HIM Specialty Coder II

Billings Clinic HIM Specialty Coder II

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.

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 and how we are recognized nationally for our exceptional quality.

Your benefits include 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.

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.

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.

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

Demonstrates compliance with all organizational, departmental, safety, confidentiality, and patient privacy standards

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.

Performs all other duties as assigned or as needed to meet the needs of the department/organization.

Education: Minimum high school or GED high school graduate or equivalent. Prior formal training in anatomy, medical terminology, and medical coding.

Experience: Two (2) years of coding experience with multiple specialties and basic reimbursement experience. Two (2) years of coding experience with all patient types and all third-party and government payers.

Certifications and Licenses: Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) or Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) at hire or other AHIMA and/or AAPC recognized certification pertinent to the position. Specialty certification (e.g., CCS, RCC, ROCC) in addition to core coding credentials within 6 months of hire.

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.

Billings 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.