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Medical coder jobs in Montana

- 28 jobs
  • Senior Medical Coder

    Cytel 4.5company rating

    Medical coder job in Helena, MT

    The Senior Medical Coder plays a critical role in supporting clinical trials by ensuring the accurate, consistent, and timely coding of medical terms using standardized dictionaries (e.g., MedDRA, WHO Drug). This individual brings advanced knowledge of medical terminology, clinical trial processes, regulatory requirements, and coding best practices. The Senior Medical Coder serves as a subject matter expert and collaborates cross-functionally with clinical operations, data management, safety/pharmacovigilance, biostatistics, and medical writing teams to maintain high-quality data that meet global regulatory standards. **Medical Coding** + Perform complex medical coding for adverse events, medical history, procedures, and concomitant medications using MedDRA and WHODrug dictionaries. + Review and validate coding performed by other coders to ensure consistency and accuracy. + Identify ambiguous or unclear terms and query clinical sites or data management for clarification. + Maintain coding conventions and ensure alignment with study-specific and sponsor requirements. **Data Quality & Review** + Conduct ongoing coding checks during data cleaning cycles and prior to database lock. + Lead the resolution of coding discrepancies, queries, and coding-related data issues. + Review safety data for coding accuracy in collaboration with medical monitors and pharmacovigilance teams. + Assist in the preparation of coding-related metrics, reports, and quality documentation. **Process Leadership & Subject Matter Expertise** + Serve as the primary point of contact for coding questions across studies or therapeutic areas. + Provide guidance and training to junior medical coders, data management staff, and clinical teams. + Develop and maintain standard operating procedures (SOPs), work instructions, and coding guidelines. + Participate in vendor oversight activities when coding tasks are outsourced. + Stay current with updates to MedDRA and WHODrug dictionaries and communicate relevant changes to project teams. **Cross-Functional Collaboration** + Work closely with clinical data management to ensure proper term collection and standardization. + Partner with safety teams to support expedited reporting, signal detection, and regulatory submissions. + Support biostatistics and medical writing with queries related to coded terms for analyses and study reports. **Education & Experience** + Bachelor's degree in life sciences, nursing, pharmacy, public health, or equivalent healthcare background; advanced degree preferred. + **5-8+ years of medical coding experience in clinical research** , ideally within CRO, pharmaceutical, or biotech environments. + Strong working knowledge of **MedDRA and WHODrug** dictionaries, including version control and update management. + Experience supporting multiple therapeutic areas; oncology, rare disease, or immunology experience preferred but not required. **Technical & Professional Skills** + Proficient in clinical data management systems (e.g., Medidata Rave, Oracle Inform, Veeva, or similar). + Excellent understanding of ICH-GCP, FDA, EMA, and other global regulatory guidelines. + Strong attention to detail, analytical problem-solving, and ability to manage multiple projects simultaneously. + Effective communication skills and experience collaborating in matrixed research environments. Cytel Inc. is an Equal Employment / Affirmative Action Employer. Applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, veteran status, disability, sexual orientation, gender identity or expression, or any other characteristics protected by law.
    $66k-79k yearly est. 9d ago
  • Coder - Inpatient

    Highmark Health 4.5company rating

    Medical coder job in Helena, MT

    This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD coding systems and assists in decreasing the average accounts receivable days. **ESSENTIAL RESPONSIBILITIES** + Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD codes for diagnoses and procedures. (65%) + Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) + Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) + Keeps informed of the changes/updates in ICD guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these updates in daily work. (5%) + Performs other duties as assigned or required. (5%) **QUALIFICATIONS:** Minimum + High School / GED + 1 year in Hospital coding + Successful completion of coding courses in anatomy, physiology and medical terminology + Certified Coding Specialist (CCS) **OR** Certified In-patient Professional Coder (CIC) + Familiarity with medical terminology + Strong data entry skills + An understanding of computer applications + Ability to work with members of the health care team Preferred + Associate's degree in Health Information Management or Related Field **_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._ **_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._ _As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._ _Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._ **Pay Range Minimum:** $23.03 **Pay Range Maximum:** $35.70 _Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._ Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at ***************************** California Consumer Privacy Act Employees, Contractors, and Applicants Notice Req ID: J272373
    $23-35.7 hourly 2d ago
  • Certified Medical Coder

    The Staff Pad

    Medical coder job in Helena, MT

    The Staff Pad has partnered with a hospital in Helena, Montana to find an experienced Medical Coder The Medical Coder is responsible for accurately assigning ICD-9-CM and CPT codes to hospital records, clinic visits, lab, and imaging tickets, ensuring compliance with coding standards and regulations. This role includes entering charges, monitoring claims, resolving denials, reconciling daily batches, reviewing outstanding encounters, and conducting audits of physician documentation. The coder supports accurate revenue capture and contributes to smooth billing and reimbursement processes. Qualifications RHIA, RHIT, AHIMA, AAPC, or PMI certification required 3-5 years of medical coding experience preferred Knowledge of ICD-9-CM/CPT coding, medical terminology, anatomy, and physiology Familiarity with insurance, billing, and reimbursement processes High school diploma or GED required; advanced healthcare coursework preferred
    $43k-57k yearly est. 59d ago
  • Coder II (Clinic & E/M Coding)

    Baylor Scott & White Health 4.5company rating

    Medical coder job in Helena, MT

    **About Us** Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: + We serve faithfully by doing what's right with a joyful heart. + We never settle by constantly striving for better. + We are in it together by supporting one another and those we serve. + We make an impact by taking initiative and delivering exceptional experience. **Benefits** Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: + Eligibility on day 1 for all benefits + Dollar-for-dollar 401(k) match, up to 5% + Debt-free tuition assistance, offering access to many no-cost and low-cost degrees, certificates and more + Immediate access to time off benefits At Baylor Scott & White Health, your well-being is our top priority. Note: Benefits may vary based on position type and/or level **Job Summary** The Coder 2 is skilled in three or more types of outpatient, Profee, or low acuity inpatient coding. The Coder 2 may code low acuity inpatients, one-time ancillary/series, emergency department, observation, day surgery, and/or professional fee, including evaluation and management (E/M) coding or profee surgery. For professional fee coding, team members in this job code are proficient for inpatient and outpatient, for multi-specialties. Coder 2 uses the International Classification of Disease (ICD-10-CM, ICD-10-PCS), Healthcare Common Procedure Coding System (HCPCS), including Current Procedural Terminology (CPT), and other coding references. These references ensure accurate coding and grouping of classification assignments (e.g., MS-DRG, APR-DRG, APC, etc.). The Coder 2 will abstract and enter required data. The pay range for this position is $26.66 (entry-level qualifications) - $40.00 (more experienced) The specific rate will depend upon the successful candidate's specific qualifications and prior experience. **Essential Functions of the Role** + Examines and interprets documentation from medical records and completes accurate coding of diagnosis, procedures and professional fees. + Reviews diagnostic and procedure codes and charges in the applicable documentation system to generate appropriate coding and billing. + Communicates with providers for missing documentation elements and offers guidance and education when needed. + Reconciles billing issues by formulating the rationale for rejecting and correcting inaccurate charges. + Works collaboratively with revenue cycle departments to ensure coding and edits are processed timely and accurately. + Reviews and edits charges. **Key Success Factors** + Sound knowledge of applicable rules, regulations, policies, laws and guidelines that impact the coding area. + Sound knowledge of transaction code sets, HIPAA requirements and other issues impacting the coding and abstracting function. + Sound knowledge of anatomy, physiology, and medical terminology. + Demonstrated proficiency of the use of computer applications, group software and Correct Coding Initiatives (CCI) edits. + Sound knowledge of ICD-10 diagnosis and procedural coding and Current Procedural Terminology (CPT) procedural coding. + Ability to interpret health record documentation to identify procedures and services for accurate code assignment. + Flexibility and adaptability while also balancing requirements and regulatory and accreditation guidelines that are non-negotiables. **Belonging Statement** We believe that all people should feel welcomed, valued and supported, and that our workforce should be reflective of the communities we serve. **QUALIFICATIONS** + EDUCATION - H.S. Diploma/GED Equivalent + EXPERIENCE - 2 Years of Experience + Must have ONE of the following coding certifications: + Cert Coding Specialist (CCS) + Cert Coding Specialist-Physician (CCS-P) + Cert Inpatient Coder (CIC) + Cert Interv Rad CV Coder (CIRCC) - Cert Outpatient Coder (COC) + Cert Professional Coder (CPC) + Reg Health Info Administrator (RHIA) + Reg Health Information Technician (RHIT). As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
    $26.7 hourly 7d ago
  • Coder II - Certified, Full Time

    Cabinet Peaks Medical Center

    Medical coder job in Libby, MT

    Cabinet Peaks Medical Center is looking for a Coder II to join our Health Information Management (HIM) team! The Coder abstracts clinical documentation and codes diagnoses and procedures for inpatient and outpatient encounters, including surgeries, urgent care, emergency department, observation, swing bed, laboratory, imaging, orthopedics, OB, cancer registry, sleep, and rehabilitative services. Compilation of statistical reports as needed for healthcare operations. Major Job Duties & Responsibilities Accurately assigns diagnosis and procedure codes for assigned patient encounters using appropriate coding guidelines and regulations. Compiles and distributes statistical reports as requested. Adjusts/enters charges in Meditech. Educates providers for correct coding, documentation specificity, and ethical reimbursement methodology. Queries providers for documentation clarification. Completes educational requirements for certification maintenance. Participates in department quality projects and performance improvement initiatives. Efficiently manages time and organizes workload to maximize medical center and department resources. Meet the productivity and quality standards as documented in the coding department guidelines. Skills, Knowledge, & Abilities Must be detail oriented, and skilled in documentation abstraction, data entry and retrieval. Thorough understanding of current ICD-910-CM, ICD-10-PCS, and CPT/HCPCS coding conventions. Experience with Encoder software and electronic medical records systems, (Meditech preferred) along with knowledge of medical office procedures and protocols. Must be able to develop and maintain positive relationships with providers to query and educate them in documentation integrity and specificity. Must be able to maintain a sense of urgency and multitask in a busy office environment. Must be a proactive learner, team and task oriented, well organized, and able to provide excellent internal and external customer service. Ability to work closely and collaboratively with the medical center Business Office and clinical departments to ensure correct and accurate charge capture. Must be able to develop positive relationships with providers to query and educate them in documentation integrity and specificity. Education Requirements High school diploma required. Medical Terminology AHIMA CCA, CCA-A, CCS, CCS-P and/or AAPC CPC-A, CPC, COC or CIC credential Experience Two or more years coding experience in an acute hospital setting required. Schedule Day shift, Monday through Friday. Onsite, remote, or hybrid work available. Benefits Package Full-time benefits package includes medical, dental, vision, long-term disability (LTD), and life & accidental death and dismemberment (AD&D) insurance for you and your eligible family members, plus a 403(b) retirement plan with employer match. Cabinet Peaks Medical Center is committed to providing a safe, efficient, and productive work environment for all employees. To help ensure a safe and healthful working environment, each applicant to whom an offer of employment has been made will be required as a condition of employment to undergo a substance test. Additional pre-employment items may be required. Please contact Human Resources for details.
    $43k-59k yearly est. 60d+ ago
  • Certified Medical Records Coder (0.5 FTE)

    SPH 4.2company rating

    Medical coder job in Helena, MT

    Assigns ICD-9 and CPT codes to clinic office visit, hospital, lab and x-ray (as applicable) tickets in an accurate and timely manner, ensuring compliance with all applicable guidelines and regulations. Enters office visit charges into the system and monitors the progress of the claim. Resolves denied claims due to coding issues. Reconciles daily charge entry system batches to ticket totals entered. Reviews outstanding encounters list weekly and resolves those outstanding. Conducts audits of physician medical documentation and coding as assigned. Other duties as assigned. KNOWLEDGE/EXPERIENCE: Knowledge of ICD-9-CM and CPT coding guidelines. Knowledge of anatomy and physiology, medical terminology and disease processes. EDUCATION: High school diploma or GED preferred. Successful completion of advanced healthcare course work preferred. Approximately three to five years work experience in medical coding preferred. Has working knowledge of medical terminology, coding and insurance language. LICENSE/CERTIFICATION/REGISTRY: RHIA, RHIT, AHIMA, AAPC or PMI required. Aptitudes: Ability to achieve cognitive, organization and emotional maturity to deal effectively with multiple tasks, stresses, deadlines, difficult situations and/or customers. Possesses interpersonal/communication skills necessary for effective, non-judgmental, and empathetic customer relations. Open to feedback and open to a changing environment, which requires flexibility in scheduling and department assignments.
    $39k-49k yearly est. Auto-Apply 60d+ ago
  • HIM Manager

    Glendive Medical Center

    Medical coder job in Glendive, MT

    The Health Information Manager oversees activities related to the development, implementation, and maintenance of health information in compliance with federal and state laws and GMC's mission. The manager is responsible for the following HIM services: Coding, reimbursement processes, release of information, birth registry, tumor registry, chart completion, health information privacy and documentation.
    $44k-71k yearly est. 60d+ ago
  • Medical Records Technician

    Koniag Government Services 3.9company rating

    Medical coder job in Poplar, MT

    Koniag Advisory Business Solutions, LLC, a Koniag Government Services company, is seeking a Medical Records Technician to support KABS and our government customer in Poplar, MT. This position requires the candidate to be able to obtain a Public Trust. We offer competitive compensation and an extraordinary benefits package including health, dental and vision insurance, 401K with company matching, flexible spending accounts, paid holidays, three weeks paid time off, and more. The Medical Records Technician is responsible for managing and maintaining medical records within the Billings Area Indian Health Service (BAIHS) system. This position ensures accurate documentation, proper handling of protected health information, and efficient administrative support for healthcare operations. **Essential Functions, Responsibilities & Duties may include, but are not limited to:** **Medical Records Management:** + Scan medical documents into electronic patient record systems + Organize and maintain physical and electronic medical records + Ensure all medical documentation is properly filed and accessible + Verify completeness of medical records and identify missing documentation + Maintain accurate patient charts and medical history files **Patient Information Services:** + Answer incoming telephone calls promptly and professionally + Verify patient eligibility and insurance information + Update patient registration pages with current demographic information + Verify all third-party insurance information and coverage details + Obtain Medicare secondary payer signatures when required + Assist patients with basic inquiries regarding their medical records **Release of Information (ROI) Processing:** + Process Release of Information requests from patients and authorized entities + Verify proper authorization and patient consent for information disclosure + Prepare and transmit medical records in accordance with HIPAA regulations + Maintain logs of all information requests and releases + Ensure timely processing of ROI requests within established timeframes **Administrative Support:** + Maintain confidentiality of all protected health information (PHI) + Support Health Information Management department operations + Collaborate with healthcare staff to ensure proper documentation + Assist with quality assurance activities as needed + Maintain accurate work logs and productivity records **Required Qualifications:** + High school diploma or equivalent + Completion of medical records technician training program or equivalent experience + Basic knowledge of medical terminology + Understanding of HIPAA regulations and healthcare privacy requirements + Proficiency in computer applications and electronic health record systems + Strong attention to detail and organizational skills + Excellent written and verbal communication abilities **Preferred Qualifications:** + Previous experience in medical records or healthcare administration + Knowledge of medical coding systems (ICD-10, CPT) + Experience with electronic health record (EHR) systems + Familiarity with insurance verification processes + Experience working in Indian Health Service or federal healthcare settings **Essential Skills:** + Strong organizational and time management abilities + Ability to handle multiple tasks simultaneously + Professional telephone etiquette and customer service skills + Ability to work independently with minimal supervision + Team collaboration and communication skills + Problem-solving and analytical thinking + Adaptability to changing priorities and procedures **Physical Requirements:** + Ability to sit for extended periods + Manual dexterity for computer operation and document handling + Visual acuity for reading and reviewing documents + Ability to lift and move files and records as needed **Compliance Requirements:** + Successfully complete background check process + Maintain strict confidentiality of all patient information + Adhere to HIPAA regulations and privacy standards + Follow all facility security protocols and procedures + Complete required training and orientation programs + Maintain professional appearance and conduct + Comply with all Indian Health Service policies and procedures **Security Requirement:** + Ability to obtain public trust **Technology Skills:** + Proficiency in Microsoft Office Suite (Word, Excel, Outlook) + Experience with electronic health record systems + Basic understanding of medical records databases + Ability to learn new software applications quickly + Knowledge of scanning and document imaging systems **Career Development:** + Opportunities for professional development and training + Potential advancement to specialized roles within health information management + Continuing education support for healthcare-related certifications **Working Conditions:** **Location:** + Fort Peck Service Unit facilities (Verne E. Gibbs Health Center and Chief Redstone Health Center) **Environment:** + Office setting within healthcare facilities **Our Equal Employment Opportunity Policy** The company is an equal opportunity employer. The company shall not discriminate against any employee or applicant because of race, color, religion, creed, ethnicity, sex, sexual orientation, gender or gender identity (except where gender is a bona fide occupational qualification), national origin or ancestry, age, disability, citizenship, military/veteran status, marital status, genetic information or any other characteristic protected by applicable federal, state, or local law. We are committed to equal employment opportunity in all decisions related to employment, promotion, wages, benefits, and all other privileges, terms, and conditions of employment. The company is dedicated to seeking all qualified applicants. If you require an accommodation to navigate or apply for a position on our website, please get in touch with Heaven Wood via e-mail at accommodations@koniag-gs.com or by calling ************ to request accommodations. _Koniag Government Services (KGS) is an Alaska Native Owned corporation supporting the values and traditions of our native communities through an agile employee and corporate culture that delivers Enterprise Solutions, Professional Services and Operational Management to Federal Government Agencies. As a wholly owned subsidiary of Koniag, we apply our proven commercial solutions to a deep knowledge of Defense and Civilian missions to provide forward leaning technical, professional, and operational solutions. KGS enables successful mission outcomes for our customers through solution-oriented business partnerships and a commitment to exceptional service delivery. We ensure long-term success with a continuous improvement approach while balancing the collective interests of our customers, employees, and native communities. For more information, please visit_ _****************** _._ **_Equal Opportunity Employer/Veterans/Disabled. Shareholder Preference in accordance with Public Law 88-352_** **Job Details** **Job Family** **SCA Health Occupations** **Pay Type** **Hourly**
    $32k-40k yearly est. 60d+ ago
  • Health Information Operations Manager

    Datavant

    Medical coder job in Helena, MT

    Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. The Health Information Operations Manager focuses on both front-line People management and leading as account manager at designated sites. The Health Information Operations Manager is responsible for client/customer service and serves as a knowledge expert for the HIS staff. This role may also assist leadership with planning, developing and implementing departmental or regional projects. The Health Information Operations Manager provides support to the VPO. The Health Information Manager will also assist in the new hire process, meeting with clients, and developing staff at multiple sites. **You will:** + Primary Account Manager to Customer + Mentor hourly staff and supervisor team for further professional development + Responsible for P&L management ($2M+) + Oversee the safeguarding of patient records and ensuring compliance with HIPAA standards + Own the management of patient health records + Participates in project teams and committees to advance operational Strategies and initiatives + Lead continuous improvement efforts to better business results **What you will bring to the table:** + Experience in a healthcare environment + Passion to identify process improvements and provide solutions + Demonstrated ability in leading employees and processes successfully (20+) + Coordinates with site management on complex issues + Knowledge, experience and/or training in accurate data entry, office equipment and procedures + Open to travel up to 50% of the time to multiple sites based on the needs of the region **Bonus points if:** + 2 + years in HIM related experience + Provider Care Solution experience + ROI exposure + RHIT or RHIA Credentials We are committed to building a diverse team of Datavanters who are all responsible for stewarding a high-performance culture in which all Datavanters belong and thrive. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. At Datavant our total rewards strategy powers a high-growth, high-performance, health technology company that rewards our employees for transforming health care through creating industry-defining data logistics products and services. The range posted is for a given job title, which can include multiple levels. Individual rates for the same job title may differ based on their level, responsibilities, skills, and experience for a specific job. The estimated total cash compensation range for this role is: $72,000-$78,000 USD To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion. This job is not eligible for employment sponsorship. Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here (************************************************** . Know Your Rights (*********************************************************************** , explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay. At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way. Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, (************************************************************** Id=**********48790029&layout Id=**********48795462) by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here (******************************************************************************************************* . Requests for reasonable accommodations will be reviewed on a case-by-case basis. For more information about how we collect and use your data, please review our Privacy Policy (**************************************** .
    $72k-78k yearly 1d ago
  • Release of Information Specialist

    Billings Clinic 4.5company rating

    Medical coder job in Billings, MT

    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. Click here for more information or download the Employee Benefits Guide. 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. Click here to learn more! Pre-Employment Requirements All new employees must complete several pre-employment requirements prior to starting. Click here to learn more! Release of Information Specialist HEALTH INFO MGMT (HIM) - HOSP (BILLINGS CLINIC HOSPITAL) req10455 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: $19.68 - $24.60 Under minimal supervision, the HIM ROI Specialist will be responsible for coordinating centralized requests for release of information for all areas within Billings Clinic where records are maintained (i.e., hospital and clinic records, radiology, lab systems, etc.). Responsibilities include review of all written and verbal requests for release of information to ensure the validity of the request and the authorization to release the requested information comply and adhere with all regulatory requirements and guidelines and Billings Clinic policies and procedures. 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. * Acts as the centralized review point for receipt of all requests for release of information from both the hospital and clinic medical records. Evaluates authorizations to ensure they meet all eight (8) criteria required by HIPAA and the state of Montana. Evaluates requests that do not require an authorization to ensure Billings Clinic can disclose the information without an authorization through review of HIPAA, Montana law, and Billings Clinic policies. * Accepts and signs for subpoenas and/or court orders; performs initial review to determine if all criteria (HIPAA and Montana law) are met and confers with Manager, Director or General Counsel for final approval to process. * Responds to questions of patients and/or staff regarding appropriate disclosures, researches legal and regulatory guidelines in questionable situations, facilitates request and receipt of protected health information (PHI) from other facilities for Billings Clinic. * Identifies presence and/or location of medical records by reviewing CIS, Medic, AS400 or documentation of other medical record locations (includes branch clinics, inactive records in storage, shadow chart locations, PHI that Billings Clinic maintains previously belonging to other practitioners, and microfilm). Coordinates with and/or forwards request for release of information to the appropriate areas for copying of the appropriate records to provide integrated response to request. Ensures that complete medical record is obtained and copied when such is requested or in response to subpoena or court order. * Log requests in ROI (Release of Information) software identifying requestor, patient, information requested, date needed, ensuring compliance with regulatory and legal requirements. * Reviews all copies of health care information prior to disclosure of records to the requestor to ensure: only the requested materials have been released authorization matches healthcare information copied records have been obtained from Radiology, Patient Accounts, and any other site housing PHI that has been authorized to be disclosed information is delivered to the appropriate individual or requestor based upon the authorization, subpoena or court order * Acts as a resource and provides support to HIM Specialists and release of information staff by handling customer complaints, resolving issues, identifying request priorities and assigning requests to be processed. Responsible to train HIM Specialists to read authorizations and obtain appropriate information from the medical record. * Receives copies from various areas and compares each page to the original medical record to ensure complete information requested is provided prior to certifying affidavit or records are delivered for subpoenas or court orders. * Invoices each request to ensure appropriate charges are made for copies; processes checks received in department by crediting invoice in software; and documenting monies received and forwarding to HIM Administrative Assistant. * Maintains or exceeds 95% accuracy based on audit findings. Maintains or exceeds 90% department productivity standards for assigned tasks * Identifies needs and sets goals for own growth and development; meets all mandatory organizational and departmental requirements. * Maintains competency in all organizational, departmental and outside agency safety standards relevant to job performance. * Performs other duties as assigned or needed to meet the needs of the department/organization. Minimum Qualifications Education * High School or GED Experience * Six months of medical records release of information experience in a healthcare setting, preferred Certifications and Licenses * Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) desirable 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. Learn more at ****************************** 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. To ensure we provide an accessible candidate experience for prospective employees, please let us know if you need any accommodations during the recruitment process.
    $19.7-24.6 hourly 17d ago
  • Health Information Technician

    Shodair 3.8company rating

    Medical coder job in Helena, MT

    Requirements Two-year Associate Degree of Applied Arts & Sciences with graduation from an approved H.I.M. Technician program or related field.; or Two years of medical office or medical record experience, or Two years of experience with EMR systems and document scanning required. An equivalent combination of education and experience will be considered. Salary Description Starting at $18.51 per hour
    $18.5 hourly 56d ago
  • Reimbursement Specialist Contract Compliance

    Intermountain Health 3.9company rating

    Medical coder job in Helena, MT

    The Reimbursement Specialist is responsible for performing a variety of complex duties, including working insurance claims follow-up and escalations, interpreting contract language, and tracking trends. This specialist works facility claims ("Hospital billing") and maintains inventory (work queue lists) at acceptable aging levels by prompt review and follow up of claims. Performs all duties in a manner which promotes teamwork and reflects Intermountain mission, vision and values. **Essential Functions** + Responsible for the accurate and timely submission of reconsiderations and disputes. + Responsible for maintaining work queues at acceptable ageing, by updating accounts and tracking trends. + Research and resolve a variety of issues relating to payment discrepancies. + Identify issues and/or trends and communicate findings to management, including payer, system or registration issues. + Maintain basic understanding and knowledge of health insurance plans, policies and procedures. + Accurately and thoroughly document findings and actions taken while meeting/exceeding productivity and quality standards + Participate and attend meetings and training to develop job knowledge and communicate with other caregivers. **Skills** + Microsoft Office + Computer literacy + HIPAA regulations + Communication (oral and written) + Accountability/ability to work independently + Contract Interpretation + Customer Service + Read and interpret EOB's (Explanation of Benefits). + Knowledge of medical billing and collections + Medical terminology - Participate and lead special projects, as assigned. Oversee work flow implementation with internal and external partners. Compile and coordinate materials and feedback on special projects. Trains and mentors new associates to the department. Serves as a subject matter expert and resource to answer questions within the department. **Minimum Qualifications** - High School Diploma or equivalent, required -Must obtain CSPR or CRCR credentials with 1 yrs of hire date ( provided through employer) Minimum of three (3) years of experience in revenue cycle insurance follow up or denial management, required- Extensive knowledge of managed care contract interpretation, required - Associate's Degree, preferred - At least three (3) years of work experience in a complex invoice/billing/reconciliation environment, preferred Knowledge of revenue and ICD 10 coding practices **"Please note that a video interview through Microsoft Teams will be required as well as potential onsite interviews and meetings."** **We are committed to offering flexible work options where approved and stated in the job posting. However, we are currently not considering candidates who reside or plan to reside in the following states: California, Connecticut, Hawaii, Illinois, New York, Rhode Island, Vermont, and Washington.** **Physical Requirements:** **Physical Requirements** + Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer, phone, and cable set-up and use. + Expected to lift and utilize full range of movement to transport, pull, and push equipment. Will also work on hands and knees and bend to set-up, troubleshoot, lift, and carry supplies and equipment. Typically includes items of varying weights, up to and including heavy items. For roles requiring driving: Expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, and other vehicles. **Location:** Peaks Regional Office **Work City:** Broomfield **Work State:** Colorado **Scheduled Weekly Hours:** 40 The hourly range for this position is listed below. Actual hourly rate dependent upon experience. $24.00 - $36.54 We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged. Learn more about our comprehensive benefits package here (***************************************************** . Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process. All positions subject to close without notice.
    $31k-35k yearly est. 9d ago
  • Health Information Management (HIM) Manager, Full Time

    Cabinet Peaks Medical Center

    Medical coder job in Libby, MT

    Cabinet Peaks Medical Center is looking for an experienced Health Information Management (HIM) Manager to join our HIM team! HIM Manager, working under the supervision of the Revenue Cycle Director, oversees the management, security, and integrity of patient health information, ensuring compliance with regulations and industry standards, while also supervising staff and improving processes. Serves as an organizational resource for health information privacy and security, regulatory compliance, and release, retention, and destruction of patient records. Major Job Duties & Responsibilities Role models PROMISE behavioral standards. Patient/Customer Satisfaction: Implements practices and programs that improve patient's/customer's experience and/or improves the health of our population. Achieves established patient/customer satisfaction scores. Utilizes tools (AIDET, rounding, etc.) to increase patient/customer satisfaction. Planning: Aligns all work and resources management with CPMC mission, vision, values, goals and strategic initiatives. Actively participates in planning long-term strategies for the department. Keeps up to date on industry trends, regulatory changes, etc. Translates strategies into annual measurable goals for the department, utilizes tracking and reporting tools on a consistent basis. Meets deadlines. Financial Results: Develops yearly budget for department(s) that align with strategic goals. Monitors actual expenditures against budgeted amounts and develops corrective action plans for significant variances. Identifies opportunities to reduce per capita cost of healthcare. Quality: Identifies quality standards, measures performance, implements action plans to correct deficiencies and continuously improves process to meet patient/customer needs. Provides time responses (email, phone calls) to customers. Provide educational and growth opportunities to internal and external department staff. Management of Staff: Determines headcount needs, devises work schedules, hires high quality personnel, communicates in a timely manner, conducts effective, on-time performance evaluations, applies HR policies consistently, handles employee performance problems quickly and per policies, rewards and recognizes staff accomplishments Compliance: Stays abreast of and ensures compliance with all CPMC policies and procedures, laws, regulatory requirements, Medicare Conditions of Participation, ect. Develops and maintains department policies and procedures. Meets quarterly or as needed with the Release of Information and Records Manager/Director or appointed designee to ensure compliance. HIPAA Privacy Officer: Develop and maintain CPMC HIPAA policies and procedures. Performs regular access audits to ensure privacy and security of health information. Provide HIPAA education and training to all employees, students, business associates as appropriate. Investigate reports of privacy breaches and coordinate with appropriate management, HR, and Compliance Officer for resolution. Coding: Maintain AR days within the industry standard. Collaborate with providers and various departments to ensure timely completion of charts and charges. Provides direction and manages the day to day function within the coding department. Manages staffing plans and work assignments to achieve and maintain established productivity thresholds. Establishes and monitors the quality of the departments aligned with coding to support accurate patient information, compliant coding aligned with billing regulations and minimized corrections and re-work. Supervises coding staff including coding coordinators and other coding staff. Manages, supervises and monitors daily work activities, work lists, evaluates, trains, and motivates the performance of staff. Promotes recruitment and retention of certified coding staff in coding positions. Select and develop qualified staff to perform the coding functions by providing guidance and counseling to improve employee performance; takes the appropriate disciplinary actions as needed. Educate and train coding staff, acts as a professional subject matter expert and mentor to the staff. Enforces coding policies and procedures, conducts trend analysis to identify pattern and variations in coding department. Monitors coding work lists, unbilled accounts, aging of accounts to ensure timely filing of claims, and monitors coding workflows. Assists in department budget and identifies and recommends opportunities to decrease cost and improve services. Keeps abreast of new technology in coding and coding guidelines, stays informed about future issues impacting the coding functions, and acts as a liaison for other departments regarding coding questions. Manage,trainandeducatestaff as it pertains to denials in coding; reviewing, coordinating, and monitoring the denial management and appeals process in a collaborativeenvironment. Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor and resource to less experienced staff. Other duties as assigned. Skills, Knowledge, & Abilities Ability to demonstrate competency performing all essential functions of the job, with or without reasonable accommodation. Education Requirements BS degree or equivalent combination of education and experience is required. Applicable license for technical area is required. Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA). Experience 3 to 5 years experience in technical area is required. Prior management/leadership experience is strongly preferred. Schedule Day shift, Monday through Friday, contingent upon organizational needs and administrative direction. Benefits Package Available. Cabinet Peaks Medical Center is committed to providing a safe, efficient, and productive work environment for all employees. To help ensure a safe and healthful working environment, each applicant to whom an offer of employment has been made will be required as a condition of employment to undergo a substance test. Additional pre-employment items may be required. Please contact Human Resources for details.
    $50k-84k yearly est. 23d ago
  • Medical Records Technician Coder I

    Koniag Government Services 3.9company rating

    Medical coder job in Poplar, MT

    Koniag Advisory Business, a Koniag Government Services company, is seeking a Medical Records Technician Coder I to support KAB and our government customer in Poplar, MT. This position requires the candidate to be able to obtain a Public Trust. We offer competitive compensation and an extraordinary benefits package including health, dental and vision insurance, 401K with company matching, flexible spending accounts, paid holidays, three weeks paid time off, and more. The Medical Records Technician Coder is responsible for analyzing medical records to ensure completeness and accuracy while assigning appropriate medical codes in accordance with established coding guidelines. This position supports healthcare operations within the Billings Area Indian Health Service (BAIHS) system. Key Responsibilities **Medical Coding:** + Perform quantitative analysis of medical records to ensure completeness and accuracy + Assign CPT/HCPCS/CDT/DSM codes in accordance with AHIMA and AMA guidelines + Ensure proper Evaluation & Management (E&M) levels are applied + Sequence diagnostic and procedural terminology accurately + Ensure compliance with official coding conventions and regulations **Medical Records Management:** + Scan medical documents into electronic patient records + Protect and maintain confidentiality of protected health information (PHI) + Process Release of Information (ROI) requests from patients and authorized entities + Update patient registration pages and verify third-party information + Obtain Medicare secondary payer signatures as required **Administrative Support:** + Answer incoming telephone calls and verify patient eligibility + Maintain accurate logs of work completed + Collaborate with Health Information Management (HIM) supervisors + Ensure continuous service coverage and communicate staffing needs **Required Qualifications:** + High school diploma or equivalent + 1+ year of previous experience in medical coding or health information management + Completion of an accredited Health Information Management or Medical Coding program + Current certification in medical coding (CCS, CPC, or equivalent preferred) + Knowledge of ICD-10-CM/PCS, CPT, HCPCS, and DSM coding systems + Understanding of AHIMA and AMA coding guidelines + Proficiency in electronic health record systems + Strong attention to detail and analytical skills **Preferred Qualifications:** + Experience working in healthcare settings, preferably Indian Health Service + Knowledge of Medicare and Medicaid billing requirements + Familiarity with HIPAA regulations and healthcare compliance **Essential Skills:** + Excellent written and verbal communication + Strong organizational and time management abilities + Ability to work independently and as part of a team + Professional appearance and demeanor + Computer proficiency and technical aptitude + Commitment to patient confidentiality and healthcare ethics **Compliance Requirements:** + Successfully complete background check process + Ability to obtain a Public Trust + Maintain HIPAA compliance at all times + Adhere to professional dress code and appearance standards + Follow all facility security protocols + Complete required training and competency assessments + Maintain current certifications and continuing education requirements **Our Equal Employment Opportunity Policy** The company is an equal opportunity employer. The company shall not discriminate against any employee or applicant because of race, color, religion, creed, ethnicity, sex, sexual orientation, gender or gender identity (except where gender is a bona fide occupational qualification), national origin or ancestry, age, disability, citizenship, military/veteran status, marital status, genetic information or any other characteristic protected by applicable federal, state, or local law. We are committed to equal employment opportunity in all decisions related to employment, promotion, wages, benefits, and all other privileges, terms, and conditions of employment. The company is dedicated to seeking all qualified applicants. If you require an accommodation to navigate or apply for a position on our website, please get in touch with Heaven Wood via e-mail at accommodations@koniag-gs.com or by calling ************ to request accommodations. _Koniag Government Services (KGS) is an Alaska Native Owned corporation supporting the values and traditions of our native communities through an agile employee and corporate culture that delivers Enterprise Solutions, Professional Services and Operational Management to Federal Government Agencies. As a wholly owned subsidiary of Koniag, we apply our proven commercial solutions to a deep knowledge of Defense and Civilian missions to provide forward leaning technical, professional, and operational solutions. KGS enables successful mission outcomes for our customers through solution-oriented business partnerships and a commitment to exceptional service delivery. We ensure long-term success with a continuous improvement approach while balancing the collective interests of our customers, employees, and native communities. For more information, please visit_ _****************** _._ **_Equal Opportunity Employer/Veterans/Disabled. Shareholder Preference in accordance with Public Law 88-352_** **Job Details** **Job Family** **SCA Health Occupations** **Pay Type** **Hourly**
    $32k-40k yearly est. 44d ago
  • Medical Records Clerk/Scanner - Medical Records

    SPH 4.2company rating

    Medical coder job in Helena, MT

    Responsible for accurate and timely processing and retrieval of medical records. Prepares documents for scanning and scans records into electronic document management system. Examines pages/images for quality and verifies patient identification. Indexes documents to correct level within electronic document system and appropriately batches documents for scanning and indexing. Provides support for incomplete records process and departmental coverage including evenings and weekends. Other duties as assigned. KNOWLEDGE/EXERIENCE: Knowledge of medical records formats / content for all visit types, filing systems, and medical office procedures. Good computer skills. Good customer service and communication skills. Experience with scanning systems preferred. EDUCATION: High school required. Ability to achieve cognitive, organization and emotional maturity to deal effectively with multiple tasks, stresses, deadlines, difficult situations and/or customers. Possesses interpersonal/communication skills necessary for effective, non-judgmental, and empathetic customer relations. Open to feedback and open to a changing environment.
    $30k-37k yearly est. Auto-Apply 30d ago
  • Cancer Registrar 1

    Baylor Scott & White Health 4.5company rating

    Medical coder job in Helena, MT

    The Cancer Registrar 1 identifies, registers, and maintain records of patients receiving treatment for various diseases, providing follow up functions, and maintaining the follow-up percentages for the Registry(ies) as required by the American College of Surgeons standards. This role analyzes incidence data and disseminates information in accordance with established standards. **ESSENTIAL FUNCTIONS OF THE ROLE** Identifies cases for abstraction based on Pathology Reports, HIM Coding reports, Bill Reports, etc. Abstracts data from patient medical record to include patient demographics, diagnostic procedures, history and extent of disease, treatment, follow-up, physician, and other related information. Codes data into database in accordance with protocol requirements. Enters Data of potential cases for abstraction into suspense file in Registry system. Utilizes a variety of resources to perform follow up functions and maintains the follow up percentage as required by the American College of Surgeons. Participates in continuing education programs and in-services to enhance job knowledge and skill set. Educates data collection staff on study requirements and data collection methodology Works closely with Registrars and Registry Manager to ensure operational needs of the facilities are met. Reviews data for accuracy; assembles and disseminates registry data. Coordinates data collection activities; implements data quality control measures. Maintains and protects the confidentiality of patient records. **KEY SUCCESS FACTORS** General understanding of general health care modalities, therapies, terminology and equipment. Knowledge of patient care charts and patient histories. Ability to abstract and code diagnosis and treatment data using standard registry coding references. Ability to follow research methodology and protocol. Able to communicate thoughts clearly; both verbally and in writing. Interpersonal skills to interact with a wide-range of constituencies. Able to research, analyze and disseminate information. Knowledge of statistical and graphic concepts used in the presentation of incidence, treatment, and survival information. Able to apply statistical analysis to discover insights found in technical data. Basic computer skills, including but not limited to: typing, information security, electronic medical documentation, hand held scanning and email. **BENEFITS** Our competitive benefits package includes the following - Immediate eligibility for health and welfare benefits - 401(k) savings plan with dollar-for-dollar match up to 5% - Tuition Reimbursement - PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level **QUALIFICATIONS** - EDUCATION - H.S. Diploma/GED Equivalent - EXPERIENCE - 1 Year of Experience As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
    $36k-53k yearly est. 1d ago
  • Health Information Technician

    Shodair 3.8company rating

    Medical coder job in Helena, MT

    Job DescriptionDescription: Join our team at Shodair Children's Hospital, where accuracy meets impact! We're looking for a detail-loving, tech-savvy Health Information Technician (HIT) to help keep our patients' medical records organized, complete, and accessible. In this role, you'll review and process inpatient records, manage digital documentation through OnBase and ObservSMART, and ensure lab results are properly linked in the EMR. You'll collaborate with clinical staff, spot documentation trends, and help maintain the highest standards of accuracy and confidentiality. What You'll Bring: A knack for organization and attention to detail Strong communication and problem-solving skills Experience with EMR systems, Microsoft Office, or health information processes Education or experience in Health Information Management or a related field Why Shodair? You'll be part of a mission-driven team that values integrity, growth, and teamwork-all while helping deliver exceptional care for Montana's children and families. Shodair has comprehensive benefits and competitive salaries. This position starts at $18.51 per hour. Ready to put your data and documentation skills to work in a meaningful way? Requirements: Two-year Associate Degree of Applied Arts & Sciences with graduation from an approved H.I.M. Technician program or related field.; or Two years of medical office or medical record experience, or Two years of experience with EMR systems and document scanning required. An equivalent combination of education and experience will be considered.
    $18.5 hourly 24d ago
  • PRN Health Information Specialist II

    Datavant

    Medical coder job in Helena, MT

    Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. This position is responsible for processing all release of information (ROI) specifically medical record requests in a timely and efficient manner ensuring accuracy and providing customers with the highest quality product and customer service. Associate must at all times safeguard and protect the patient's right to privacy by ensuring that only authorized individuals have access to the patient's medical information and that all releases of information are in compliance with the request, authorization, company policy and HIPAA regulations. This is as intermediate level position with at least 1 year related HIM experience. In addition to HIS I Foundation, HIS II is responsible for training HIS I staff and providing reports to manager and/or the facility. Position Highlights - Remote- Equipment Provided -PRN - 15-20hrs week - Processing medical records requests - Tremendous growth opportunities both locally and nationwide What We're Looking For - Strong customer service and clerical skills - Proficient in Microsoft Office, including Word and Excel - Comfortable working in a high-volume production environment - Medical office experience required - Willingness to learn and grow within Datavant **You will:** + Receive and process requests for patient health information in accordance with Company and Facility policies and procedures. + Maintain confidentiality and security with all privileged information. + Maintain working knowledge of Company and facility software. + Adhere to the Company's and Customer facilities Code of Conduct and policies. + Inform manager of work, site difficulties, and/or fluctuating volumes. + Assist with additional work duties or responsibilities as evident or required. + Consistent application of medical privacy regulations to guard against unauthorized disclosure. + Responsible for managing patient health records. + Responsible for safeguarding patient records and ensuring compliance with HIPAA standards. + Prepares new patient charts, gathering documents and information from paper sources and/or electronic health record. + Ensures medical records are assembled in standard order and are accurate and complete. + Creates digital images of paperwork to be stored in the electronic medical record. + Responds to requests for patient records, both within the facility and by external sources, retrieving them and transmitting them appropriately. + Answering of inbound/outbound calls. + May assist with patient walk-ins. + May assist with administrative duties such as handling faxes, opening mail, and data entry. + May schedules pick-ups. + Assist with training associates in the HIS I position. + Generates reports for manager or facility as directed. + Must exceed level 1 productivity expectations as outlined at specific site. + Participates in project teams and committees to advance operational strategies and initiatives as needed. + Acts in a lead role with staff regarding general questions and assists with new hire training and developmental training. + Other duties as assigned. **What you will bring to the table:** + High School Diploma or GED. + Must be 18 years of age or older. + Ability to commute between locations as needed. + Able to work overtime during peak seasons when required. + 1-year Health Information related experience. + Meets and/or exceeds Company's Productivity Standards + Basic computer proficiency. + Comfortable utilizing phones, fax machine, printers, and other general office equipment on a regular basis. + Professional verbal and written communication skills in the English language. + Detail and quality oriented as it relates to accurate and compliant information for medical records. + Strong data entry skills. + Must be able to work with minimum supervision responding to changing priorities and role needs. + Ability to organize and manage multiple tasks. + Able to respond to requests in a fast-paced environment. **Bonus points if:** + Previous production/metric-based work experience. + In-person customer service experience. + Ability to build relationships with on-site clients and customers. + Comfortable bringing new ideas, process improvement suggestions, and feedback to internal stakeholders. To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion. This job is not eligible for employment sponsorship. Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here (************************************************** . Know Your Rights (*********************************************************************** , explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay. At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way. Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, (************************************************************** Id=**********48790029&layout Id=**********48795462) by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here (******************************************************************************************************* . Requests for reasonable accommodations will be reviewed on a case-by-case basis. For more information about how we collect and use your data, please review our Privacy Policy (**************************************** .
    $30k-39k yearly est. 5d ago
  • Health Information Management (HIM) Manager, Full Time

    Cabinet Peaks Medical Center

    Medical coder job in Libby, MT

    Cabinet Peaks Medical Center is looking for an experienced Health Information Management (HIM) Manager to join our HIM team! HIM Manager, working under the supervision of the Revenue Cycle Director, oversees the management, security, and integrity of patient health information, ensuring compliance with regulations and industry standards, while also supervising staff and improving processes. Serves as an organizational resource for health information privacy and security, regulatory compliance, and release, retention, and destruction of patient records. Major Job Duties & Responsibilities Role models PROMISE behavioral standards. Patient/Customer Satisfaction: Implements practices and programs that improve patient's/customer's experience and/or improves the health of our population. Achieves established patient/customer satisfaction scores. Utilizes tools (AIDET, rounding, etc.) to increase patient/customer satisfaction. Planning: Aligns all work and resources management with CPMC mission, vision, values, goals and strategic initiatives. Actively participates in planning long-term strategies for the department. Keeps up to date on industry trends, regulatory changes, etc. Translates strategies into annual measurable goals for the department, utilizes tracking and reporting tools on a consistent basis. Meets deadlines. Financial Results: Develops yearly budget for department(s) that align with strategic goals. Monitors actual expenditures against budgeted amounts and develops corrective action plans for significant variances. Identifies opportunities to reduce per capita cost of healthcare. Quality: Identifies quality standards, measures performance, implements action plans to correct deficiencies and continuously improves process to meet patient/customer needs. Provides time responses (email, phone calls) to customers. Provide educational and growth opportunities to internal and external department staff. Management of Staff: Determines headcount needs, devises work schedules, hires high quality personnel, communicates in a timely manner, conducts effective, on-time performance evaluations, applies HR policies consistently, handles employee performance problems quickly and per policies, rewards and recognizes staff accomplishments Compliance: Stays abreast of and ensures compliance with all CPMC policies and procedures, laws, regulatory requirements, Medicare Conditions of Participation, ect. Develops and maintains department policies and procedures. Meets quarterly or as needed with the Release of Information and Records Manager/Director or appointed designee to ensure compliance. HIPAA Privacy Officer: Develop and maintain CPMC HIPAA policies and procedures. Performs regular access audits to ensure privacy and security of health information. Provide HIPAA education and training to all employees, students, business associates as appropriate. Investigate reports of privacy breaches and coordinate with appropriate management, HR, and Compliance Officer for resolution. Coding: Maintain AR days within the industry standard. Collaborate with providers and various departments to ensure timely completion of charts and charges. Provides direction and manages the day to day function within the coding department. Manages staffing plans and work assignments to achieve and maintain established productivity thresholds. Establishes and monitors the quality of the departments aligned with coding to support accurate patient information, compliant coding aligned with billing regulations and minimized corrections and re-work. Supervises coding staff including coding coordinators and other coding staff. Manages, supervises and monitors daily work activities, work lists, evaluates, trains, and motivates the performance of staff. Promotes recruitment and retention of certified coding staff in coding positions. Select and develop qualified staff to perform the coding functions by providing guidance and counseling to improve employee performance; takes the appropriate disciplinary actions as needed. Educate and train coding staff, acts as a professional subject matter expert and mentor to the staff. Enforces coding policies and procedures, conducts trend analysis to identify pattern and variations in coding department. Monitors coding work lists, unbilled accounts, aging of accounts to ensure timely filing of claims, and monitors coding workflows. Assists in department budget and identifies and recommends opportunities to decrease cost and improve services. Keeps abreast of new technology in coding and coding guidelines, stays informed about future issues impacting the coding functions, and acts as a liaison for other departments regarding coding questions. Manage, train and educate staff as it pertains to denials in coding; reviewing, coordinating, and monitoring the denial management and appeals process in a collaborative environment. Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor and resource to less experienced staff. Other duties as assigned. Skills, Knowledge, & Abilities Ability to demonstrate competency performing all essential functions of the job, with or without reasonable accommodation. Education Requirements BS degree or equivalent combination of education and experience is required. Applicable license for technical area is required. Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA). Experience 3 to 5 years experience in technical area is required. Prior management/leadership experience is strongly preferred. Schedule Day shift, Monday through Friday, contingent upon organizational needs and administrative direction. Benefits Package Available. Cabinet Peaks Medical Center is committed to providing a safe, efficient, and productive work environment for all employees. To help ensure a safe and healthful working environment, each applicant to whom an offer of employment has been made will be required as a condition of employment to undergo a substance test. Additional pre-employment items may be required. Please contact Human Resources for details.
    $50k-84k yearly est. 60d+ ago
  • Medical Records Technician

    Koniag Government Services 3.9company rating

    Medical coder job in Wolf Point, MT

    Koniag Advisory Business Solutions, LLC, a Koniag Government Services company, is seeking a Medical Records Technician to support KABS and our government customer in Wolf Point, MT. This position requires the candidate to be able to obtain a Public Trust. We offer competitive compensation and an extraordinary benefits package including health, dental and vision insurance, 401K with company matching, flexible spending accounts, paid holidays, three weeks paid time off, and more. The Medical Records Technician is responsible for managing and maintaining medical records within the Billings Area Indian Health Service (BAIHS) system. This position ensures accurate documentation, proper handling of protected health information, and efficient administrative support for healthcare operations. **Essential Functions, Responsibilities & Duties may include, but are not limited to:** **Medical Records Management:** + Scan medical documents into electronic patient record systems + Organize and maintain physical and electronic medical records + Ensure all medical documentation is properly filed and accessible + Verify completeness of medical records and identify missing documentation + Maintain accurate patient charts and medical history files **Patient Information Services:** + Answer incoming telephone calls promptly and professionally + Verify patient eligibility and insurance information + Update patient registration pages with current demographic information + Verify all third-party insurance information and coverage details + Obtain Medicare secondary payer signatures when required + Assist patients with basic inquiries regarding their medical records **Release of Information (ROI) Processing:** + Process Release of Information requests from patients and authorized entities + Verify proper authorization and patient consent for information disclosure + Prepare and transmit medical records in accordance with HIPAA regulations + Maintain logs of all information requests and releases + Ensure timely processing of ROI requests within established timeframes **Administrative Support:** + Maintain confidentiality of all protected health information (PHI) + Support Health Information Management department operations + Collaborate with healthcare staff to ensure proper documentation + Assist with quality assurance activities as needed + Maintain accurate work logs and productivity records **Required Qualifications:** + High school diploma or equivalent + Completion of medical records technician training program or equivalent experience + Basic knowledge of medical terminology + Understanding of HIPAA regulations and healthcare privacy requirements + Proficiency in computer applications and electronic health record systems + Strong attention to detail and organizational skills + Excellent written and verbal communication abilities **Preferred Qualifications:** + Previous experience in medical records or healthcare administration + Knowledge of medical coding systems (ICD-10, CPT) + Experience with electronic health record (EHR) systems + Familiarity with insurance verification processes + Experience working in Indian Health Service or federal healthcare settings **Essential Skills:** + Strong organizational and time management abilities + Ability to handle multiple tasks simultaneously + Professional telephone etiquette and customer service skills + Ability to work independently with minimal supervision + Team collaboration and communication skills + Problem-solving and analytical thinking + Adaptability to changing priorities and procedures **Physical Requirements:** + Ability to sit for extended periods + Manual dexterity for computer operation and document handling + Visual acuity for reading and reviewing documents + Ability to lift and move files and records as needed **Compliance Requirements:** + Successfully complete background check process + Maintain strict confidentiality of all patient information + Adhere to HIPAA regulations and privacy standards + Follow all facility security protocols and procedures + Complete required training and orientation programs + Maintain professional appearance and conduct + Comply with all Indian Health Service policies and procedures **Security Requirement:** + Ability to obtain public trust **Technology Skills:** + Proficiency in Microsoft Office Suite (Word, Excel, Outlook) + Experience with electronic health record systems + Basic understanding of medical records databases + Ability to learn new software applications quickly + Knowledge of scanning and document imaging systems **Career Development:** + Opportunities for professional development and training + Potential advancement to specialized roles within health information management + Continuing education support for healthcare-related certifications **Working Conditions:** **Location:** + Fort Peck Service Unit facilities (Verne E. Gibbs Health Center and Chief Redstone Health Center) **Environment:** + Office setting within healthcare facilities **Our Equal Employment Opportunity Policy** The company is an equal opportunity employer. The company shall not discriminate against any employee or applicant because of race, color, religion, creed, ethnicity, sex, sexual orientation, gender or gender identity (except where gender is a bona fide occupational qualification), national origin or ancestry, age, disability, citizenship, military/veteran status, marital status, genetic information or any other characteristic protected by applicable federal, state, or local law. We are committed to equal employment opportunity in all decisions related to employment, promotion, wages, benefits, and all other privileges, terms, and conditions of employment. The company is dedicated to seeking all qualified applicants. If you require an accommodation to navigate or apply for a position on our website, please get in touch with Heaven Wood via e-mail at accommodations@koniag-gs.com or by calling ************ to request accommodations. _Koniag Government Services (KGS) is an Alaska Native Owned corporation supporting the values and traditions of our native communities through an agile employee and corporate culture that delivers Enterprise Solutions, Professional Services and Operational Management to Federal Government Agencies. As a wholly owned subsidiary of Koniag, we apply our proven commercial solutions to a deep knowledge of Defense and Civilian missions to provide forward leaning technical, professional, and operational solutions. KGS enables successful mission outcomes for our customers through solution-oriented business partnerships and a commitment to exceptional service delivery. We ensure long-term success with a continuous improvement approach while balancing the collective interests of our customers, employees, and native communities. For more information, please visit_ _****************** _._ **_Equal Opportunity Employer/Veterans/Disabled. Shareholder Preference in accordance with Public Law 88-352_** **Job Details** **Job Family** **SCA Health Occupations** **Pay Type** **Hourly**
    $32k-40k yearly est. 60d+ ago

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