27 jobs found in Helena

Become a part of our caring community The 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 Medical Coding Auditor audits medical charts and records for compliance with federal coding regulations. provide a second level review of codes assigned to medical diagnoses and clinical procedures, ensuring that medical billing conforms to legal and procedural requirements. Essential Functions You will verify and ensure the accuracy, completeness, specificity, and appropriateness of medical record documentation based on a patient's documented medical conditions You will confirm appropriate diagnosis and procedure code assignment, following all applicable coding guidelines You will use electronic tools (i.e., spreadsheets-web-based) that have been created based on the CMS-HCC model and established coding guidelines...

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. 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 terminology. This role is fully remote with a flexible schedule, allowing...

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 The Risk Adjustment Coder conducts quality assurance coding of medical records and ICD-10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other government agencies. The Risk Adjustment Coder assumes ownership and leads advanced and highly specialized administrative/operational/customer support duties that require independent initiative and judgment. The Risk Adjustment Coder ensures coding is accurate and properly supported by clinical documentation within the health record. Reviewsmedical records toreport conditions that map toHCCs by reviewing medical record documentation and applying theappropriate ICD-10diagnosis codes. Followsstate and federal regulations as well as internal policies and guidelines while analyzing coding information and medical records. Works onprojects that may include making phone calls to providers. Works within broad guidelines with little...

Become a part of our caring community Code Edit Disputes team reviews and educates providers when there is a dispute on adjudicated claims that contain a code editing related denial or financial recovery. The Medical Coding Coordinator performs advanced administrative, operational, and customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills. Where you Come In The Medical Coding Coordinator 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. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Decisions typically focus on methods, tactics and processes for completing administrative tasks/projects. Regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes and techniques, and...

Netcare LTD. in Montana seeks a Clinical Coder to review and code patient medical records accurately. This role involves collaborating with clinical staff, ensuring compliance, and maintaining the highest standards of care. Qualifications include a relevant diploma or degree, certification as a CPC or CCS, and 3-5 years of coding experience. Join a team that values your contributions and offers a competitive remuneration package. #J-18808-Ljbffr

Sr Med Bill Examiner - CJ10DN We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals - and to help others accomplish theirs, too. Join our team as we help shape the future. We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals - and to help others accomplish theirs, too. Join our team as we help shape the future. Successful candidates will be responsible for performing Medical Bill review and investigation of medical invoices to determine reimbursement based on applicable workers compensation statues and/or regulations including: -Analyzing of bill for proper assignment of detailed medical coding information -Interpreting workers compensation rules for repricing -Entering/correcting data of medical...

Become a part of our caring community The Inpatient Medical Coding Auditor - PPI Coding Disputes reporting to the Manager reviews the appropriate DRG and ICD-10-CM/ PCS coding assignments for accuracy within the coding disputes team from a variety of medical records. The Disputes Auditor - MSDRG Inpatient Coding on the Disputes Team consults and collaborates with coding professionals within and across departments 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 inpatient coding audits (MSDRG/APDRG) Ensures overall accuracy and compliance of coding disputes reviews by adhering to all appropriate coding guidelines and communicates disputes outcomes to providers in a professional and concise manner. Leverages advanced auditing expertise to make coding decisions based on standard industry guidelines and best practices Manages multiple...

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...

The Practice Supervisor is a hands‑on leader responsible for keeping daily clinic operations running smoothly while supporting a high‑quality, patient‑centered experience. This is a working supervisor role that balances frontline team leadership with direct involvement in clinical and operational workflows. Serving as a visible, go‑to resource, the Supervisor provides day‑to‑day oversight of clinical and patient‑access staff, offers real‑time coaching and problem‑solving, and helps ensure efficient patient flow. In partnership with the Practice Manager, this role focuses on executing daily operations, supporting staff development, and reinforcing established workflows—without responsibility for budgeting or long‑term strategic planning. Approximately 40–50% of the role includes direct and indirect patient care, such as assisting with rooming, triage, and coverage during peak times while modeling expected standards of care. The Supervisor also coordinates staffing assignments,...

The Montana Department of Transportation is seeking a Compliance Auditor to ensure adherence to state and federal regulations. This role involves conducting audits, advising on compliance, and reporting findings to various stakeholders. The ideal candidate will hold a Bachelor’s degree in accounting or a related field and possess strong analytical skills. The position offers full-time employment with potential telework options and a comprehensive benefits package including health insurance and retirement plans. #J-18808-Ljbffr

Job Description The Montana Department of Transportation (MDT) is recruiting for a Compliance Auditor – External Section. This position examines and evaluates conformity with state laws, federal regulations, and other compliance components through conducting performance and compliance audits, special projects, and investigations. The auditor reviews industry‑specific rules, regulations, and statutes to determine compliance, identify violations or discrepancies, and recommend remediation. The auditor advises individuals and groups concerning regulation, inspection, and investigation findings and encourages voluntary action to correct problems. The auditor performs planning, field work, and reports results to MDT administrators and program managers, consultants, contractors, grant recipients, and taxpayers. The External Section concentrates on contractors and grant recipient compliance. Responsibilities • Examine and evaluate conformity with state laws, federal regulations, and...

Munro Footwear Group is seeking a Compliance Auditor to assess conformity with regulations in Helena, Montana. The role includes conducting audits and evaluations to ensure compliance and improve operational efficiency. Candidates must have a Bachelor's degree in a relevant field and relevant experience in auditing or compliance. Benefits include a culture of public service, health insurance, and potential hybrid work arrangements. #J-18808-Ljbffr

## Certified Professional CoderApplyremote type: Remotelocations: Remote Locationtime type: Full timeposted on: Posted Todayjob requisition id: Req18023At Logan Health, we’re more than just healthcare providers – we’re a community. Located in the heart of Montana, we deliver exceptional care to patients while creating a supportive and collaborative work environment for our team. Join us to grow professionally, enjoy comprehensive benefits, and make a meaningful impact in a place you’ll be proud to call home.**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.**Join Our Professional Coding Team!****Location:** Remote (see approved states list below) **Schedule:** Day Shift – 8 Hours | Full Time – 40 Hours**Pay details:**Pay for this position ranges from $23.50 per hour to $31.73 per hour depending on...

Job Description - Compliance Auditor - Internal Section (26141461) Position Title: Compliance Auditor - Internal Section - (26141461) Responsibilities This position examines and evaluates conformity with state laws, federal regulations, and other compliance components through conducting performance and compliance audits, other engagements, special projects, and investigations. Performs planning, field work, and reports the results to MDT administrators and management. The position is part of the internal section which concentrates on providing MDT with audits designed to add value and improve efficiency and effectiveness of the department’s operations, internal controls, and compliance. Qualifications Bachelor’s degree in accounting, finance, business administration, information technology, or a closely related field. Compliance Auditor 2.1: One year of experience in audit, compliance, or related field. Compliance Auditor 2.2: Two years of experience in audit, compliance, or...

Logan Health is seeking a Certified Professional Coder to work remotely in Montana. This full-time position involves assigning ICD-10-CM and CPT-4 codes to outpatient records and includes key responsibilities such as reviewing medical records and ensuring compliance with coding guidelines. Candidates should possess a nationally recognized coding certificate and strong organizational skills. We offer comprehensive benefits, including health insurance and a 401(k) plan with generous matching. Join us in delivering exceptional care and making a meaningful impact. #J-18808-Ljbffr

Humana Inc is hiring a Medical Coding Coordinator to remotely extract clinical information and assign medical codes, ensuring accuracy and compliance. This role demands a coding certification and significant problem-solving abilities. Candidates should possess 3+ years of experience in medical coding, with knowledge of Medicare and Medicaid guidelines. The position offers competitive pay and a range of benefits that support employee well-being. #J-18808-Ljbffr

Missoula Bone & Joint LLC seeks a Full Time Certified Coder who can work remotely or in a hybrid model. The ideal candidate will ensure excellence in patient care through coding accuracy and compliance. Offering a competitive pay range of $23.50 to $32.50 per hour along with great benefits such as Medical, Dental, and Paid Time Off, this role focuses on auditing and training while maintaining high standards in coding practices. #J-18808-Ljbffr

Datavant is seeking a Remote Inpatient Auditing Specialist to handle auditing and educational needs related to coding quality and compliance. A minimum of 5 years of facility inpatient coding experience is required. You will perform audits, provide rationale for changes, and educate coders, all within a collaborative team dedicated to healthcare transformation. Enjoy benefits including medical, dental, vision, and a competitive salary range of $35—$45 per hour. #J-18808-Ljbffr

Datavant, located in Helena, Montana, is seeking experienced outpatient coders to join their remote team. This position offers flexibility and focuses on accurate coding of medical records, ensuring high standards in healthcare. The ideal candidate will possess detailed knowledge in medical terminology, be AHIMA or AAPC certified, and have at least 2 years of coding experience. Comprehensive benefits, including medical and educational stipends, are provided for full-time employees. #J-18808-Ljbffr