HIM Coder II – Billings Clinic Main Campus
Location: Billings, Montana
Shift: Day
Employment Status: Full-Time (.75 or greater)
Hours per Pay Period: 80 hours every two weeks (Non-Exempt)
Starting Wage (DOE): $21.70 - $27.12
Position Summary: Responsible for coding and abstracting diagnoses and procedures from patient charts using ICD-CM, ICD PCS and/or CPT-4/HCPCS codes for statistical and reimbursement purposes for all Billings Clinic inpatient and outpatient services. Also audits or assigns CPT and E&M codes to clinic encounters, captures primary and secondary ICD-CM diagnoses, adds HCPCS modifiers, and verifies units of service for pharmacy items and supplies. Actively queries physicians for clarification, provides coding education, and serves as an on‑site resource for providers and staff. Calculates MSDRG and APR-DRG, ensuring adherence to all internal and regulatory compliance policies and procedures governing medical records coding, billing, and reimbursement.
Essential Job Functions
Maintains detailed knowledge and adherence to all applicable Billings Clinic and regulatory compliance policies governing medical record coding, insurance billing, and reimbursement methodologies.
Review medical records to identify principal diagnosis/procedure and all applicable secondary diagnoses and procedures.
Assign appropriate ICD-CM and/or CPT-4/HCPCS codes for each encounter utilizing ICD-10 and CPT-4 reference tools.
Utilize the computerized encoding system and/or coding books to facilitate accurate coding and sequencing of diagnosis and procedures.
Maintains or exceeds 95% coding accuracy based on audit findings.
Maintains or exceeds department productivity standards for assigned areas of coding.
Identifies and reports any regulatory or compliance concerns to Coding Resources Manager, Director and/or Billings Clinic Corporate Compliance Department.
Ensures data accuracy prior to billing interface and claims submission (e.g., discharge disposition, appropriate use of modifiers, CPT, ICD, performing provider, date of service, POA, NCCI and other coding and abstracting requirements).
Collects data from the medical record to complete a discharge data abstract on each encounter for specialized studies.
Communicates with physicians/non‑physician providers to provide coding and documentation education and feedback.
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 environmental, employee or patient safety standards relevant to job performance.
Supports and models behaviors consistent with Billings Clinic’s mission, vision, values, code of business conduct and service expectations.
Performs all other duties as assigned or as needed to meet the department/organization needs.
Minimum Qualifications
Education: Minimum high school graduate or GED.
Experience: Two years of coding experience in a physician clinic dealing with multiple specialties and basic reimbursement experience.
Certifications/Licenses: Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA); Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) at hire or other AHIMA and/or AAPC recognized coding credentials.
Benefits
Medical, Dental, Vision coverage
403(b) Retirement Plan with employer matching
Defined Contribution Pension Plan
Paid Time Off
Employee wellness program
Equal Employment Opportunity
Billings Clinic is an equal opportunity employer. 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, or disability.
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