HIM Specialty Coder II

Billings Clinic

  • Billings, MT
  • Permanent
  • Full-time
  • 1 month ago
You'll want to join Billings Clinic for our outstanding quality of care, exciting environment, interesting cases from a vast geography, advanced technology and educational opportunities. We are in the top 1% of hospitals internationally for receiving Magnet® Recognition consecutively since 2006.And you'll want to stay at Billings Clinic for the amazing teamwork, caring atmosphere, and a culture that values kindness, safety and courage. This is an incredible place to learn and grow. Billings, Montana, is a friendly, college community in the Rocky Mountains with great schools and abundant family activities. Amazing outdoor recreation is just minutes from home. Four seasons of sunshine!You can make a difference here.About Us
Billings Clinic is a community-owned, not-for-profit, Physician-led health system based in Billings with more than 4,700 employees, including over 550 physicians and non-physician providers. Our integrated organization consists of a multi-specialty group practice and a 304-bed hospital. about Billings Clinic (our organization, history, mission, leadership and regional locations) and how we are recognized nationally for our exceptional quality.Your Benefits
We provide a comprehensive and competitive benefits package to all full- and part-time employees (minimum of 20 hours/week), including Medical, Dental, Vision, 403(b) Retirement Plan with employer matching, Defined Contribution Pension Plan, Paid Time Off, employee wellness program, and much more. for more information or .Magnet: Commitment to Nursing Excellence
Billings Clinic is proud to be recognized for nursing excellence as a Magnet®-designated organization, joining only 97 other organizations worldwide that have achieved this honor four times. The re-designation process happens every four years. to learn more!Pre-Employment Requirements
All new employees must complete several pre-employment requirements prior to starting. to learn more!HIM Specialty Coder II
FINANCE (Billings Clinic Main Campus)
req10128Shift: Day
Employment Status: Full-Time (.75 or greater)
Hours per Pay Period: 1.00 = 80 hours every two weeks (Non-Exempt)
Starting Wage DOE: $23.92 - 29.90The HIM Specialty Coder II is responsible for accurately reviewing, coding, and abstracting patient medical records to ensure the proper coding of diagnoses, procedures, and services for billing and reimbursement purposes. The role demands advanced knowledge in coding and reimbursement methodologies, a deep understanding of compliance regulations, and the ability to manage complex coding scenarios across multiple specialties. This position is critical to safeguarding the financial integrity of Billings Clinic by ensuring adherence to coding standards and maximizing appropriate reimbursement.Essential Job Functions
  • GENERAL:
Supports and models behaviors consistent with Billings Clinic's mission, vision, values, code of business conduct and service expectations. Meets all mandatory organizational and departmental requirements. Maintains competency in all organizational, departmental and outside agency standards as it relates to the environment, employee, patient safety or job performance.
  • Coding and Documentation:
Review and analyze medical records to identify the principal diagnosis, procedures, and any applicable secondary diagnoses and procedures.
Use reference tools, including ICD-10 and CPT -4 books, to assign appropriate ICD-CM, ICD-PCS, and/or CPT-4/HCPCS codes for each encounter.
Utilize computerized encoding systems and coding books to facilitate accurate coding and sequencing of diagnoses and procedures, adhering to all regulatory compliance policies and procedures.
Calculate DRGs or APCs for inpatient visits/encounters and/or physician services coding, ensuring that coding optimizes reimbursement ethically and in compliance with approved guidelines.
Assign POA (Present on Admission) indicators for inpatient facility coding and capture any missing charges.
  • Compliance and Quality Assurance:
Ensure data accuracy prior to billing interface and claims submission, including discharge disposition, appropriate use of modifiers, CPT, ICD, performing provider, date of service, POA, NCCI, and other coding and abstracting requirements.
Meet and maintain established productivity and quality standards for assigned coding areas.
Identify and report any regulatory or compliance concerns to the Manager, Director, or Billings Clinic Corporate Compliance Department.
Participate in process improvement initiatives and ensure adherence to all applicable Billings Clinic and regulatory compliance policies and procedures.
  • Cross-Training and Specialty Assignments:
Clinic: Perform diagnosis, E/M, and procedure coding across multiple specialties within the physician clinic. Participate in training on reimbursement functions and may begin auditing clinic encounters.
Hospital: Perform coding for all outpatient services and outpatient surgery. Begin training in inpatient coding to expand expertise.
  • Leadership and Mentorship:
Serve as a resource to Level I staff, responding to procedural questions and assisting with problem resolution.
Apply and adhere to coding practices, guidelines, and standards to assist the management team in maintaining high-quality coding functions.
Train and mentor specialty coders in assigned areas, providing backup support to other areas of the Coding Resources department as needed.
  • Performs all other duties as assigned or as needed to meet the needs of the department/organization.
Minimum Qualifications
Education
  • Minimum High School or GED High school graduate or equivalent
  • Prior formal training in Anatomy, Medical Terminology and Coding
Experience
  • Clinic: At least two (2) years of experience in coding within a physician clinic, handling multiple specialties and possessing basic reimbursement experience.
  • Hospital: At least two (2) years of experience in hospital coding, covering all patient types and managing coding for third-party and government payers.
Certifications and Licenses
  • Credentialed as a Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or holding other AHIMA and/or AAPC recognized coding credentials.
  • Obtaining specialty certification (e.g., CCS, RCC, ROCC) in addition to core coding credentials is encouraged to deepen expertise in areas like Interventional Radiology, Radiation Oncology, or Cardiac Cath Lab coding.
Or an equivalent combination of education and experience relating to the above tasks, knowledge, skills and abilities will be considered. Employees that require a licensed or certification must be properly licensed/certified and the licensure/certification must be in good standing.Billings Clinic is Montana's largest health system serving Montana, Wyoming and the western Dakotas. A not-for-profit organization led by a physician CEO, the health system is governed by a board of community members, nurses and physicians. Billings Clinic includes an integrated multi-specialty group practice, tertiary care hospital and trauma center, based in Billings, Montana. Learn more atBillings Clinic is committed to being an inclusive and welcoming employer, that strives to be kind, safe, and courageous in all we do. As an equal opportunity employer, our policies and processes are designed to achieve fair and equitable treatment of all employees and job applicants. All employees and job applicants will be provided the same treatment in all aspects of the employment relationship, regardless of race, color, religion, sex, gender identity, sexual orientation, pregnancy, marital status, national origin, age, genetic information, military status, and/or disability. To ensure we provide an accessible candidate experience for prospective employees, please let us know if you need any accommodations during the recruitment process.

Billings Clinic