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Cpc Jobs in Hawaii (NOW HIRING)

Trice Healthcare

Coding Payment Resolution Spec

Koloa, HI · On-site

$20.50 - $26/hr

... CPC). * Must have experience with National Correct Coding Initiative edits (NCCI), National Coverage Determinations (NCD), Local Coverage Determinations (LCD), and Outpatient coding guidelines for ...

Humana

Code Edit Disputes Medical Coder

Honolulu, HI · On-site

$18.50 - $24.75/hr

AAPC CPC (no Apprentice) * Minimum of 3 years' experience as a Certified Medical Coder * Demonstrate ability to problem-solve complex coding issues * Experience with Medicare and Medicaid coding ...

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How much do cpc jobs pay per hour?

As of Aug 12, 2026, the average hourly pay for cpc in Hawaii is $30.43, according to ZipRecruiter salary data. Most workers in this role earn between $22.74 and $30.24 per hour, depending on experience, location, and employer.

What can I do with a CPC certification?

A CPC (Certified Professional Coder) certification qualifies individuals to work in medical coding, translating healthcare diagnoses and procedures into standardized codes. It enables employment in medical billing, coding specialist roles, and healthcare administration, often requiring knowledge of coding systems like ICD, CPT, and HCPCS. The certification demonstrates expertise in medical documentation and coding compliance, which are essential for healthcare billing and reimbursement processes.

How do Certified Professional Coders typically work with healthcare providers to ensure accurate medical coding and billing?

Certified Professional Coders (CPCs) regularly collaborate with physicians and other healthcare providers to accurately interpret clinical documentation and assign appropriate medical codes. This often involves clarifying ambiguous notes, educating providers on documentation requirements, and ensuring compliance with current coding guidelines. CPCs act as a bridge between clinical staff and billing departments, helping to minimize claim denials and promote efficient revenue cycles. Effective communication and strong attention to detail are essential for success in this role.

What is a CPC?

CPC stands for Certified Professional Coder, a credential awarded by the AAPC (American Academy of Professional Coders). CPCs are medical coding professionals who review clinical documents and assign standardized codes for diagnoses, procedures, and services, which are used for billing and insurance purposes. Their expertise ensures medical providers are reimbursed accurately and in compliance with healthcare regulations. CPCs typically work in hospitals, physician offices, or insurance companies, and their role is critical for the financial health of healthcare organizations.

What does a CPC do?

As a certified professional coder, your primary responsibilities are to oversee and direct medical coding for a clinic or medical practice. Your duties include ensuring compliance with health care regulations, monitoring reimbursement from appropriate codes, submitting billing, validating medical necessity, and reviewing medical records. You correct codes, stay updated on changes in insurance codes, and offer recommendations or suggestions to doctors and nurses to ensure proper documentation. You also scan documents, maintain electronic files, and prepare reports as needed. If a claim gets rejected, you may communicate with the patient about obtaining payment.

What are the key skills and qualifications needed to thrive as a Certified Professional Coder, and why are they important?

To thrive as a Certified Professional Coder (CPC), you need a deep understanding of medical coding systems, anatomy, and healthcare regulations, typically supported by a CPC certification from AAPC. Familiarity with coding software, electronic health records (EHR), and ICD-10, CPT, and HCPCS code sets is essential. Strong attention to detail, analytical thinking, and effective communication help coders accurately interpret medical records and collaborate with healthcare teams. These skills ensure accurate billing, regulatory compliance, and optimal reimbursement for healthcare providers.

Can you work from home as a CPC?

A Certified Professional Coder (CPC) can often work from home, especially if they have access to the necessary coding software and secure internet. Many medical coding jobs offer remote options, but some employers may require in-office training or periodic in-person meetings. Certification from the American Academy of Professional Coders (AAPC) is typically needed to qualify for remote coding positions.

What is the difference between Cpc vs Coder?

AspectCpcCoder
CredentialsCertified Professional Coder (CPC) certificationTypically no specific certification required, but certifications like CPC are common
Work EnvironmentMedical offices, hospitals, outpatient clinicsHealthcare facilities, coding companies, remote work
Industry UsageHealthcare billing and codingMedical record documentation and coding
Search & Comparison IntentUnderstanding certification and job roles in medical codingLearning about coding responsibilities and qualifications

The main difference between a Cpc and a Coder is that a Cpc refers to a Certified Professional Coder with specific certification, while a Coder may or may not hold formal credentials. The Cpc role emphasizes certification and compliance in medical billing, whereas a Coder focuses on translating medical records into codes, often without requiring certification. Both roles are integral to healthcare documentation and coding, but the Cpc is a recognized credential that can enhance job prospects and salary potential.

More about Cpc jobs
What are the most commonly searched types of Cpc jobs in Hawaii? The most popular types of Cpc jobs in Hawaii are:
What are popular job titles related to Cpc jobs in Hawaii? For Cpc jobs in Hawaii, the most frequently searched job titles are:
What job categories do people searching Cpc jobs in Hawaii look for? The top searched job categories for Cpc jobs in Hawaii are:
Cpc jobs near you
Infographic showing various Cpc job openings in Hawaii as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 14% Part Time, 1% Temporary, and 3% Contract. Highlights an 73% Physical, 3% Hybrid, and 24% Remote job distribution, with an average salary of $63,293 per year, or $30.4 per hour.

Coding Payment Resolution Spec

Trice Healthcare

Koloa, HI • On-site

$20.50 - $26/hr

Other

Re-posted 7 days ago

Job description

Coding Payment Resolution Specialist

Responsible for reviewing all post-billed denials (inclusive of coding-related denials) for coding accuracy and appealing them based upon coding expertise and judgment within the Hospital and/or Medical Group revenue operations of a Patient Business Services center.

Serves as part of a team of coding payment resolution colleagues at a PBS location responsible for identifying and determining root causes of denials.

Responsible for leveraging coding knowledge and standard procedures to track appeals through first, second, and subsequent levels, and ensuring timely filing of appeals as required by payers. In addition to promoting departmental awareness of coding best practices.

This position reports directly to the Supervisor Clinical/Coding Payment Resolution.

Essential Functions

  • Knows, understands, incorporates, and demonstrates the Client Mission, Vision, and Values in behaviors, practices, and decisions.
  • Provides detailed understanding or aptitude for resolving denials based on ICD-10-CM diagnosis codes, ICD-10-PCS codes, and CPT-4 procedural codes for UB-04 outpatient or inpatient claims, or other coding reasons and processing charge corrections based on medical record reviews, contracts, regulations as directed by the Supervisor Clinical / Coding Payment Resolution.
  • Interprets data, draws conclusions, and reviews findings with all level of Payment Resolution Specialist for further review.
  • Takes initiative to continuously learn all aspects of Payment Resolution Specialist role to support progressive responsibility.
  • Other duties as needed and assigned by the Supervisor Clinical / Coding Payment Resolution.
  • Maintains a working knowledge of applicable Federal, State and local laws/regulations; the Client and Compliance Program and Code of Conduct; as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical and professional behavior.

Minimum Qualifications

  • High school diploma or Associate degree in Accounting or Business Administration or related field, and a minimum of four (4) years' experience within a hospital or clinic environment, a health insurance company, managed care organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting or customer service activities or an equivalent combination of education and experience. Experience in a complex, multi-site environment preferred.
  • Must possess comprehensive knowledge of professional/physician diagnostic and procedural coding, as normally obtained through a coding certificate program and least one (1) year of physician/professional or hospital outpatient coding experience or minimum of two (2) years of relevant hospital inpatient coding experience including DRG assignment.
  • Must be a Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or coding credential of a Certified Coding Specialist (CCS) or Certified Professional Coder (CPC).
  • Must have experience with National Correct Coding Initiative edits (NCCI), National Coverage Determinations (NCD), Local Coverage Determinations (LCD), and Outpatient coding guidelines for official coding and reporting.
  • Possesses detailed understanding of principles, methods, and techniques related to compliant healthcare billing/collections.
  • Possesses expertise in medical terminology, disease processes, patient health record content and the medical record coding process.
  • Must be comfortable operating in a collaborative, shared leadership environment.
  • Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Client.

Apply