Job Description: Analyzes, codes, abstracts, and compiles medical records of patients of health care delivery system to document patient condition and treatment by performing the following duties:
Essential Duties and Responsibilities Medical Record Coder - Abstracts and codes diagnoses, operations, and procedures from health records by using appropriate classification systems, standards, and procedures.
- Prepares statistical reports required by applicable legal, accrediting, and/or licensing regulations and office policy.
- Assigns patient severity of illness index ratings, supplemental codes, and other data as necessary.
- Compiles information and data from health records and computer systems for use in the evaluation of quality of care and utilization review.
- Monitors completion of medical records in accordance with time standards.
- Audits incomplete records and prepares reports on delinquencies.
- Confers with doctors, nurses, and other health personnel to assure complete, current, and accurate medical records.
- Compiles and maintains logs, reports, and statistical records, and researches records to locate health data as requested.
- Maintains and utilizes variety of health record indexes and storage and retrieval systems.
- Operates computer to process, store, and retrieve health information.
- Assists in identification of medical records needed for research, using both manual and computer indexes.
- Responds to patient billing and statement inquiries.
- Relays financial information/policies regarding co-pays to new patients, plus policy for procedures.
- Assures pre-certification is obtained for treatment, lab, CT and bone marrow biopsies.
- Assures active coverage for insurance from the patient.
- Gathers benefit information by calling insurance companies to assure benefits meet guidelines.
- Reports to other billing employees the pertinent information and documents in computer.
- Inputs new patient insurance information into Mosaiq and Epic.
- Checks schedule for treatment pre-authorization and notifies chemo RN's of treatment that needs specific information to complete pre-cert.
Minimum Qualifications
1. High School Diploma or equivalent.
2. Minimum of three years experience in a front office position in a physician clinic setting.
3. General applied knowledge of medical terminology, CPT4, ICDCM, HCPCS, Medicare, Medicaid and insurance guidelines.
4. Current CPC certification or ability to obtain within three months of hire.
5. Strong knowledge of customer service skills.
6. Ability to communicate effectively and diplomatically within a multi-functional team.
7. Strong organizational skills and attention to detail.
8. Ability to successfully function in a fast paced, service oriented environment.
9. Experience in understanding and usage of computers as well as the ability to learn applications relevant to the position.
Physical Demands
Sedentary-Primarily sitting/lifting 10 lbs maximum
Location: St. Vincent Regional Hospital - Cancer Centers of Montana
Work City: Billings
Work State: Montana
Scheduled Weekly Hours: 40
The hourly range for this position is listed below. Actual hourly rate dependent upon experience.
$18.39 - $24.99
We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
Learn more about our comprehensive benefits package here.
Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.
All positions subject to close without notice.