Medical Coding Auditor Jobs in Hawaii (NOW HIRING)

This position is responsible for assigning ICD-10-CM and CPT-4 codes to hospital outpatient (i.e. lab, radiology and nuclear medicine, emergency department, clinics, urgent care, etc.) diagnoses and procedures documented in narratives in the charge system, which will determine reimbursement for the Medical Center. Performs other duties as assigned.
Required Qualifications: To qualify, you must meet all of the following requirements. Please note that unless specifically indicated, the required education and experiences may not be gained concurrently. In addition, qualifying work experience is credited based on a 40-hour workweek.
Education: High school diploma or equivalent. Received ICD-10 training, coursework, or classes, within the last 2 years.
Except for the substitutions provided for elsewhere in these specifications, applicants must have had progressively responsible experience of the kind and quality described below, and in the amounts shown in the following table:
Class Title
Specialized Experience
Coding
Experience
Supervisory
Experience
Certification
Total Experience
Coder I
1
1
CCA or CPC-A or COC-A
2
Specialized Experience: Experience in a health information management department of a hospital or allied medical care facility which involved the performance of paraprofessional health information management work requiring the knowledge of the nature and uses of medical records, medical terminology and established health information management classification, coding, filing and indexing systems; and the ability to analyze and file medical records and prepare reports and summaries from medical records.
Coding Experience: Experience in a health information management department of a hospital or allied medical care facility which involved the performance of assigning codes from the listing of current ICD-CM/PCS, CPT-4 and HCPCS for all diagnoses and procedures and other services.
Certification:
Coder I: Valid CCA from AHIMA or CPC-A or COC-A from AAPC.
Coder II: Valid CCS - P from AHIMA or CPC or COC from AAPC.
Coder III/IV: Valid CCS from AHIMA or CIC or CEMC from AAPC
AHIMA (American Health Information Management Association):
CCA (Certified Coding Associate)
CCS - P (Certified Coding Specialist - Physician-based)
CCS (Certified Coding Specialist - hospital) [inpatient coding]
AAPC (American Academy of Professional Coders):
CPC-A (Certified Professional Coder-Apprentice)
COC-A (Certified Outpatient Coder-Apprentice)
CIC (Certified Inpatient Coder) [inpatient coding]
CPC (Certified Professional Coder for physician coding)
COC (Certified Outpatient Coder) [outpatient coding]
CEMC (Certified Evaluation and Management Coder)
**Certification for Coder II, III, or IV level may be substituted for the Coder I level.
Substitutions Allowed:

1. Excess Coding Experience may be substituted for Specialized Experience.
2. Successful completion of an associate degree in a health information technology program (HIT) accredited by the Commission on Accreditation of Allied Health Education Programs may be substituted for up to one (1) year of Specialized Experience.
3. Successful completion of an associate degree in a health information technology program (HIT) in a foreign country whose professional association has an agreement of reciprocity with the American Health Information Management Association (AHIMA) may be substituted for up to one (1) year of Specialized Experience.
4. Successful completion of the correspondence course or the AHIMA Independent Study Programs in health information technology (HIT) and an associate's degree from an accredited college may be substituted for up to 1 (one) year of Specialized Experience.
5. Possession of a current Registered Health Information Technicians (RHIT) certificate received through successful qualification on the national accreditation examination administered by the American Health Information Management Association may be substituted for the Specialized Experience.

If a degree is used to substitute for the education requirement, it may not be used again towards the experience requirement. If work experience is used to substitute for education, it may not be used again to meet the experience requirement. If the applicant holds more than one degree, transcripts must be provided and a thorough review will be conducted by the human resources staff in order for more than one degree to be credited toward the minimum qualification requirements (if applicable).
Company Description
As the Big Island's leading providers of inpatient and outpatient care, the East Hawaii Region of Hawai`i Health Systems Corporation (HHSC), consisting of Hilo Benioff Medical Center, Honoka'a Hospital, Ka'u Hospital, Yukio Okutsu State Veterans Home, East Hawaii Medical Group and East Hawaii Health Pharmacy, delivers a full range of services and programs. Our three hospitals include 290 beds and more than 1,900 employees. Our medical staff is comprised of 250 physicians, physician assistants and Advanced Practice Registered Nurses, representing 33 specialties. East Hawaii Health is our network of clinics offering primary and specialty care. Hilo Benioff Medical Center functions as a Level III Trauma Center, which includes the second busiest emergency room in the state, providing 24-hour care and serving more than 50,000 patients annually. Honoka'a Hospital and Ka'u Hospital are designated as Critical Access Hospitals. To learn more about the East Hawaii Region, please watch our Video Yearbook or visit www.hbmc.org, www.honokaahospital.org or www.kauhospital.org.
Benefits

• 13 paid holidays each year (104 hours); 14 (112 hours) during election years*
• 21 paid vacation days (168 hours) per year*
• 21 paid sick days (168 hours) per year*
• Medical, dental, vision, and prescription plans
• Employee Assistance Program
• Participation in the State of Hawaii's retirement system
• Potential eligibility for various student loan repayment & scholarship programs

* Rates listed for paid holidays, vacation and sick days are for 1.0 Full Time Equivalent (FTE) positions assigned to 8 hour shifts. Accruals for these benefits are otherwise prorated based on FTE.
Pre-Employment Health Requirements
Offers of employment will be contingent on successfully passing a pre-employment examination, which includes a drug screen and other regulatory medical requirements such as, but not limited to, a tuberculosis (TB) screen. The cost for drug screening and blood draw for QuantiFERON and Titers, shall be borne by the Hawaii Health Systems Corporation.
Pre-Employment Assessments for External Candidates
As part of the recruiting process for this position, external applicants (job applicants NOTemployed by HHSC's East Hawaii Region) are required to complete pre-employment assessments shortly after application submission. If you are not an employee of the East Hawaii Region of HHSC, you will receive an email containing assessment instructions. We ask that you complete the assessments within two days of receipt of the request.
Equal Opportunity Employer
The East Hawaii Region of Hawaii Health Systems Corporation is a drug free workplace and an Equal Opportunity Employer.
Shift Details
Must be available to work shifts, weekends and holidays as necessary based on hospital operations. Services are provided 24/7.