Coding Resources Coordinator

You'll want to join Billings Clinic for our outstanding quality of care, exciting environment, interesting cases from a vast geography, advanced technology and educational opportunities. We are in the top 1% of hospitals internationally for receiving Magnet Recognition consecutively since 2006.

And you'll want to stay at Billings Clinic for the amazing teamwork, caring atmosphere, and a culture that values kindness, safety and courage. This is an incredible place to learn and grow. Billings, Montana, is a friendly, college community in the Rocky Mountains with great schools and abundant family activities. Amazing outdoor recreation is just minutes from home. Four seasons of sunshine!

You can make a difference here.

About Us

Billings Clinic is a community-owned, not-for-profit, Physician-led health system based in Billings with more than 4,700 employees, including over 550 physicians and non-physician providers. Our integrated organization consists of a multi-specialty group practice and a 304-bed hospital. Learn more about Billings Clinic (our organization, history, mission, leadership and regional locations) and how we are recognized nationally for our exceptional quality.

Your Benefits

We provide a comprehensive and competitive benefits package to all full- and part-time employees (minimum of 20 hours/week), including Medical, Dental, Vision, 403(b) Retirement Plan with employer matching, Defined Contribution Pension Plan, Paid Time Off, employee wellness program, and much more. Click here for more information or download the Employee Benefits Guide.

Magnet: Commitment to Nursing Excellence

Billings Clinic is proud to be recognized for nursing excellence as a Magnet-designated organization, joining only 97 other organizations worldwide that have achieved this honor four times. The re-designation process happens every four years. Click here to learn more!

Pre-Employment Requirements

All new employees must complete several pre-employment requirements prior to starting. Click here to learn more!

Coding Resources Coordinator

FINANCE (BILLINGS CLINIC CLINIC)

req12776

Shift: Day

Employment Status: Full-Time (.75 or greater)

Hours per Pay Period: 1.00 = 80 hours every two weeks (Exempt)

Starting Wage DOE: $32.06 - $40.07

The Coding Resources Supervisor is responsible for the supervision of the staff and the daily operations of the Coding Resources Department and is responsible for personnel management, orientation and training and ongoing education. Coding Resources Supervisor ensures compliance to governmental, departmental and other regulatory regulations, policies and procedures.

Essential Job Functions

• Supports and models behaviors consistent with the mission and philosophy of Billings Clinic, Coding Resources, and Patient Financial Services.
• Provides leadership for the review, analysis, and interpretation of regulations and standards to ensure appropriate coding, adherence to third-party payer regulations and standards, and maximum reimbursement for services rendered, and implements standards in practice. Responsible for overseeing the coding and analysis of the diseases and surgical procedures after discharge for statistical and reimbursement purposes for services, evaluation, and management codes, as well as analysis of data from the medical record for challenges to insurance reviewers and payers, and patients to resolve low payments and offer appeals to overturn payment denials.
• Supervises the Coding Resources staff, including directing and coordinating day-to-day activities, ensuring adherence to quality indicators, establishing priorities and assigning workloads, and scheduling.
• Responsible for personnel management to include interviewing, hiring, orientation/training, performance appraisal, coaching/counseling, and disciplinary action.
• Maintains application or systems files that impact the department, continually updating files. Coordinates with Information Services in the design, update, scheduling, and problem resolution of information systems utilized by the department.
• Participates in the budgetary process and operates within established budgetary constraints and long and short-term planning for the department.
• Prepares and analyzes reports on the department''s status and efficiency, using various reporting tools.
• Participates in the development and maintenance of departmental policies and procedures and in process improvement initiatives.
• Oversees payer regulatory billing and reimbursement training and education to staff to communicate coding and documentation requirements, and provides statistical and specialized coding and reimbursement studies. Utilizes multiple coding and payer regulations, directions, and guidelines to ensure and facilitate accurate coding and sequencing of diagnoses and procedures by following the fiscal intermediary guidelines to ensure maximum reimbursement for services rendered. Reviews medical record for medical information to identify principal diagnosis and procedure, and all applicable secondary diagnoses and procedures (pre-pay audits).
• Maintains competency in all organizational, departmental, and outside agency safety standards relevant to job performance and ensures staff compliance with all requirements.
• Performs other duties as assigned or needed to meet the needs of the department/organization.

Minimum Qualifications

Education

• High School or GED

Experience

• 2 of leadership or supervisory experience, preferred
• 2 experience in a multi-specialty clinic/hospital working with ICD-CM, CPT-4/HCPCS, PCS and DRG coding
• Previous demonstrated experience in a clinic/hospital setting performing technical responsibilities related to ICDCM, CPT-4/HCPCS, PCS and/or DRG coding, billing, fees and reimbursement
• Demonstrated ability to understand and develop information using databases and creating complex spreadsheets

Certifications and Licenses

• Credential as Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA), Certified Professional Coder (CPC) or Certified Coding Specialist (CCS), or other AHIMA or AAPC recognized coding credentials

Or an equivalent combination of education and experience relating to the above tasks, knowledge, skills and abilities will be considered. Employees that require a licensed or certification must be properly licensed/certified and the licensure/certification must be in good standing.

Billings Clinic is Montana's largest health system serving Montana, Wyoming and the western Dakotas. A not-for-profit organization led by a physician CEO, the health system is governed by a board of community members, nurses and physicians. Billings Clinic includes an integrated multi-specialty group practice, tertiary care hospital and trauma center, based in Billings, Montana. Learn more at www.billingsclinic.com/aboutus

Billings Clinic is committed to being an inclusive and welcoming employer, that strives to be kind, safe, and courageous in all we do. As an equal opportunity employer, our policies and processes are designed to achieve fair and equitable treatment of all employees and job applicants. 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, and/or disability. To ensure we provide an accessible candidate experience for prospective employees, please let us know if you need any accommodations during the recruitment process.