12 jobs found in Helena

Become a part of our caring community and help us put health first Humana is looking for an experienced medical coding auditor to handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, consider a Fortune 100 company that prioritizes its consumers' and staff's well-being. This company rewards performance, and you should strongly consider the Outpatient Medical Coding Auditor position. This role focuses on Durable Medical Equipment (DME) auditing and is part of the PPI Coding Disputes Team with Humana. The Disputes Auditor - DME Outpatient Coding on the Disputes Team reports to the Manager. This role consults and collaborates with coding professionals within and across departments. The goal is to ensure high accountability of coding disputes outcomes for timeliness, compliance, and quality. Will be an experienced medical coding auditor with in-depth experience in outpatient DME coding disputes and expertise in...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: 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...

The Inpatient/Outpatient Medical Coder is responsible for accurately assigning diagnostic and procedural codes for inpatient and outpatient encounters in accordance with ICD-10-CM/PCS and CPT guidelines. This role ensures timely, compliant coding that supports accurate reimbursement, regulatory reporting, and organizational quality standards. The Medical Coder works collaboratively with clinical teams, CDI specialists, and revenue cycle partners to resolve documentation issues, prevent denials, and maintain coding quality and productivity benchmarks. KNOWLEDGE/EXPERIENCE: Minimum 2 years coding experience in acute care setting highly preferred. Knowledge of ICD-10 CM/PCS and CPT coding guidelines. Knowledge of DRGs, MS-DRGs , APR-DRGs, APCs, MUE Edits, LCD/NCD Edits, anatomy and physiology, medical terminology and disease processes. EDUCATION: BA, BS or AA in Health Information Management or coding certification required. ICD-10 training appropriate to credential required....

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. ***** FT and PRN Openings *** Up to $5,000 Sign On Bonus ***** What We're Looking For We're looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. We're looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to help shape the...

Become a part of our caring community and help us put health first The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT 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-10 CM/CPT 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-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources...

About Otsuka We defy limitation, so that others can too. In going above and beyond-under any circumstances-for patients, families, providers, and for each other. It's this deep-rooted dedication that drives us to uncover answers to complex, underserved medical needs, so that patients can push past the limitations of their disease and achieve more than they thought was possible each day. About the Role The Omnichannel Center of Excellence is dedicated to driving innovation, building, and delivering capabilities that enhance Otsuka's opportunity to make an impact in the lives of those we serve. We achieve this through our relentless focus on customer centricity, patient empathy, expertise in enabling pathways for disease education and awareness of management options, and our unwavering commitment to supporting access to treatment. We are looking for an Omnichannel Data Scientist , Medical Omnichannel with strong expertise in artificial intelligence, encompassing...

The Certified Medical Coder is responsible for accurately assigning ICD-9 and CPT codes for clinic office visits, hospital services, laboratory, and radiology encounters, as applicable. This role ensures timely and compliant charge entry, monitors claim progress, and resolves coding-related denials in accordance with established guidelines, regulations, and payer requirements. The Certified Medical Coder reconciles daily charge batches, reviews outstanding encounters, and collaborates with clinical and billing teams to ensure documentation supports accurate coding and reimbursement. This position also conducts audits of provider documentation and coding practices as assigned, contributing to continuous quality improvement and regulatory compliance. Additional duties may be assigned to support departmental operations. KNOWLEDGE/EXPERIENCE: Knowledge of ICD-9-CM and CPT coding guidelines. Knowledge of anatomy and physiology, medical terminology and disease processes. EDUCATION:...

A healthcare solutions company based in Helena, Montana, is seeking a Customer Service representative. The role involves managing patient interactions with insurance companies, ensuring insurance accuracy, and resolving claims. Candidates should have 1-3 years of related experience and a high school diploma. This position offers an hourly rate ranging from $15.75 to $18.50 along with various health benefits such as medical, dental, and vision coverage, paid time off, and a 401k plan. #J-18808-Ljbffr

A healthcare data company is seeking experienced outpatient coders to join their remote team. This role involves reviewing medical records and accurately assigning codes, ensuring a high coding accuracy rate. Ideal candidates should hold relevant certifications and have at least 2 years of coding experience. The position offers flexible hours and comprehensive training. Benefits include medical, dental, and 401k match. Join a team committed to transforming health data utilization for better healthcare outcomes. #J-18808-Ljbffr

A healthcare data collaboration firm is looking for experienced inpatient coders to join their remote team in Helena, Montana. The role offers a competitive hourly pay range of $32—$42 and the opportunity to work flexibly. Candidates must possess a minimum of three years of inpatient coding experience and relevant certifications such as CCS or RHIT. Responsibilities include coding with accuracy and overseeing junior coders, contributing to the quality of healthcare data management. Join us and help shape the future of healthcare. #J-18808-Ljbffr