: + Certified Coding Specialist (CCS) + Registered Health Information Technician (RHIT) + Registered Health Information Associate (RHIA) + Certified Coding Specialist Physician (CCS-P) + Certified Professional Coder (CPC) + Certified Outpatient Coder (COC) Preferred + Associate's Degree **_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._ **_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._ _As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._ _Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._ **Pay Range Minimum:** $23.03 **Pay Range Maximum:** $35.70 _Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._ Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at ***************************** California Consumer Privacy Act Employees, Contractors, and Applicants Notice Req ID: J270102
    $23-35.7 hourly 33d ago
  • Medical Coding Modernization Specialist

    AAI 4.8company rating

    Medical coder job in Hawaii

    Job DescriptionSalary: $27.00 MEDICAL CODING MODERNIZATION SPECIALIST Pearl Harbor, HI AAI is actively recruiting a Medical Coding Modernization Specialist. This position will support coding operations and compliance as part of the Medical Modernization Program. The coding professional will conduct internal audits; monitor coding practices and documentation deficiencies to identify, develop, deliver training and monitor effectiveness of efforts to ensure improvement to documentation, coding completion, timeliness and accuracy rates for the MTF. RESPONSIBILITIES Knowledge of The International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-CM), procedural coding, healthcare common procedure coding system (HCPCS)/current procedural terminology (CPT) nomenclature, medical and procedural terminology, anatomy and physiology, pharmacology, and disease processes to perform the duties described. Knowledge of reimbursement systems, including Prospective Payment System (PPS) and Diagnostic Related Groupings (DRGs); Ambulatory Payment Classifications (APCs); and, ResourceBased Relative Value Scale (RBRVS). Knowledge of and the ability to interpret guidelines, rules and regulations developed by: Centers for Medicare & Medicaid Services (CMS), American Medical Association (AMA), American Heart Association (AHA) and other applicable Federal requirements so as to provide timely and accurate information relating to coding, billing and documentation. Excellent oral and written communication skills, interpersonal skills along with the confidence to present complex medical coding issues and educational instruction to a diverse audience. Must be comfortable in front of high ranking, professional staff and coding peers to training and respond to questions. Ability to write reports, business correspondence, and procedure manuals. Organizational, analytical, time management, statistical, and problem-solving skills. Advanced knowledge of computers, keyboard skills, and various software programs including Microsoft (word processing, spreadsheet and database) as well as coding software programs. Medical Coding Modernization Specialists will maintain the required continuing education hours and credentials as required by their national association certification at their own expense. Work Environment/Physical Requirements. The work is primarily sedentary. Requirements may include prolonged walking, standing, sitting, or bending. Carrying or lifting of medical records or documentation may be required daily. Use of one or more computer programs and monitors simultaneously is typical and frequent. Assists the MTF in identifying medical coding deficiencies by analyzing documentation and coding practices that may be misrepresenting or incorrectly capturing medical care activities. Analyzes historical encounter documentation and coding records from Government computer systems and medical records to identify clinical documentation improvement (CDI) and training opportunities. Compares documentation to code application to ensure accuracy. Tracks deficiencies for trending and corrective action. Collaborates with MTF leadership, MTF providers/staff, and other coding professionals related to the performance of tasks to address recurring documentation and coding deficiencies, Contacts providers to review findings to improve documentation practices as well as E&M leveling, capturing medical procedures and to improve diagnosis specificity issues IAW with coding guidelines. Develops focused training presentations from thorough analysis as outlined in the MTF modernization action plan. Seeks Government approval prior to delivering Government scheduled training to MTF providers and other staff. Creates and submits training activity reports to the MTF leadership. Presents reports to the Government weekly and identifies scheduling issues and obstacles to meeting improvement objectives.Creates monthly reports showing completed activities and improvement to metrics Education/Certification: 1. Successful completion of academic requirements, at least at an associate's degree level from a health information management program is required. 2. A Registered Health Information Technician (RHIT) or equivalent certification is required. Must have successfully completed requirements for International Classification of Diseases, Tenth Revision ICD-10-CM/PCS proficiency certification by AHIMA standards or the AAPC ICD-10-CM proficiency test prior to their start date if an equivalency determination request for AAPC certification(s) is authorized by the Government. Experience: Candidates will require a minimum of 10 years of medical coding experience in production coding environments within the past 10 years, in more than 4 medical and surgical specialties, involving assignment of ICD, E&M, CPT, and HCPCS codes. Coding, auditing and training for ancillary services such as physical, occupational therapy, speech, and nutritional medicine as well as home health, skilled nursing facilities, rehabilitation care and urgent care clinics are not qualifying. A minimum of four years of auditing, training, and/or compliance functions within the last eight years is required in at least 4 medical and surgical specialties as stated above OR candidates with three years of auditing, compliance, or training experience involving professional coding within the last five years in a DoD coding environment may be considered in lieu of 10 years for those without DoD experience. Auditing, compliance, or training experience is described as: Auditing functions include development and execution of audit plan, conducting audit according to audit plan by reviewing required documentation and determining compliance with audit standards, communicating with stakeholders during all phases of audit, and reporting on audit findings. Training functions include identifying coding training opportunities; developing coding training plans, and development/delivery of coding training to coder and physician/provider audiences. Compliance functions include identifying compliance issues and analyzing practice patterns and recommending changes to policies and procedures; recommending/updating standard policies and procedures; contribute to risk assessments and mitigation strategies; and data collection and statistical report generation. UNIQUE MILITARY HEALTH CARE DYDTEMD/PROCEDURED: Armed Forces Health Longitudinal Technology Application (AHLTA). Composite Health Care System (CHCS) and/or MHS GENESIS. Defense Enrollment Eligibility Reporting System (DEERS). Essentris The client-server version of the Clinical Information System (CIS). Coding Compliance Editor (CCE). Biometric Data Quality Assurance Service (BDQAS)- *********************** AFMS Internal Coding Audit Methodology AFMOA Audit Tool/Coding Audit Review System (CARS), or current tool. MHS Coding Guidelines********************************************************* AFMS Centralized Coding Manual. About AAI AAI is focused on delivering outstanding services to the federal government. We have extensive experience in the fields of cyber security, development, IT infrastructure, supply chain management and other professional services such as system design and continuous improvement. AAI is a VA CVE-certified Service-Disabled Veteran-Owned Small Business (SDVOSB), SBA certified Economically Disadvantaged Woman Owned Small Business (EDWOSB), and a Woman Owned Small Business (WOSB) with offices in Hampton Roads Virginia, Montgomery, AL, Washington DC and Atlanta. Fully qualified candidates are welcome to apply directly on our website at: ********************** Our benefits include: Paid Federal Holidays Robust Healthcare and Dental Insurance Options 401a plan 401k plan Paid vacation and sick leave Continuing education assistance Short Term / Long Term Disability Life Insurance. Veterans are encouraged to apply AAI does not discriminate in employment opportunities, terms and conditions of employment, or practices on the basis of race, age, gender, religious or political beliefs, national origin or heritage, disability, sexual orientation, or any characteristic protected by law. Pending guidance from the Safer Federal Workforce, employees may in the future be required to provide evidence of COVID-19 vaccination or request and receive approval for a medical or religious exemption.
    $27 hourly 30d ago
  • Health Information Coder/Abstractor - $5,000 Sign-On Bonus (Full-Time, 40 Hours, Day Shift)

    Queen's Health System 4.8company rating

    Medical coder job in Urban Honolulu, HI

    RESPONSIBILITIES A $5,000 Sign-On bonus is available to external candidates only in exchange for a two (2) year employment commitment. I. JOB SUMMARY/RESPONSIBILITIES: - Ensures consistent and accurate coding of patient accounts through a thorough review of conditions and procedures as documented by qualified health care providers in the medical record. II. TYPICAL PHYSICAL DEMANDS: - Seeing, hearing, speaking, finger dexterity. - Frequent: sitting. 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 Coding Specialist (CCS) by the American Health Information Management Association (AHIMA). o Certified Professional Coder (CPC) by the American Academy of Professional Coders (AAPC) and three (3) years of acute care facility coding experience. - Coursework and/or demonstrated knowledge of medical terminology, body systems/anatomy, pathophysiology, surgeries/treatments, and pharmacology. B. EXPERIENCE: - Two (2) years experience in coding/abstracting. - Proficiency in ICD-10-CM, PCS, CPT, and HCPCS coding. - Knowledge of HIPAA and other compliance regulations pertaining to handling patient records. - Familiarity with using and navigating electronic health records and computer-assisted coding software. - Ability to communicate effectively both orally and in writing. Equal Opportunity Employer/Disability/Vet
    $63k-72k yearly est. 60d+ ago
  • Coder; Full-time, Maui Health

    Kaiser Permanente 4.7company rating

    Medical coder job in Wailuku, HI

    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 of action to correct discrepancies and prevent future coding errors. Identifies reportable elements, complications and other procedures. * Serves as resource and subject matter expert to other coding staff. Assists lead or supervisor in orienting, training, and mentoring staff. Provides ongoing training to staff as needed. Handles special projects as requested.
    $61k-70k yearly est. 5d ago
  • Medical Records Specialist

    Hawai'i Island Community Health Center 3.8company rating

    Medical coder job in Hawaii

    Join Our Team as a Medical Records Specialist! Job Title: Medical Records Specialist Department: Medical Services Status: Non-Exempt Supervised By: Medical Records Supervisor About Us: Are you ready to make a difference in the healthcare industry? Join our dynamic team at HICHC, where we prioritize patient care and continuous improvement. We're looking for a dedicated Medical Records Specialist to help us maintain and manage electronic patient files, respond to requests, and assist in data collection. If you're organized, detail-oriented, and passionate about healthcare, we want to hear from you! Important Note: This position is not remote. The applicant must reside on the Big Island of Hawai'i. What You'll Do: As a Medical Records Specialist, you'll play a crucial role in our medical services department. Your responsibilities will include: Maintaining electronic patient files: Scan and organize patient data with precision. Responding to requests: Process letters, reports, and direct telephone calls efficiently. Retrieving and distributing reports: Ensure physicians have the information they need from labs, radiology, and specialists. Handling billing and legal services: Manage records and documents with care. Participating in quality improvement: Be an active team member in our patient care team. Continuing education: Stay updated with the latest in medical records management. Ensuring satisfaction: Make sure patients and their families are happy with our services. What We're Looking For: To be successful in this role, you should have: Education: High School graduate or GED certificate. Experience: At least one year of medical records experience or equivalent combination of experience, training, and education. Skills: Strong organizational skills, ability to multitask, and effective communication skills. Personal Traits: Team player, high integrity, courteous, and friendly. Why Join Us? Positive Work Environment: Enjoy a supportive and collaborative workplace. Professional Growth: Opportunities for continuing education and career advancement. Impactful Work: Make a real difference in patient care and satisfaction. Team Spirit: Be part of a team that values quality improvement and patient care. Ready to Apply? If you're excited about this opportunity and meet the qualifications, we'd love to hear from you! Apply now and become a vital part of our healthcare team.
    $30k-34k yearly est. Auto-Apply 5d ago
  • Health Information Specialist I

    Datavant

    Medical coder job in Urban Honolulu, HI

    Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. This is an entry level position responsible for processing all release of information (ROI), specifically medical record requests, in a timely and efficient manner ensuring accuracy and providing customers with the highest quality product and customer service. Associates must at all times safeguard and protect the patient's right to privacy by ensuring that only authorized individuals have access to the patient's medical information and that all releases of information are in compliance with the request, authorization, company policy and HIPAA regulations. **Position Highlights** **This is a Remote Role** + Full Time: **Monday-Friday, 7:30 am - 4:00 pm CST, with potential overtime, evenings, or weekends as required.** + Ability working in a high-volume environment. + **Handle ROI (Release of Information) - Core requests such as: patient, disability, insurance, and government requests.** + Documenting information in multiple platforms using two computer monitors. + Proficient in Microsoft office (including Word and Excel) **Preferred Skills** + Knowledge of HIPAA and medical terminology + Familiar with different EHR and Billing Systems + Experience working with subpoenas **We offer:** + Comprehensive onsite/virtual training program followed by job shadowing with an assigned mentor + Company equipment will be provided to you (including computer, monitor, virtual phone, etc.) + Full Benefits: PTO, Health, Vision, and Dental Insurance and 401k Savings Plan and tuition Assistance **You will:** + Receive and process requests for patient health information in accordance with Company and Facility policies and procedures. + Maintain confidentiality and security with all privileged information. + Maintain working knowledge of Company and facility software. + Adhere to the Company's and Customer facilities Code of Conduct and policies. + Inform manager of work, site difficulties, and/or fluctuating volumes. + Assist with additional work duties or responsibilities as evident or required. + Consistent application of medical privacy regulations to guard against unauthorized disclosure. + Responsible for managing patient health records. + Responsible for safeguarding patient records and ensuring compliance with HIPAA standards. + Prepares new patient charts, gathering documents and information from paper sources and/or electronic health record. + Ensures medical records are assembled in standard order and are accurate and complete. + Creates digital images of paperwork to be stored in the electronic medical record. + Responds to requests for patient records, both within the facility and by external sources, retrieving them and transmitting them appropriately. + Answering of inbound/outbound calls. + May assist with patient walk-ins. + May assist with administrative duties such as handling faxes, opening mail, and data entry. + Must meet productivity expectations as outlined at specific site. + May schedules pick-ups. + Other duties as assigned. **What you will bring to the table:** + High School Diploma or GED. + Ability to commute between locations as needed. + Able to work overtime during peak seasons when required. + Basic computer proficiency. + Comfortable utilizing phones, fax machine, printers, and other general office equipment on a regular basis. + Professional verbal and written communication skills in the English language. + Detail and quality oriented as it relates to accurate and compliant information for medical records. + Strong data entry skills. + Must be able to work with minimum supervision responding to changing priorities and role needs. + Ability to organize and manage multiple tasks. + Able to respond to requests in a fast-paced environment. **Bonus points if:** + Experience in a healthcare environment. + Previous production/metric-based work experience. + In-person customer service experience. + Ability to build relationships with on-site clients and customers. + Comfortable bringing new ideas, process improvement suggestions, and feedback to internal stakeholders. Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role. The estimated base pay range per hour for this role is: $15-$18.32 USD To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion. This job is not eligible for employment sponsorship. Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here (************************************************** . Know Your Rights (*********************************************************************** , explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay. At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way. Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, (************************************************************** Id=**********48790029&layout Id=**********48795462) by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here (******************************************************************************************************* . Requests for reasonable accommodations will be reviewed on a case-by-case basis. For more information about how we collect and use your data, please review our Privacy Policy (**************************************** .
    $15-18.3 hourly 3d ago
  • Coder - Inpatient

    Highmark Health 4.5company rating

    Medical coder job in Urban Honolulu, HI

    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 updates in daily work. (5%) + Performs other duties as assigned or required. (5%) **QUALIFICATIONS:** Minimum + High School / GED + 1 year in Hospital coding + Successful completion of coding courses in anatomy, physiology and medical terminology + Certified Coding Specialist (CCS) **OR** Certified In-patient Professional Coder (CIC) + Familiarity with medical terminology + Strong data entry skills + An understanding of computer applications + Ability to work with members of the health care team Preferred + Associate's degree in Health Information Management or Related Field **_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._ **_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._ _As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._ _Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._ **Pay Range Minimum:** $23.03 **Pay Range Maximum:** $35.70 _Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._ Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at ***************************** California Consumer Privacy Act Employees, Contractors, and Applicants Notice Req ID: J272373
    $23-35.7 hourly 37d ago
  • Medical Records Specialist

    Hawai'i Island Community Health Center 3.8company rating

    Medical coder job in Kailua, HI

    Join Our Team as a Medical Records Specialist! Job Title: Medical Records Specialist Department: Medical Services Status: Non-Exempt Supervised By: Medical Records Supervisor About Us: Are you ready to make a difference in the healthcare industry? Join our dynamic team at HICHC, where we prioritize patient care and continuous improvement. We're looking for a dedicated Medical Records Specialist to help us maintain and manage electronic patient files, respond to requests, and assist in data collection. If you're organized, detail-oriented, and passionate about healthcare, we want to hear from you! Important Note: This position is not remote. The applicant must reside on the Big Island of Hawai'i. What You'll Do: As a Medical Records Specialist, you'll play a crucial role in our medical services department. Your responsibilities will include: Maintaining electronic patient files: Scan and organize patient data with precision. Responding to requests: Process letters, reports, and direct telephone calls efficiently. Retrieving and distributing reports: Ensure physicians have the information they need from labs, radiology, and specialists. Handling billing and legal services: Manage records and documents with care. Participating in quality improvement: Be an active team member in our patient care team. Continuing education: Stay updated with the latest in medical records management. Ensuring satisfaction: Make sure patients and their families are happy with our services. What We're Looking For: To be successful in this role, you should have: Education: High School graduate or GED certificate. Experience: At least one year of medical records experience or equivalent combination of experience, training, and education. Skills: Strong organizational skills, ability to multitask, and effective communication skills. Personal Traits: Team player, high integrity, courteous, and friendly. Why Join Us? Positive Work Environment: Enjoy a supportive and collaborative workplace. Professional Growth: Opportunities for continuing education and career advancement. Impactful Work: Make a real difference in patient care and satisfaction. Team Spirit: Be part of a team that values quality improvement and patient care. Ready to Apply? If you're excited about this opportunity and meet the qualifications, we'd love to hear from you! Apply now and become a vital part of our healthcare team.
    $30k-34k yearly est. Auto-Apply 60d+ ago
  • Health Information Management Clerk II (Full-Time, 40 Hours, Varied Shifts)

    Queen's Health System 4.8company rating

    Medical coder job in Urban Honolulu, HI

    RESPONSIBILITIES I. JOB SUMMARY/RESPONSIBILITIES: - Protect patient's personal health information in paper and electronic versions, releasing and disclosing information with minimal necessity, following all state and federal HIPAA privacy rules. - Performs a variety of clerical duties involved in maintaining patient medical records including record assembly, scanning, indexing, location, retrieval, distribution, filing, and inventory, and master patient index validation. - Answers department phones and directs phone calls to appropriate parties. - Provides medical information to offsite providers in accordance with departmental procedures. - Performs all necessary basic clerical skills during business. - Upon request, releases records electronically for admitted patient's payor concurrent review of records. - Upon request, releases electronic copies of records via secured file transfer protocol (FTP) sites for quality and payor review of records (HEDIS/Risk Adjustment/RAC). II. TYPICAL PHYSICAL DEMANDS: - Finger dexterity, seeing, hearing, speaking. - Occasional: Standing, sitting, walking, stooping, bending, squatting, and pushing/pulling up to 5 pounds of force. III. TYPICAL WORKING CONDITIONS: - Not substantially subjected to adverse environmental conditions. IV. MINIMUM QUALIFICATIONS: A. EDUCATION/CERTIFICATION AND LICENSURE: - High school diploma or equivalent. B. EXPERIENCE: - Prior experience in Medical Record Department preferred. - Demonstrated ability to operate computer, printer, fax, and scanner. - Six (6) months prior experience in an office setting preferred. Equal Opportunity Employer/Disability/Vet
    $27k-31k yearly est. 60d+ ago

Learn more about medical coder jobs

Do you work as a medical coder?

What are the top employers for medical coder in HI?

Top 9 Medical Coder companies in HI

  1. Highmark

  2. AAI Corporation

  3. Datavant

  4. Waianae Coast Comprehensive Health Center

  5. Baylor Scott & White Health

  6. Hawaii Pacific Health

  7. Cognizant

  8. Queens Health Systems

  9. Sonic Healthcare USA

Job type you want
Full Time
Part Time
Internship
Temporary

Browse medical coder jobs in hawaii by city

All medical coder jobs

Jobs in Hawaii