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HIM Coder I CODING RESOURCES (BILLINGS CLINIC CLINIC) req11569Shift: DayEmployment Status: Full-Time (.75 or greater) Hours per Pay Period: 1.00 = 80 hours every two weeks (Non-Exempt) Starting Wage DOE: $20.66 - $25.83Responsible 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. Magnet: Commitment to Nursing ExcellenceBillings 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.

HOUR

Billings Clinic

HIM Coder I

Fairview Health Services

FEED

Regional Compliance Consultant serves as the primary focal point for all compliance related affiliate consulting activities within one or more of the primary focus areas within compliance to include but not limited to auditing, monitoring, patient privacy, information security, billing, coding, research, policy and procedure development/oversight, and the overall compliance program for Billings Clinic Affiliates. Participates in the development and coordination of a multifaceted educational and training program that focuses on the elements of the Compliance Program and seeks to ensure that all employees, volunteers, affiliated professionals, contractors, regional affiliates/managed sites to ensure awareness and understanding of policies and protocols and to mitigate risk areas.

Regional Compliance Consultant

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FULL_TIME

OTHER

Applies clinical knowledge to make determinations for preauthorization, inpatient and continued stay reviews for Behavioral Health and Medical/Surgical requests to establish medical necessity, benefit coverage, appropriateness of quality of care, and length of stay or care plan. The Utilization Management Clinical Review nurse reviews and makes decisions about the appropriateness and level of beneficiary care being provided in an effort to provide cost effective care and ensure proper utilization of resources.

TriWest Healthcare Alliance

Utilization Clinical Reviewer

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Complies with the Veterans Affairs Community Care Network (CCN) and TRICARE T-5 contracts; DHA and TRICARE program guidelines and pertinent Federal regulatory requirements; assists supervisors with FWA trending and reporting requirements; coordinates and assists with investigations and prosecutions by federal agencies interfaces directly with Veterans, Military members and family (as warranted), providers, subcontractors, and other TriWest departments on FWA issues; assist supervisor with the education and training of TriWest, subcontractor, and provider personnel on current FWA matters; prepares appropriate responses to provider compliance issues and complaints referred to Program Integrity by other TriWest departments or external referrals. The PI Investigator t is responsible for the identification, analysis, case development, and reporting of suspected fraud, waste and abuse (FWA) cases as defined by the Department of Veterans Affairs (VA), the Healthcare Finance Administration (HCFA) and the Department of Defense, Defense Health Agency for the TRICARE program; requests and reviews issue-related medical claims and records for FWA and/or administrative and clerical error(s).

Program Integrity Investigator

Provides consultation on business requirements and functional specifications in logical program designs, code modules, application systems, and software solutions; facilitates the transition to high level design and supports the project lifecycle with input from leadership where needed. Serves as a technical lead for project teams throughout the implementation and maintenance of business and enterprise software solutions by leveraging partnerships with technology teams and business leaders to resolve escalated issues.

YEAR

Old Dominion Freight Line Inc

Application Delivery Technical Lead

This leader will collaborate with data management to utilize predictive and prescriptive analytics to stratify our beneficiary population for inclusion in multiple Medical Management programs; direct staff and interventions that will improve beneficiary health outcomes including HEDIS scores; develop and implement clinical programs to optimize Condition/Disease Management strategies and goals; and collaborate with leadership to enhance the overall healthcare education and knowledge of our beneficiaries using multiple platforms and experiences. Technical Skills: Advanced knowledge of managed care principles; working knowledge of medical necessity review criteria, LOS, ICD, CPT, HCPCs and American Dental Coding required; quality management training/experience; extensive experience with relational databases and statistical analysis.

Director, Population Health

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. 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.

HIM Coder I or II

Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Maximus is a trusted federal partner supporting the Internal Revenue Service (IRS) in delivering essential services that help taxpayers navigate and meet their tax obligations.

MAXIMUS provides business services to help governments operate health and human services programs, mostly at the state and national levels. The company's health services segment offers outsourced program management and administrative services,

Maximus

Senior ALC Developer

Responsible for researching and analyzing coding related pre-bill scrubber edits, denials, and requests for review from Patient Financial services, and ensuring proper coding in compliance with government and third party payer regulations and CPT-4, ICD, and HCPCs guidelines. Identifies trends/patterns that could pose a compliance risk or reimbursement issue and reports them to Coding Resources Management and Coding Resources Advisor for coding and documentation education, trending, and monitoring.

Claims Compliance Specialty Coder

At Jacobs, we're challenging today to reinvent tomorrow by solving the world's most critical problems for thriving cities, resilient environments, mission-critical outcomes, operational advancement, scientific discovery and cutting-edge manufacturing, turning abstract ideas into realities that transform the world for good. As a Senior Mechanical Revit Technician, you will work closely with mechanical engineers, project managers, and multi-disciplinary teams to develop coordinated, constructable, and high-quality design solutions while helping mentor and develop less experienced staff.

Jacobs Solutions Inc

Sr. Mechanical Revit Technician Data Centers

At Jacobs, we're challenging today to reinvent tomorrow by solving the world's most critical problems for thriving cities, resilient environments, mission-critical outcomes, operational advancement, scientific discovery and cutting-edge manufacturing, turning abstract ideas into realities that transform the world for good. The successful candidate will be responsible for developing, maintaining, analyzing, and reporting integrated project schedules throughout the entire project lifecycle, including engineering, procurement, construction, commissioning, startup, and project closeout.

Project Scheduler Data Center

PART_TIME

Senior ALC Developer PART TIME

Develop, review, and maintain technical and project documentation such as technical requirements, interface specifications, data mapping documents, technical design inputs, work plans, status reports, governance materials, issue logs, risk logs, meeting notes, decision logs, and other project deliverables. Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.

Coding Manager Jobs in Billings, MT

HIM Coder I Billings Clinic

Regional Compliance Consultant Billings Clinic

Utilization Clinical Reviewer TriWest Healthcare Alliance

Program Integrity Investigator TriWest Healthcare Alliance

Application Delivery Technical Lead Old Dominion Freight Line Inc

Director, Population Health TriWest Healthcare Alliance

HIM Coder I or II Billings Clinic

Senior ALC Developer Maximus

Claims Compliance Specialty Coder Billings Clinic

Sr. Mechanical Revit Technician Data Centers Jacobs Solutions Inc

Project Scheduler Data Center Jacobs Solutions Inc

Senior ALC Developer PART TIME Maximus

Sr. Technical Analyst Maximus

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