Job Information
Billings Clinic HIM Specialty Coder II in Billings, Montana
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 UsBillings 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. Learn more about Billings Clinic (our organization, history, mission, leadership and regional locations) and how we are recognized nationally for our exceptional quality.Your BenefitsWe provide a comprehensive and competitive benefits package to all full-time employees (minimum of 24 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. Click here for more information or download the Employee Benefits Guide. Magnet: Commitment to Nursing ExcellenceBillings 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. Click here to learn more!Pre-Employment RequirementsAll new employees must complete several pre-employment requirements prior to starting. Click here to learn more! HIM Specialty Coder II FINANCE (Billings Clinic Main Campus) req8604Shift: DayEmployment Status: Full-Time (.75 or greater) Hours per Pay Period: 1.00 = 80 hours (Non-Exempt) Starting Wage DOE: $23.29 - $27.37This position may be eligible for relocation assistance and tuition loan repaymentThe 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 complianceTo view the full job description, click here