Medical Coder I
Medical coder job in Waianae, HI
Under general supervision, performs coding on all diagnoses, procedures, professional services, and supplies following the American Medical Association (AMA) official coding/reporting guidelines and other third party payer criteria for the purpose of reimbursement, research, and compliance with state and federal regulations. Answer coding questions from non-clinical staff. This position runs reports and monitors charges to ensure timely accurate coding of medical and behavioral health services and charges. Also, works in a collaborated effort to assist in the development of programs and plans for training medical staff in basic coding techniques.
EDUCATION/EXPERIENCE:
Minimum Qualifications:
1. High School Diploma or equivalent, AND
2. Six (6) months of medical coding experience in each of the following coding classification systems:
a) ICD-10-CM
b) CPT-4
c) E&M
d) HCPCS OR
3. Equivalent combination of desired education/certification and work experience
Desired Education/Certification:
1. Associate's Degree or certification in Health Information Management
2. Certified Coding Specialist (CCS) and/or
3. Certified Coding Specialist-Procedural (CCS-P)
4. Certified Professional Coder (CPC)
An Equal Employment Opportunity / Affirmative Action Employer
Auto-ApplyMedical Coding Modernization Specialist
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.
Physician Coding Specialist - $5,000 Sign-on Bonus (Full-Time, 40 Hours, Day Shift)
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
Outpatient Coder Specialist
Medical coder job in Wailuku, HI
Under supervision, is responsible for assigning accurate diagnosis and procedure codes to the patients health information records, for: Observation, Hospital Ambulatory Surgery, Complex Hospital Outpatient Visit {Cardiac Catheterization (Percutaneous Coronary Intervention) Lab, Interventional Radiology}, Emergency Departments, and other select OP records. This responsibility requires appropriate code assignment for physician-documented patient diagnoses, conditions and procedures; utilizing various coding classification schemes including ICD- 10CM (may include PCS), and HCPCS/CPT.
All work will be carried out in accordance with the: International Classification of Diseases - Official Coding Guidelines for coding and reporting as established by the Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS); American Medical Association (CPT) National Correct Coding Initiative (NCCI), and Kaiser Permanente organizational/institutional coding directives. Ability to communicate with physicians in order to obtain clarification for diagnoses/procedures. Ability to understand the clinical content of the health record and abstract the data in the patient health information record data as well as perform other duties as assigned.
Essential Responsibilities:
* Upholds and maintains Maui Health Systems Policies and Procedures, Principles of Responsibilities and all applicable state, federal and local laws. Reviews patient health information record to: identify and assign appropriate codes for diagnoses, procedures, and other services rendered.
* Appropriately assign and sequence codes for diagnoses, procedures and other services as needed for proper Ambulatory Payment Classification (APC) assignment, utilizing the applicable coding conventions.
* Serves as a consultant to care providers.
* Identifies discrepancies, potential quality of care, and billing issues. Research, analyzes, recommends and facilitates plan of action to correct discrepancies and prevent future coding errors.
* Interacts with physicians through established query process in order to clarify documentation supporting accurate patient diagnostic and procedure coding.
* Abstracts patient information into the computerized systems, in a manner ensuring the accuracy and integrity of the data.
* Ensures timely coded record availability according to regulatory guidelines, by meeting established coding and abstracting productivity standards. Ensures quality standards by meeting the established 95% coding accuracy and 98% completeness quality standards.
* Maintains and complies with HIPAA policies and procedures for privacy and confidentiality of all patient records. Attends and participates in selected national, regional and coding educational sessions. Works collaboratively with others on coding questions and issues.
* Demonstrates knowledge of system security, by complying with KP Electronic Assets Usage Policy.
* Maintains courteous and cooperative relations when interacting with others.
* Performs other duties as assigned.
Medical Coding Specialist (Full-time) - Lanihuli Patient Service Center, Hilo, HI HI
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.
Auto-ApplyHealthcare Revenue Cycle / HIM Manager
Medical coder job in Urban Honolulu, HI
As a Healthcare Revenue Cycle / HIM Manager, your responsibilities will include: 1. Supporting a remote team for daily operations of the healthcare revenue cycle / healthcare coding department. 2. Identifying and implementing strategies to accelerate the revenue cycle by reducing accounts receivable days, improving cash flow, and enhancing profitability.
3. Managing account reconciliation, pre-collection, and post-collection activities to ensure accuracy and timeliness.
4. Identifying and resolving issues that affect revenue cycle performance using analytical and problem-solving skills.
5. Collaborating with cross-functional teams, including billing, coding, and clinical operations, to ensure the effectiveness of the revenue cycle process.
6. Training and mentoring staff on revenue cycle processes and best practices.
7. Staying abreast with the latest trends and regulations in the healthcare industry to ensure compliance and operational efficiency.
8. Developing and implementing policies and procedures to enhance operational efficiency and improve revenue cycle performance.
9. Providing regular reports and updates to senior management about the status and performance of the revenue cycle.
10. This individual will manage routine client meetings to obtain updates on initiatives and address any issues.
Qualifications:
The ideal candidate for the Healthcare Revenue Cycle / HIM Manager will have the following qualifications:
1. A minimum of 7 years of experience in healthcare revenue cycle management, including account reconciliation, pre-collection, and post-collection.
3. Strong knowledge of healthcare financial management and medical billing processes.
4. Exceptional analytical and problem-solving skills with a strong attention to detail.
5. Proficient in using healthcare billing software and revenue cycle management tools, with a strong background in Oracle Health (Cerner) software.
6. Strong leadership skills with the ability to manage and motivate a team.
7. Excellent communication and interpersonal skills with the ability to interact effectively with all levels of the organization.
8. Strong knowledge of federal, state, and payer-specific regulations and policies.
9. Ability to work in a fast-paced environment and manage multiple priorities.
**Responsibilities**
Analyzes business needs to help ensure Oracle's solution meets the customer's objectives by combining industry best practices and product knowledge. Effectively applies Oracle's methodologies and policies while adhering to contractual obligations, thereby minimizing Oracle's risk and exposure. Exercises judgment and business acumen in selecting methods and techniques for effective project delivery on small to medium engagements. Provides direction and mentoring to project team. Effectively influences decisions at the management level of customer organizations. Ensures deliverables are acceptable and works closely with the customer to understand and manage project expectations. Supports business development efforts by pursuing new opportunities and extensions. Collaborates with the consulting sales team by providing domain credibility. Manages the scope of medium sized projects including the recovery of remedial projects.
Disclaimer:
**Certain US customer or client-facing roles may be required to comply with applicable requirements, such as immunization and occupational health mandates.**
**Range and benefit information provided in this posting are specific to the stated locations only**
US: Hiring Range in USD from: $87,000 to $178,100 per annum. May be eligible for bonus and equity.
Oracle maintains broad salary ranges for its roles in order to account for variations in knowledge, skills, experience, market conditions and locations, as well as reflect Oracle's differing products, industries and lines of business.
Candidates are typically placed into the range based on the preceding factors as well as internal peer equity.
Oracle US offers a comprehensive benefits package which includes the following:
1. Medical, dental, and vision insurance, including expert medical opinion
2. Short term disability and long term disability
3. Life insurance and AD&D
4. Supplemental life insurance (Employee/Spouse/Child)
5. Health care and dependent care Flexible Spending Accounts
6. Pre-tax commuter and parking benefits
7. 401(k) Savings and Investment Plan with company match
8. Paid time off: Flexible Vacation is provided to all eligible employees assigned to a salaried (non-overtime eligible) position. Accrued Vacation is provided to all other employees eligible for vacation benefits. For employees working at least 35 hours per week, the vacation accrual rate is 13 days annually for the first three years of employment and 18 days annually for subsequent years of employment. Vacation accrual is prorated for employees working between 20 and 34 hours per week. Employees working fewer than 20 hours per week are not eligible for vacation.
9. 11 paid holidays
10. Paid sick leave: 72 hours of paid sick leave upon date of hire. Refreshes each calendar year. Unused balance will carry over each year up to a maximum cap of 112 hours.
11. Paid parental leave
12. Adoption assistance
13. Employee Stock Purchase Plan
14. Financial planning and group legal
15. Voluntary benefits including auto, homeowner and pet insurance
The role will generally accept applications for at least three calendar days from the posting date or as long as the job remains posted.
Career Level - IC4
**About Us**
As a world leader in cloud solutions, Oracle uses tomorrow's technology to tackle today's challenges. We've partnered with industry-leaders in almost every sector-and continue to thrive after 40+ years of change by operating with integrity.
We know that true innovation starts when everyone is empowered to contribute. That's why we're committed to growing an inclusive workforce that promotes opportunities for all.
Oracle careers open the door to global opportunities where work-life balance flourishes. We offer competitive benefits based on parity and consistency and support our people with flexible medical, life insurance, and retirement options. We also encourage employees to give back to their communities through our volunteer programs.
We're committed to including people with disabilities at all stages of the employment process. If you require accessibility assistance or accommodation for a disability at any point, let us know by emailing accommodation-request_************* or by calling *************** in the United States.
Oracle is an Equal Employment Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability and protected veterans' status, or any other characteristic protected by law. Oracle will consider for employment qualified applicants with arrest and conviction records pursuant to applicable law.
Medical Record Technician
Medical coder job in Kaneohe, HI
ATA Services, Inc., is looking for a full-time Medical Records Technician for our client Hawaii State Hospital.
See job details below:
45-710 Kea'ahala Road, Kaneohe, HI 96744-3597
Non-exempt Hourly Rate: $24.86
Purpose of Position:
The primary duties of this position are to provide admission, discharge, and reviews of medical records for completeness, timeliness and accuracy, code diagnoses according to current disease manuals, and maintain a medical record keeping the system in accord with The Joint Commission standards and State of Hawaii, Department of Health, Office of Health Care Assurance (OHCA) licensing requirements.
Job Duties/Scope of Work:
Medical Record Review and Coding
Newly admitted and in-house patient medical records:
Reviews chart for presence and timely completion of various admission/weekly/monthly/annual documentation requirements (i.e., assessments, ratings, progress notes).
Checks for the presence and timeliness of staff signatures and/or electronic validations, dates, accurate patient identifying information on all forms and correct filing sequence of the unit chart.
Transferred or Discharged patient medical records:
Checks for completion of all forms, correct filing sequence, and presence of required medical record forms, assessments, summaries, and reports.
Coding - Psychiatric and Medical Diagnoses
Assigns code number(s) to represent the psychiatric diagnoses using the most current or applicable Diagnostic and Statistical Manual of Mental Disorders, and the International Classification of Diseases.
Completes worksheets for computer input of diagnoses.
Experience:
Two and one-half (2.5 years) general experience doing work equivalent to that of a medical record technician in a hospital or health program involving paraprofessional medical work that required the knowledge of medical terminology; medical record filing, coding; and basic medical record keeping practices.
ATA Services, Inc., expressly prohibits any form of workplace harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status.
Auto-ApplyAmbulatory CDI Specialist - Coding
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.
TMF Records Specialist - FSP
Medical coder job in Urban Honolulu, HI
The Trial Master Files Records Specialist (TRS) is responsible to provide operational expertise to the core trial team, oversees the implementation of the TMF strategy for the trial and supports the core trial team in all aspects of TMF management, and in inspections or audits. The TRS provides and maintains oversight and guidance related to TMF activities throughout the course of the trial, to safeguard the protection of the trial subject, reliability of the trial results, compliance with study protocol, ICH-GCP and applicable regulations and ensure inspection readiness at all times.
**Electronic Trial Master File (eTMF) Set Up**
+ Collaborates with the core trial team to create, implement and maintain the list of trial-specific expected records
+ Identifies all relevant trial level records required to reconstruct the trial, independent of owner or system hosting the record.
+ Responsible for the planning and tracking of all TMF trial level records according to internal and external standards and also to initiate the close out of the TMF
+ Responsible for the oversight of all outsourced local trial records specialist (LTRS) activity in each participating Operating Unit (OPU)
+ Establish Sponsor File Records
+ Create, finalize, and communicate the trial specific TMF Framework in collaboration with the core trial team
+ Review the draft trial specific list of essential records (LoER) and obtain input from the trial team
+ Finalize and communicate the final trial specific LoER to Clinical Trial (CT) Managers and LTRSs in all participating OPUs
**Electronic Trial Master File (eTMF) Maintenance**
+ Maintain Global Trial Master File throughout trial
+ Communicate TMF timeliness, completeness and quality metrics to the CT Leaders and CT Managers through participation in Trial Oversight Meetings (TOM)
+ Maintain close collaboration, communication and support of trial teams to keep them informed with the latest documentation management updates.
+ Oversee TMF status and take appropriate action if the TMF does not fulfill the requirements (timeliness, completeness and quality)
+ Participate in Trial Oversight Meetings and present TMF topics
+ Support of the trial team in all aspects of TMF management and in inspections or audits
+ Supports the Corrective and Preventative Actions (CAPA) Lead in the development of actions and follow up on assigned actions resulting from audits and inspections
+ Update the trial specific TMF Framework if a main trial event is planned/occurs that has an effect on trial records (e.g. Clinical Trial Protocol amendment) and communicate to CT Managers and LTRSs in all participating OPUs
+ May contribute to non-trial projects as assigned
**Electronic Trial Master File (eTMF) Close Out**
+ Close out Trial Master File
+ Inform the CT Leader about the list of exceptions on the global trial level regularly and finally when all records are received
+ Create the final global list of trial, country, and site-specific exceptions with input from the LTRS
+ Confirm the archiving pre-requisites have been met with input from trial team and LTRS (Trial Documentation Specialist) before the TMF can be moved to archive
+ Ensure availability of the final versions of records as defined in the electronic TMF (eTMF) Universe (all systems that hold TMF relevant records during or after the trial) including Clinical Operations (CO) as well as Biometrics, Data Managements and Statistics (BDS) on an ongoing basis during the conduct of the CT. Records can be in paper or electronic format
**Skills:**
+ Excellent organizational and communication skills
+ Structured mindset in the approach of complex administrative tasks
+ Excellent time management with the ability to prioritize
+ Commitment to obtaining results and problem solving
+ Proficiency with Windows, MS Office (Word, PowerPoint, Excel, Outlook)
+ Proficiency in written and spoken English and (local language)
**Knowledge and Experience:**
+ Experience in Clinical Operations preferred
+ Excellent knowledge in use of eTMF systems
+ Advanced knowledge of ICH-GCP and Good Documentation Practice, applicable SOPs, WIs, local procedures and List of Essential Elements
**Education:**
+ High School Diploma required; Post Secondary/High School education in Business Administration or equivalent preferred
\#LI-LO1
\#LI-REMOTE
EEO Disclaimer
Parexel is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to legally protected status, which in the US includes race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.
Health Information Specialist I
Medical coder job in Kailua, 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. Associate 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
- Onsite position in Kailua, HI
- Full-time, Mo-Fri 8:00 am-4:30pm
- Front desk processing medical records requests
- Full benefits: PTO, Health, Vision, Dental, 401k savings plan, and tuition assistance
- Tremendous growth opportunities both locally and nationwide
What We're Looking For
- Strong customer service and clerical skills
- Proficient in Microsoft Office, including Word and Excel
- Comfortable working in a high-volume production environment
- Medical office experience preferred
- Willingness to learn and grow within Datavant
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:$16-$21.50 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, 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 .
Auto-ApplyMedical Coder II
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
Auto-ApplyMedical Coding Modernization Specialist
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.
Outpatient Coder Specialist
Medical coder job in Wailuku, HI
Under supervision, is responsible for assigning accurate diagnosis and procedure codes to the patients health information records, for: Observation, Hospital Ambulatory Surgery, Complex Hospital Outpatient Visit {Cardiac Catheterization (Percutaneous Coronary Intervention) Lab, Interventional Radiology}, Emergency Departments, and other select OP records. This responsibility requires appropriate code assignment for physician-documented patient diagnoses, conditions and procedures; utilizing various coding classification schemes including ICD- 10CM (may include PCS), and HCPCS/CPT.
All work will be carried out in accordance with the: International Classification of Diseases - Official Coding Guidelines for coding and reporting as established by the Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS); American Medical Association (CPT) National Correct Coding Initiative (NCCI), and Kaiser Permanente organizational/institutional coding directives. Ability to communicate with physicians in order to obtain clarification for diagnoses/procedures. Ability to understand the clinical content of the health record and abstract the data in the patient health information record data as well as perform other duties as assigned.
Essential Responsibilities:
+ Upholds and maintains Maui Health Systems Policies and Procedures, Principles of Responsibilities and all applicable state, federal and local laws. Reviews patient health information record to: identify and assign appropriate codes for diagnoses, procedures, and other services rendered.
+ Appropriately assign and sequence codes for diagnoses, procedures and other services as needed for proper Ambulatory Payment Classification (APC) assignment, utilizing the applicable coding conventions.
+ Serves as a consultant to care providers.
+ Identifies discrepancies, potential quality of care, and billing issues. Research, analyzes, recommends and facilitates plan of action to correct discrepancies and prevent future coding errors.
+ Interacts with physicians through established query process in order to clarify documentation supporting accurate patient diagnostic and procedure coding.
+ Abstracts patient information into the computerized systems, in a manner ensuring the accuracy and integrity of the data.
+ Ensures timely coded record availability according to regulatory guidelines, by meeting established coding and abstracting productivity standards. Ensures quality standards by meeting the established 95% coding accuracy and 98% completeness quality standards.
+ Maintains and complies with HIPAA policies and procedures for privacy and confidentiality of all patient records. Attends and participates in selected national, regional and coding educational sessions. Works collaboratively with others on coding questions and issues.
+ Demonstrates knowledge of system security, by complying with KP Electronic Assets Usage Policy.
+ Maintains courteous and cooperative relations when interacting with others.
+ Performs other duties as assigned.
Basic Qualifications:
Experience
+ + Minimum one (1) year of Certified Coding experience.
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 Coding Specialist OR Registered Health Information Technician OR Registered Health Information Administrator OR Certified Professional Coder
Additional Requirements:
+ Demonstrated competence with personal computers, networks, and Microsoft Office.
+ Experience with International Classification of Diseases (ICD-10), Current Procedure Terminology (CPT4), and Healthcare Common Procedure Coding System (HCPCS) coding system, and other related documentation requirements.
+ Demonstrated ability to understand clinical content of a health record.
Preferred Qualifications:
+ Minimum three (3) consecutive years of experience as a Certified Hospital Coder.
+ Previous experience of coding in a hospital license space.
+ Successful completion of Certified Coding Specialist Program through American Health Information Management Association (AHIMA).
COMPANY: KAISER
TITLE: Outpatient Coder Specialist
LOCATION: Wailuku, Hawaii
REQNUMBER: 1388066
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.
Healthcare Revenue Cycle / HIM Manager
Medical coder job in Urban Honolulu, HI
As a recognized authority and leading contributor, this project management professional, provides consistent innovative and high quality solution leadership. Responsible for guiding the successful implementation of non-routine and complex business solutions ensuring high quality and timely delivery within budget to the customer's satisfaction.
**Responsibilities**
Analyzes business needs to help ensure Oracle's solution meets the customer's objectives by combining industry best practices and product knowledge. Effectively applies Oracle's methodologies and policies while adhering to contractual obligations, thereby minimizing Oracle's risk and exposure. Exercises judgment and business acumen in selecting methods and techniques for effective project delivery on small to medium engagements. Provides direction and mentoring to project team. Effectively influences decisions at the management level of customer organizations. Ensures deliverables are acceptable and works closely with the customer to understand and manage project expectations. Supports business development efforts by pursuing new opportunities and extensions. Collaborates with the consulting sales team by providing domain credibility. Manages the scope of medium sized projects including the recovery of remedial projects.
Disclaimer:
**Certain US customer or client-facing roles may be required to comply with applicable requirements, such as immunization and occupational health mandates.**
**Range and benefit information provided in this posting are specific to the stated locations only**
US: Hiring Range in USD from: $87,000 to $178,100 per annum. May be eligible for bonus and equity.
Oracle maintains broad salary ranges for its roles in order to account for variations in knowledge, skills, experience, market conditions and locations, as well as reflect Oracle's differing products, industries and lines of business.
Candidates are typically placed into the range based on the preceding factors as well as internal peer equity.
Oracle US offers a comprehensive benefits package which includes the following:
1. Medical, dental, and vision insurance, including expert medical opinion
2. Short term disability and long term disability
3. Life insurance and AD&D
4. Supplemental life insurance (Employee/Spouse/Child)
5. Health care and dependent care Flexible Spending Accounts
6. Pre-tax commuter and parking benefits
7. 401(k) Savings and Investment Plan with company match
8. Paid time off: Flexible Vacation is provided to all eligible employees assigned to a salaried (non-overtime eligible) position. Accrued Vacation is provided to all other employees eligible for vacation benefits. For employees working at least 35 hours per week, the vacation accrual rate is 13 days annually for the first three years of employment and 18 days annually for subsequent years of employment. Vacation accrual is prorated for employees working between 20 and 34 hours per week. Employees working fewer than 20 hours per week are not eligible for vacation.
9. 11 paid holidays
10. Paid sick leave: 72 hours of paid sick leave upon date of hire. Refreshes each calendar year. Unused balance will carry over each year up to a maximum cap of 112 hours.
11. Paid parental leave
12. Adoption assistance
13. Employee Stock Purchase Plan
14. Financial planning and group legal
15. Voluntary benefits including auto, homeowner and pet insurance
The role will generally accept applications for at least three calendar days from the posting date or as long as the job remains posted.
Career Level - IC4
**About Us**
As a world leader in cloud solutions, Oracle uses tomorrow's technology to tackle today's challenges. We've partnered with industry-leaders in almost every sector-and continue to thrive after 40+ years of change by operating with integrity.
We know that true innovation starts when everyone is empowered to contribute. That's why we're committed to growing an inclusive workforce that promotes opportunities for all.
Oracle careers open the door to global opportunities where work-life balance flourishes. We offer competitive benefits based on parity and consistency and support our people with flexible medical, life insurance, and retirement options. We also encourage employees to give back to their communities through our volunteer programs.
We're committed to including people with disabilities at all stages of the employment process. If you require accessibility assistance or accommodation for a disability at any point, let us know by emailing accommodation-request_************* or by calling *************** in the United States.
Oracle is an Equal Employment Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability and protected veterans' status, or any other characteristic protected by law. Oracle will consider for employment qualified applicants with arrest and conviction records pursuant to applicable law.
Medical Records Specialist
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.
Auto-ApplyHealth Information Management Clerk II (Full-Time, 40 Hours, Varied Shifts)
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
EG - Health Information Specialist II
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.
**You will:**
+ **Schedule: Monday-Friday 8:00am-4:30pm (Bellevue, Ohio)**
+ 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.
+ Must be 18 years or older.
+ 1-year Health Information related experience.
+ 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.
**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.
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 (**************************************** .
Coder; Full-time, Maui Health
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.
Medical Records Specialist
Medical coder job in Kailua, HI
Job Description
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.
Health Information Specialist I - Temp Position (12/1/2025 - 6/1/2026))
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.
**Position Highlights** :
+ Temporary Full-Time: Monday-Friday 8:00AM-4:30 PM EST
+ Location: This role will be performed at one location (Remote)
+ Comfortable working in a high-volume production environment.
+ Processing medical record requests by taking calls from patients, insurance companies and attorneys to provide medical status.
+ Documenting information in multiple platforms using two computer monitors.
**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.
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