Hawaii Pacific Health Coding Auditor - Compliance in Honolulu, Hawaii

Job Description

Hawai‘i Pacific Health is a nonprofit health care system formed in 2001 with the merger of three longtime Hawai‘i health systems. It is the state’s largest health care provider, committed to providing the highest quality medical care and service to the people of Hawai‘i and the Pacific Region through its four hospitals, 49 outpatient clinics and service sites, and more than 1,300 affiliated physicians. The system is anchored by its four flagship nonprofit hospitals: Kapi‘olani Medical Center for Women & Children, Pali Momi Medical Center, Straub Medical Center and Wilcox Medical Center, which have led groundbreaking initiatives in women’s health, pediatric care, cardiovascular services, cancer care and bone and joint services. Hawai‘i Pacific Health ranks among the top 5 percent of hospitals nationwide in the adoption of electronic medical records, with system-wide implementation that allows its hospitals and physicians to offer integrated, coordinated care throughout the state.

The Compliance department at Hawai‘i Pacific Health aims to provide a framework for the organization’s workforce to know, understand and adhere to applicable workforce regulations and provide mechanisms for the prevention, detection and resolution of problems. This team ensures that Hawai‘i Pacific Health employees receive training that stresses the personal obligation to comply with laws, regulations, standards and policies, and department-specific training where appropriate, with emphasis in the delivery of quality patient care. The department’s compliance officers and committees oversee standards of conduct, resources to report and respond to concerns, training and education, monitoring and auditing, false claims acts and the Office of the Inspector General.

If you are a diligent analyst and gifted with numbers, you could be the ideal candidate for our Coding Auditor position. In this role, you will maintain a well-organized database of clinic and hospital audits of coding, billing, and the documentation of services to ensure regulatory compliance. You will also train our physicians, administrators/directors, staff members and outside providers about reimbursement regulations and coding, billing and documentation requirements. We are looking for someone with meticulous analytical skills and attention to data integrity, the ability to work in a collaborative, team-oriented environment and a commitment to our vision of delivering the highest quality health care to Hawai‘i’s people.

Location: Hawai'i Pacific Health, Honolulu, HI

Work Schedule: Day - 8 Hours

Work Type: Full Time Regular

FTE: 1.000000

Bargaining Unit: Non-Bargaining

Exempt: No

Minimum Qualifications: High school or equivalent. Certified Coding Specialist-Professional (CCS-P) or Certified Professional Coder (CPC). Two (2) years medical claims auditing, Current Procedural Terminology (CPT) and International Classification of Diseases 9th edition (ICD-9), billing compliance training, or related experience.

Preferred Qualifications: Bachelor’s degree in a health-related field. Medicare coding and billing auditing experience. Experience with IDX and/or EPIC business processes. Experience working with Hawai‘i Pacific Health payor contracts.

EOE/AA/Disabled/Vets

Position Coding Auditor - Compliance

Category Quality

Employment Type Employee

Location Hawaii Pacific Health, Honolulu, HI

Req ID 10189