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Job Description

An organization is seeking a detail-oriented and experienced billing and coding specialist to assist their team. The ideal candidate will have a strong background in health care claims reviews, medical billing and coding, with a deep understanding of federal and state regulations. This role requires excellent communication skills, problem solving abilities and a commitment to maintaining compliance and efficiency in billing operations. This is a 2-month commitment with the possibility to extend.

Hours

Full-time, Monday - Friday, 7:45am- 4:30pm

Location

Downtown, Honolulu, Oahu

Pay

$24.35 an hour

Responsibilities

• Stay current with the most recently published ICD-10-CM and AMA CPT codes.
• Ensure timely processing of claims and billing revenue collection for services.
• Review and resolve billing issues in collaboration with staff.
• Conduct billing code reviews and revisions to maintain compliance with regulations.
• Establish and maintain effective and collaborative working relationships.
• Interpret and apply complex rules and regulations.
• Collect and analyze data to support decision-making and problem-solving.
• Utilize strong multi-tasking, mathematical and communication skills.

Qualifications

• Knowledge of federal and state regulations governing Medicare/Medicaid and managed care systems.
• Understanding of healthcare operations, billing, service utilization, and applicable regulations.
• Familiarity with community mental health and qualify of care standards.
• Proven productivity, self-discipline, and organizational skills.
• Experience in health care claims reviews, medical billing, healthcare fraud investigations and claim coding.
• Experience in auditing, billing, and claims operations in healthcare.
• Ability to operate in a regulated environment ensuring compliance with laws and corporate policies.
• Certifications in billing and coding reviews, medical record management, healthcare fraud investigations, project manager, and claims coding are strongly preferred.