HIM Specialty Coder II

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.

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.

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.

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.

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.

Minimum Qualifications

Education

Experience

Certifications and Licenses

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.

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.

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

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

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

Growth & Community