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- A leading healthcare company is seeking an experienced Outpatient Medical Coding Auditor to manage provider disputes in a remote setup. The ideal candidate will have proficiency in CPC or CCS certification and at least 3 years of behavioral health coding audit experience...SuggestedRemote job
$59.3k - $80.9k
A leading healthcare company is looking for a Medical Coding Auditor to review claims and ensure compliance with coding guidelines. This remote position requires strong experience in outpatient specialty surgeries and relevant certifications. The role mandates independent...SuggestedRemote job$59.3k - $80.9k
Become a part of our caring community Humana is looking for an experienced medical coding auditor to handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, consider a Fortune 100 company that prioritizes its...SuggestedBi-weekly payFull timeTemporary workApprenticeshipWork experience placementWork at officeRemote workWork from homeHome officeFlexible hours- ...years of experience with the Prospective Payment System and DRG selection; OR specific knowledge as a consultant in Medical Record coding and DRG assignment required. Prior CDI work experience preferred. Knowledge of computer technology, quality assurance activities, DRG...SuggestedWork experience placement
$59.3k - $80.9k
Become a part of our caring community The Medical Coding Auditor reviews medical claims submitted against medical records provided to ensure correct coding guidelines are met. The Medical Coding Auditor work assignments are varied and frequently require interpretation...SuggestedFull timeTemporary workApprenticeshipRemote workWork from home$71.1k - $97.8k
Become a part of our caring community and help us put health first The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records...SuggestedBi-weekly payFull timeContract workTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to Friday- ...Medical Biller to join our healthcare team. The ideal candidate will be responsible for managing the billing process, ensuring accurate coding, and maintaining compliance with medical billing regulations. This role requires a strong understanding of medical terminology,...SuggestedFull timeContract workPart timeRelocation
MovementPlus Physical Therapy
Aiea, HI2 days ago $32.82 - $34.55 per hour
...: One (1) year experience in area of specialty or successful completion of area specific training program. Knowledge of CPT/ICD-9 Coding. Experience with online medical software systems. EOE/AA/Disabled/Vets Hawai'i Pacific Health offers a comprehensive and competitive...SuggestedHourly payFull timeHawaii Pacific Health
Honolulu, HI3 days ago- ...provider documentation to ensure the appropriate capture of comorbid conditions and major comorbid conditions. Collaborates with coding staff and quality team to ensure integrity and completeness of documentation and code assignment for the purposes of appropriate reimbursement...SuggestedFull timeWork at office
- ...analyzing financial records, and maintaining organized files and recordkeeping systems. The role also assists with data entry, document coding, and administrative tasks to ensure accurate, timely, and efficient accounting operations. Projects a high level of AIE (Attitude,...SuggestedLocal area
- ...Prospective Payment System (PPS) MDS Assessments. Complete MDS assessments in accordance with state and federal regulations. Accurately code MDS data using staff input, resident/family interviews, observations, and medical record review. Maintain MDS schedules and...SuggestedFull timePart timeReliefRelocation packageFlexible hours
$65k - $88.6k
A leading health services company in Hawaii is seeking a skilled Payment Integrity Coding Professional to ensure accurate claim payments. This remote position involves coding adherence, operational analysis, and collaboration across departments. Ideal candidates will have...SuggestedRemote job- A reputable healthcare organization in Honolulu seeks a qualified professional for physician coding. The role involves reviewing services for proper coding, training providers on PATH guidelines, and ensuring compliance with regulatory standards. Candidates must have relevant...SuggestedRelocation package
- ...conducting concurrent reviews, collaborating with medical staff, and training nurses to ensure accurate documentation and compliance with coding standards. Ideal candidates should hold a Bachelor's degree in Nursing, have substantial acute care experience, and possess...Suggested
- A leading educational institution in Honolulu seeks an experienced professional to develop and maintain an anti-fraud program. Responsibilities include conducting investigations related to fraud, waste, and abuse, conducting audits, and collaborating with law enforcement...Suggested
- ...Review all invoices for appropriate supporting documentation. Verify vendor contact information and payment terms. Review expense coding. Process invoices and process weekly check runs. Hiring immediately. Apply for this Job Please use the APPLY HERE link below to...Immediate start
$94.9k - $130.5k
A healthcare organization is seeking an Associate Director of Coding Education to enhance provider documentation and develop tailored education plans. This role requires a Bachelor's degree, significant technical and management experience, and certifications like CPC....Remote job- RESPONSIBILITIES I. JOB SUMMARY/RESPONSIBILITIES: Responsible for conducting internal audits of coding and documentation to ensure compliance with coding guidelines and federal and state regulations. II. TYPICAL PHYSICAL DEMANDS: Essential: sitting, stooping/bending...Full timeWork at officeDay shift
$72.7k
...purposes to comply with internal audit and regulatory requirements. For this role, we are looking for Clinical Nursing and/or Medical Coding experience. ESSENTIAL RESPONSIBILITIES Performs investigations into potential and existing provider and member fraud, waste and...Contract workFor contractorsWork at officeLocal area- ...Educate HCPs on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local payers, government payers, etc.) for core and launch products. Collaborate with field...Permanent employmentFull timeWork at officeLocal area
Johnson & Johnson
Honolulu, HI2 days ago - ...financial records. The ideal candidate will have exceptional attention to detail and accuracy, with duties including batching and coding invoices, handling inquiries, and ensuring efficient office operations. This role requires the ability to work independently and meet...Work at office
$72.8k - $130k
...capture, trending, and compliance Improving the specificity and completeness of clinical documentation, resulting in more accurate coding This position does not have patient care duties, does not have direct patient interactions, and has no role relative to patient...Minimum wageFull timeWork experience placementLocal area- ...different security domains. Ideal candidates will have a Bachelor's degree in Computer Science or related fields, experience in secure coding, and a strong understanding of cross-domain architectures. This role offers competitive benefits, a family-oriented work culture,...For contractors
$60.2k - $107.4k
...Easing the transition to ICD-10 by improving the specificity and completeness of clinical documentation, resulting in more accurate coding This position does not have patient care duties, does not have direct patient interactions, and has no role relative to patient...Minimum wageFull timeWork experience placementLocal areaRemote work$120k - $160k
...for technical issues. Be able to execute test cases and maintain good quality deliverables and ensure adherence to best design and coding standards. Provide status updates to the project manager & onshore team. Should be able to learn core and new modules of Exstream and...Temporary work$60.2k - $90k
...the claimant and the client; maintains professional client relationships. Ensures claim files are properly documented and claims coding is correct. Refers cases as appropriate to supervisor and management. Additional Functions and Responsibilities Performs other duties...Work at officeLocal areaFlexible hours$26.6 - $28 per hour
...Experience Six (6) months medical assistant experience OR completion of HPH Medical Assistant Program; knowledge of CPT and/or ICD-10 Coding. Experience with electronic medical records. EOE/AA/Disabled/Vets Hawai‘i Pacific Health offers a comprehensive and competitive...Hourly payFull time- ...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...Full timeRelocation packageDay shift
- ...data processing pipelines Troubleshoot cloud environments REQUIRED SKILLS Proficiency in cloud platforms Expertise in coding languages Understanding of APIs Knowledge of data pipelines Experience with cloud orchestration tools Ability to manage...Temporary workFor contractorsImmediate startFlexible hours
Cymertek
Honolulu, HI4 days ago $27.79 - $29.25 per hour
...assistant experience. Knowledge of Classification Procedural Terminology (CPT) and/or International Classification of Disease (ICD-10) Coding. Experience with electronic medical records. EOE/AA/Disabled/Vets Hawai'i Pacific Health offers a comprehensive and...Hourly payPart timeLocal areaAfternoon shiftHawaii Pacific Health
Honolulu, HI13 days ago
