7 jobs found in Helena

Datavant is seeking an HCC Auditor to review medical records coded in standardized systems, translate clinical documentation into precise codes, and ensure accurate risk adjustment for reimbursement. You will verify coding accuracy and support data integrity in a remote, high-performing team. The role requires 2+ years in HCC coding and auditing, deep ICD-10 knowledge, and AHIMA or AAPC credentials. Flexible work arrangements and strong quality expectations are offered. #J-18808-Ljbffr

Datavant is seeking an Inpatient Auditing Specialist to perform inpatient facility coding audits and provide detailed rationale for changes. The role involves regulatory awareness, educator support for coders, and maintaining high DRG accuracy while handling multiple cases remotely. Qualifications include 5+ years inpatient coding/auditing experience and CCS certification; RHIA/RHIT preferred. Familiarity with Epic and Cerner EMRs is expected. #J-18808-Ljbffr

Montana Public Employee Retirement Administration (MPERA) seeks an experienced accountant/auditor to verify benefit calculations, service purchases and final payments for a large member base. The role involves explaining plan provisions to state, university, school district and local government employees. Strong knowledge of retirement statutes and actuarial principles, plus advanced Excel skills, are essential. #J-18808-Ljbffr

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...

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. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical role in translating clinical...

Koniag Information Security Services, LLC is seeking a Medical Records Technician Coder V to support government customers in Wolf Point, MT. The ideal candidate will analyze medical records for accuracy and completeness while assigning appropriate codes. Required qualifications include a high school diploma, medical coding certification, and over 6 years of experience in the field. We offer a competitive salary alongside a comprehensive benefits package including health, dental, vision insurance, and paid time off. #J-18808-Ljbffr

Certified Professional Coder (CPC)We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.Position SummaryThe 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...