HIM Specialty Coder

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. Learn more 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. 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. Pre-Employment Requirements All new employees must complete several pre-employment requirements prior to starting. HIM Specialty Coder CODING RESOURCES (BILLINGS CLINIC CLINIC) req11842 Shift: 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 - $29.90 The 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 Reviews and analyzes inpatient, outpatient, and professional medical records to accurately identify principal and secondary diagnoses, procedures, and services Assigns appropriate ICD-CM, ICD-PCS, CPT, and HCPCS codes in accordance with official coding guidelines, payer requirements, and Billings Clinic policies Utilizes computerized encoding systems and approved reference materials to ensure accurate code selection, sequencing, and compliance Calculates and validates Diagnosis-Related Groups (DRGs) and Ambulatory Payment Classifications (APCs) to support accurate, ethical reimbursement Assigns Present on Admission (POA) indicators accurately for inpatient encounters Identifies and captures missing or incomplete charges and documentation to support appropriate billing Ensures coded data accuracy prior to billing interface and claims submission, including discharge disposition, modifiers, performing provider, date of service, and payer-specific edits Maintains a minimum of 95% coding accuracy based on internal and external audit findings Meets or exceeds established departmental productivity standards for assigned coding areas Identifies, documents, and promptly escalates potential coding, billing, or compliance concerns to leadership or the Corporate Compliance Department Initiates compliant provider queries to clarify documentation and support accurate code assignment Collects and abstracts required clinical and demographic data for discharge reporting, audits, and specialized studies Communicates professionally with physicians and non-physician providers to provide coding clarification, education, and feedback Maintains current knowledge of coding guidelines, reimbursement methodologies, and regulatory requirements through ongoing education and training D