Certified Medical Coder
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
Coder II - Certified, Full Time
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.
Senior Certified Professional Coder, Special Investigations Unit (Aetna SIU)
Medical coder job in Helena, MT
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
The Senior Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends.
**Activities include:**
+ Conduct a comprehensive medical record audit to ensure the CPT/HCPCS or modifiers billed are consistent with medical record documentation.
+ Handles complex coding reviews and will resolve complex issues with sensitivity. Including but not limited to claim reviews for legal, compliance or rework projects.
+ Provide detailed written summary of medical record review findings.
+ Must be able to articulate findings to investigators, Medicaid plan leadership, law enforcement, legal counsel, providers, state regulators, etc.
+ Review and discuss cases with Medical Directors to validate decisions.
+ Independently research and accurately apply state or CMS guidelines related to the audit.
+ Assist with investigative research related to coding questions, state and federal policies.
+ Identify potential billing errors, abuse, and fraud.
+ Identify opportunities for savings related to potential cases which may warrant a prepayment review.
+ Maintain appropriate records, files, documentation, etc.
+ Uses department resources regularly and follows workflows with no assistance or intervention to perform daily work to meet metrics.
+ Mentor New Coders, providing training, coding, and record review guidance.
+ Collaboration with investigators, data analytics and plan leadership on SIU schemes.
+ Act as management back-up and supports the team when the manager is out of the office.
+ Maintains up-to-date coding knowledge, including new changes to coding compliance and reimbursement.
**Required Qualifications**
+ AAPC Coding certification - Certified Professional Coder (CPC)
+ 3+ years of experience in medical coding or documentation auditing.
+ Strong knowledge of standard industry coding guides and guidelines including CPT, HCPCS, ICD-10.
+ CMS 1500 and UB04 data elements
+ Experience with researching coding and policies.
+ Experience with Microsoft products; including Excel and Word
+ Prior experience auditing others' work and providing feedback.
+ Experience mentoring others.
+ Must be able to travel to provide testimony if needed.
**Preferred Qualifications**
+ 3+ years or more previous experience with Behavioral Health coding/auditing of records
+ Licensed Clinical Social Worker (LCSW)
+ Licensed Independent Social Worker (LISW)
+ Licensed Master Social Worker (LMSW)
+ Licensed Professional Counselor (LPC)
+ Excellent communication skills
+ Excellent analytical skills
+ Strong attention to detail and ability to review and interpret data.
**Education**
+ AAPC Certified Professional Coder Certification (CPC)
+ GED or High School diploma
**Anticipated Weekly Hours**
40
**Time Type**
Full time
**Pay Range**
The typical pay range for this role is:
$46,988.00 - $112,200.00
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
**Great benefits for great people**
We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
+ **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** .
+ **No-cost programs for all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
+ **Benefit solutions that address the different needs and preferences of our colleagues** including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit *****************************************
We anticipate the application window for this opening will close on: 12/06/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
Certified Medical Records Coder (0.8 FTE)
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.
Auto-ApplyMedical Records Technician
Medical coder job in Kalispell, MT
Detail-oriented and organized? Help us keep patient information accurate, accessible, and secure.
Our Mission: Quality, compassionate care for all.
Our Vision: Reimagine health care through connection, service and innovation.
Our Core Values: Be Kind | Trust and Be Trusted | Work Together | Strive for Excellence.
As a Medical Records Technician, you'll play a critical role in supporting daily office operations, maintaining patient records, and ensuring compliance with HIPAA and legal standards. Key responsibilities include:
Preparing and managing patient charts
Scanning, indexing, and categorizing documents
Responding to requests professionally and promptly
Conducting quality audits on scanned records
Assisting with data management, reporting, and resolving issues
Qualifications:
One (1) of the following is required:
Minimum one (1) year of work experience in an administrative office
Minimum one (1) year of work experience in a healthcare setting
Post-high school or vocational training
Additional Requirements:
Strong customer service skills with professional phone etiquette
Ability to multi-task in a fast-paced environment
Experience with Electronic Medical Records (EMR) preferred
Knowledge of medical terminology preferred
Proficiency in Microsoft Office Suite and the ability to learn new software
Excellent organizational, critical thinking, and communication skills
Commitment to confidentiality and teamwork
Key Responsibilities:
Assist with daily office operations and provide backup as needed.
Prepare, scan, and organize patient records per department procedures.
Process medical record requests in compliance with HIPAA and legal requirements.
Perform quality audits and resolve discrepancies in patient records.
Maintain supplies and equipment, coordinating repairs as necessary.
Run reports, merge accounts, and analyze patient records for deficiencies.
Respond promptly to requests and collaborate with team members to meet departmental needs.
Who We Are Looking For:
A self-starter who thrives in a team environment and is detail-oriented with strong organizational skills. You should be comfortable managing sensitive and confidential situations with professionalism and tact, while maintaining the highest standards of accuracy and efficiency.
Logan Health takes great pride in offering its employees a comprehensive benefits package that includes:
Health, Dental, and Vision insurance
401(k) with generous matching
Life and disability insurance options
Critical Illness and Voluntary Accident options
Paid time off, Holiday pay, and Illness bank
Tuition Reimbursement Program
Employee referral bonuses
Employee Assistance Program (EAP)
Wellness coaching, incentives, and more
Discounted Logan Health Fitness Center membership
Free parking
Shift:
Day Shift - 8 Hours (United States of America)
Schedule: 40 hours per week, 8 hour day shifts
Logan Health operates 24 hours per day, seven days per week. Schedules are set to accommodate the requirements of the position and the needs of the organization and may be adjusted as needed.
Notice of Pre-Employment Screening Requirements
If you receive a job offer, please note all offers are contingent upon passing a pre-employment screening, which includes:
Criminal background check
Reference checks
Drug Screening
Health and Immunizations Screening
Physical Demand Review/Screening
Equal Opportunity Employer
Logan Health is an Equal Opportunity Employer (EOE/AA/M-F/Vet/Disability). We encourage all qualified individuals to apply for employment. We do not discriminate against any applicant or employee based on protected veteran status, race, color, gender, sexual orientation, religion, national origin, age, disability or any other basis protected by applicable law. If you require accommodation to complete the application, testing or interview process, please notify Human Resources.
Auto-ApplyHIM Manager
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.
Medical Records Technician
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**
Release of Information Specialist
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.
Health Information Technician
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
Health Information Specialist I
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 is an entry level position 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. Associates 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.
**Position Highlights**
**This is a Remote Role**
+ Full Time: Monday-Friday 8:00 AM to 4:30 PM Central Time. All Datavant Holidays are non-covered days.
+ Ability working in a high-volume environment.
+ Will answer incoming calls and assist patients via Ring Central
+ Documenting information in multiple platforms using two computer monitors.
+ Proficient in Microsoft office (including Word and Excel)
**Preferred Skills**
+ Knowledge of HIPAA and medical terminology
+ Familiar with different EHR and Billing Systems
+ Detailed Oriented
**We offer:**
+ Comprehensive onsite/virtual training program followed by job shadowing with an assigned mentor
+ Company equipment will be provided to you (including computer, monitor, virtual phone, etc.)
+ Full Benefits: PTO, Health, Vision, and Dental Insurance and 401k Savings Plan and tuition Assistance
**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.
+ Must meet productivity expectations as outlined at specific site.
+ May schedules pick-ups.
+ Other duties as assigned.
**What you will bring to the table:**
+ High School Diploma or GED.
+ Ability to commute between locations as needed.
+ Able to work overtime during peak seasons when required.
+ 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:**
+ Experience in a healthcare environment.
+ 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.
Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role.
The estimated base pay range per hour for this role is:
$15-$18.32 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 (**************************************** .
Certified Professional Coder, Special Investigations Unit (Aetna SIU)
Medical coder job in Helena, MT
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
**Position Summary**
The Certified Professional Coder (CPC) will perform medical claim reviews to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends.
Activities include:
- Conduct a comprehensive medical record review to ensure billing is consistent with medical record.
- Provide detailed written summary of medical record review findings.
- Must be able to articulate findings to investigators, Medicaid plan leadership, law enforcement, legal counsel, providers, state regulators, etc.
- Review and discuss cases with Medical Directors to validate decisions.
- Assist with investigative research related to coding questions, state and federal policies.
- Identify potential billing errors, abuse, and fraud.
- Identify opportunities for savings related to potential cases which may warrant a prepayment review.
- Maintain appropriate records, files, documentation, etc.
- Ability to travel for meetings and potential to testify
**Required Qualifications**
+ AAPC Coding certification - Certified Professional Coder (CPC)
+ 3+ years of experience in medical coding or documentation auditing.
+ Strong knowledge of standard industry coding guides and guidelines including CPT, HCPCS, ICD-10, CMS 1500 and UB04 data elements
+ Experience with researching coding, state regulations and policies. Working experience with Microsoft Excel
+ Must be able to travel to provide testimony if needed.
**Preferred Qualifications**
+ 2 years or more previous experience with Behavioral Health coding/auditing of records
+ Licensed Clinical Social Worker (LCSW)
+ Licensed Independent Social Worker (LISW)
+ Licensed Master Social Worker (LMSW)
+ Prior auditing experience
+ Excellent analytical skills
+ Strong attention to detail and ability to review and interpret data
+ Excellent communication skills
**Education**
+ GED or equivalent
+ AAPC Certified Professional Coder Certification (CPC)
**Anticipated Weekly Hours**
40
**Time Type**
Full time
**Pay Range**
The typical pay range for this role is:
$43,888.00 - $102,081.00
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
**Great benefits for great people**
We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
+ **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** .
+ **No-cost programs for all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
+ **Benefit solutions that address the different needs and preferences of our colleagues** including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit *****************************************
We anticipate the application window for this opening will close on: 12/06/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
Health Information Management (HIM) Manager, Full Time
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.
Medical Records Technician Coder I
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**
Medical Records Clerk/Scanner - Medical Records
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.
Auto-ApplyHIM Specialist
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!
HIM Specialist
HEALTH INFO MGMT (HIM) - HOSP (BILLINGS CLINIC HOSPITAL)
req10454
Shift: Day, Evening
Employment Status: Full-Time (.75 or greater)
Hours per Pay Period: 1.00 = 80 hours every two weeks (Non-Exempt)
Starting Wage DOE: $17.00 - $21.25
Under general supervision, the HIM Specialist will perform work within one or more of the functional areas within HIM. Responsible to maintain patient health information files, performs chart location and tracking, scanning and quality of documentation in the Electronic Health Record, provides release of health information to various parties, and ensures accuracy and completeness of the medical record.
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.
* Scans patient documentation according to established electronic health system order Responsible for researching missing documents and ensuring all patient documentation is consistent, belongs to the patient and present at the time of discharge.
* Retrieves patient charts at discharge and responsible to verify against ADT report that all records have been received. Initiates follow-up calls to nursing unit to obtain any records not received. Locates missing charts through utilization of chart tracking software, CIS software to determine nursing unit where patient was treated and physical searches of nursing units.
* Prepares and organizes documents for the imaging process, determines correct settings to ensure quality of each document, indexes scanned records and analyzes them for clarity and accuracy.
* Answers the telephone and is responsible to provide requested information through independent resolution utilizing research skills, document production, and data analysis techniques. Accurately fills requests for transcribed documents or prior patient medical records using available systems such as CIS, ChartLocator, SMS and Misys. Must be able to perform research to respond appropriately to caller by providing requested information for patient care.
* Determines and appropriately locates medical records in the electronic health system (CIS). Locate historical paper medical record location utilizing software such as Mysis, ChartFact/Locator, SMS and microfilm.
* Performs final verification of medical record completion prior to completing chart from task queues. Verification includes reviewing all appropriate documents to ensure they have been signed and/or properly documented by a physician or qualified healthcare provider, the documents are in the proper location of the EHR, and all patient information is consistent and all documents specified by accrediting and regulatory agencies are included in the medical record.
* Analyzes medical records for chart completion deficiencies as mandated by JCAHO, Medicare, Medicaid and/or other accrediting or regulatory bodies. Determine appropriate physician to provide missing documentation, (i.e., attending physician, surgeon, etc.). Perform re-analysis when physician has supplied missing items to ensure completeness. Assists physicians with chart completion by providing appropriate medical record, responding to questions regarding regulations related to the provision of documentation and updating the deficiency system.
* Works with HIM Leadership compile and analyze chart deficiencies weekly and notify physician(s) of aging of deficiencies. Responsible to determine appropriate notification based upon type of deficiency and aging.
* Assesses quality of scanned documents on a daily basis. Measures results against established quality standards and provides feedback to HIM Lead and with HIM staff as needed to improve quality and/or provide education and training.
* Responds to requests for patient healthcare information. Responsible to verify a compliant authorization has been provided and copies appropriate documentation based on upon the compliant authorization.
* 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
* One year of work experience in a hospital, physician clinic or other related medical area, preferred. Or an equivalent combination of education and experience relating to the above tasks, knowledge, skills and abilities will be considered
* Fast paced office environment with frequent interruptions
* Works closely with physicians and other health care providers
* May work varying shifts, weekends and/or holidays to meet business needs
* May participate in on-call rotation for weekend coverage
* Majority of work is performed utilizing a personal computer
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.
Health Information Technician
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.
Health Information Specialist I
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 is an entry level position 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. Associates 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.
**Position Highlights**
**This is a Remote Role**
+ Full Time: Mon-Fri 8:00am -4:30pm CST
+ Phone support
+ Ability working in a high-volume environment.
+ Processing medical record requests such as: Insurance requests, DDS Requests, Workers Comp Request, Subpoenas
+ Documenting information in multiple platforms using two computer monitors.
+ Proficient in Microsoft office (including Word and Excel)
**Preferred Skills**
+ Knowledge of HIPAA and medical terminology
+ Familiar with different EHR and Billing Systems
+ Experience working with subpoenas
**We offer:**
+ Comprehensive onsite/virtual training program followed by job shadowing with an assigned mentor
+ Company equipment will be provided to you (including computer, monitor, virtual phone, etc.)
+ Full Benefits: PTO, Health, Vision, and Dental Insurance and 401k Savings Plan and tuition Assistance
**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.
+ Must meet productivity expectations as outlined at specific site.
+ May schedules pick-ups.
+ Other duties as assigned.
**What you will bring to the table:**
+ High School Diploma or GED.
+ Ability to commute between locations as needed.
+ Able to work overtime during peak seasons when required.
+ 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:**
+ Experience in a healthcare environment.
+ 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.
Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role.
The estimated base pay range per hour for this role is:
$15-$18.32 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 (**************************************** .
Health Information Management (HIM) Manager, Full Time
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.
H.I.M./Medical Records Specialist - Medical Records
Medical coder job in Helena, MT
Monitors and facilitates, with providers, the completion of medical records following accreditation standards, regulations and medical staff bylaws. Coordinate and process all types of medical records to maintain quality and integrity. Monitors prepping, scanning, and analysis of all records with the ability to process, recognize and correct errors or deficiencies. Actively works with the Scanning and Archiving module to increase the functionality allowing for the destruction and purging of paper and electronic data. Has the ability to move electronic records to the appropriate accounts while maintaining a accurate log of the changes. Has the ability to complete medical record reviews to identify areas for improvement and monitor adequate medical record documentation. Designated a Meditech superuser for Scanning and Archiving module. Trains staff as necessary. As required, monitors schedules to maintain workflow. Other duties as assigned.
KNOWLEDGE/EXPERIENCE: Knowledge of Healthcare Information and Medical Records principles, Joint Commission standards and State and Federal regulations that pertain to electronic, paper and records stored on other media. Two years' experience in an acute care Medical Records department preferred. Experience with the implementation of electronic records preferred.
EDUCATION: BA, BS, AA in Healthcare Information required. Experience may be considered in lieu of education.
LICENSE/CERTIFICATION/REGISTRY: RHIA or RHIT required. Other certifications may be reviewed.
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.
Auto-ApplyMedical Records Technician Coder V
Medical coder job in Wolf Point, MT
Koniag Advisory Business, a Koniag Government Services company, is seeking a Medical Records Technician Coder V to support KAB 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 Coder V 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
+ 6+ years 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 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**