In a large saute pan or wok, heat coconut oil over medium-high heat.
Add diced sausage (if using). Cook until it's starting to brown, about 3-4 minutes.
Add chopped bell pepper and peeled and chopped carrots. Cook 2-3 minutes.
Add diced green onions and cook another minute.
Stir in cooked rice, chopped pineapple, chopped cilantro, and soy sauce and stir to combine.
Add additional soy sauce, as desired.