HIM Specialty Coder II - Central Billing Office

Essential Job Functions

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.

Maintains a detailed knowledge of and ensures adherence to all applicable Billings Clinic and regulatory compliance policies / procedures governing medical record coding, insurance billing and reimbursement methodologies in all aspects of the job.

Actively seeks out clarification and / or updated information to ensure most current guidelines are followed.

• Review of medical records for documentation to identify the principal diagnosis and / or procedure and all applicable secondary diagnosis and procedures
• Assigning the appropriate ICD-CM, ICD-PCS and / or CPT-4 / HCPCS codes for each encounter utilizing ICD-9 and CPT-4 books.
• Utilizing the computerized encoding system and / or coding books to facilitate accurate coding and sequencing of diagnosis and procedures by following all regulatory compliance policies and procedures governing medical records coding, billing and reimbursement.
• Calculating a DRG or APC for each inpatient visit / encounter and / or physician visits / services coding to appropriately and legitimately and ethically optimize the payment based on approved coding guidelines and standards

Assigns POA for inpatient facility coding.

• Captures any missing charges.
• Maintains or exceeds 95% coding accuracy based on audit findings.
• Maintains or exceeds department productivity standards for assigned areas of coding.

Identifies and reports any regulatory or compliance concerns to Manager, Director and / or Billings Clinic Corporate Compliance Department.

• Ensures accuracy of data prior to billing interface and claims submission. (i.e. discharge disposition, appropriate use of modifiers, CPT,ICD, preforming provider, date of service, POA, NCCI and other coding edits, etc. )
• Collects data from the medical record to complete a discharge data abstract on each encounter for specialized studies.
• Communicates with physicians / Non-Physician Providers to provide coding and documentation education and feedback.
• Identifies needs and sets goals for own growth and development; meets all mandatory organizational and departmental requirements.

Maintains knowledge of current information and technologies for coding and abstracting arena.

• Maintains competency in all organizational, departmental and outside agency environmental, employee or patient safety standards relevant to job performance.
• Performs other duties as assigned or needed to meet the needs of the department / organization.
• Health Information Coder III Additional Essential Functions
• Assists and supports leadership within the assigned department(s). Participates in and provides input and feedback into interviewing, hiring, performance appraisal and disciplinary processes.

Participates in scheduling, establishing priorities and assigning workloads, orientation / training

Assesses quality on a weekly basis for by conducting quality reviews. Measures results against established quality standards and maintains statistical reports on the outcomes of the quality reviews.

Provides feedback and follows up as needed to improve quality and / or provide education / training.

Minimum Qualifications

Education

High school graduate or equivalent

Experience

• Clinic : 2 years of coding experience with a physician clinic dealing with multiple specialties and basic reimbursement experience
• Hospital : 2 years coding experience within a hospital dealing with all patient types and all third party and government payers.

Certifications and Licenses

Credential as Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA), Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) or other AHIMA and / or AAPC recognized certification pertinent to the position.

Employee Benefits

Billings Clinic Employees

Billings Clinic is a best place to work because if its people. The collegial atmosphere, teamwork, pride in care, and numerous opportunities to grow both personally and professionally help keep our amazing employees here caring for patients.

State of the art facilities and advanced technology gives the health care professionals the tools to provide advanced health care in a healing environment.

• 2019 Billings Chamber of Commerce Employer of the Year
• 2019 Becker’s 50 Best U.S. Companies to work For
• 2019 Women’s Choice Award for America’s Best Hospitals for Patient Experience
• LivAbility One of the Top 25 Best Places to Live in America
• 2016 Outside Magazine’s America’s Best Town

Employees have the opportunity to make a difference in the lives of each other and our patients, making this a truly meaningful place to work.

The organization also offers employees the opportunity to engage in numerous councils and educational opportunities leading to career growth and involvement in decision making and important initiatives.

Beyond giving great care, employees’ ideas and insights are valued at every level of the organization.

At Billings Clinic, it is important to celebrate milestones and ensure that employees feel valued. Recognitions such as the DAISY or BEE Awards, Years of Service and the employee recognition program give everyone the opportunity to show encouragement toward team members who go the extra mile.

Billings Clinic offers excellent benefits and salaries, education assistance, paid time off, and learning plans for career growth.

The combination of excellent benefits, strength of the organization and meaningful work make Billings Clinic one of the best places to spend a career in health care.

Billings, Montana is a friendly college community located near the magnificent Rocky Mountains with great exciting outdoor recreation just minutes from home.

Billings has great parks, trails, public lands, thriving restaurants, excellent schools, safe neighborhoods, and abundant events and family activities.

Explore some of the Billings Clinic employee benefits

Health

BeWell -An employee wellness program with initiatives and resources around Health, Finance, Personal Growth, and Community.

Programs include free blood screenings, flu shots, biometric screenings, health assessment, incentives such as insurance premium discounts for participation.

Medical -Billings Clinic offers a comprehensive self-insured health plan, including a traditional PPO plan and an HSA plan.

The benefit is available to full or part time employees.

• Pharmacy- Our medical plan includes prescription benefit coverage and prescriptions can be filled at the Atrium Pharmacy on our campus with a mailing service available to employees who reside outside of Billings.
• Dental- Preventive and Comprehensive plans include preventive and major dental services such as fillings, extractions, bridgework, dentures and crowns.
• Vision- A vision plan is available; which covers a routine eye exam and provides an allowance for the purchase of frames, lenses or contact lenses.
• Flexible Spending Accounts- We offer two types of spending accounts : health care and dependent care. Both allow you to pay certain expenses with pre-tax dollars.
• HSA Savings Accounts- We offer an HSA savings accounts and an employer contribution for full time employees.

Short Term Disability / Medical Leave -Billings Clinic provides a short term disability medical plan which provides employees with days to use in the event of an extended illness or injury.

Financial

• Paid Time Off -Billings Clinic recognizes an employee's need to balance work and family life. Billings Clinic provides a paid time off benefit which affords employees the opportunity to have time off with pay.
• Retirement Plans -Billings Clinic provides a defined contribution pension plan and a 403(b) tax deferred savings plan with matching contributions.

These plans offer employees the opportunity to save for their retirement years with a variety of investment options available.

• Flexible Spending Accounts- We offer two types of spending accounts : health care and dependent care. Both allow you to pay certain expenses with pre-tax dollars.
• HSA Savings Accounts- We offer an HSA savings accounts and an employer contribution for full time employees.

Tuition reimbursement and / or assistance programs are available for certain positions.

Employee Crisis Fund -Provides limited financial assistance to Billings Clinic employees who need immediate aid.

Growth & Community

• Employee Assistance Program (EAP)- Billings Clinic recognizes that mental well-being is connected to physical health. We offer employees and their eligible dependents, at no cost, four sessions of mental health related services through our confidential EAP program.
• Billings Clinic Parent Network (BCPN) -A unique group to support the employees who also wear the hat of parent . The group meets monthly to discuss the challenges of being a working parent and provides encouragement and support.
• Cafeteria and Commons Café- meal subsidies
• Bicycle-friendly business- Bronze award winner by the League of American Bicyclists
• Tuition reimbursement and / or assistance programs are available for certain positions.
• Leadership training
• Employee recognition programs such as the Bee Award for outstanding team members, Daisy Award for nursing excellence, Great-Catch Award (safety), Years of Service award, YAG awards.

Several employee recognition events throughout the year such as the food truck outdoor event, hot cocoa bar event, etc. to promote fun and employee recognition.

• Free or discounted tickets to local entertainment and sporting events
• Club Billings Clinic offers employees discounts at numerous local businesses and service providers
• Lactation facilities for new mothers.
• 360-degree performance reviews
• Our organization promotes sustainable or green practices.
• Identity Theft Protection and Emergency Travel Assistance
• Business education, continuing education credit assistance
• Formal career development and job advancement programs
• Actively supports community service initiatives, e.g. United Day of Caring, Saturday Live, etc.
• Flexible scheduling and telecommuting options for certain positions to accommodate work / life balance

Casual Fridays"-ability to wear work appropriate jeans to work (for non-clinical employees)

• Workplace facilities to promote exercise
• Promotes walking trails both inside and around the campus
30+ days ago