FULL_TIME

FEED

OTHER

In support of TRICARE beneficiaries enrolled in the Autism Care Demonstration (ACD), the Autism Services Navigator (ASN) collaborates and oversees the assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services for TRICARE beneficiaries diagnosed with autism spectrum disorder (ASD). • Current unrestricted licensure in an appropriate state or territory of the United States, as a Licensed Independent Clinical Social Worker (LICSW), Licensed Clinical Social Worker (LCSW), Registered Nurse, or other licensed mental health professionals who possess a Certification in Case Management (CCM).

TriWest Healthcare Alliance

Autism Services Navigator

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Technical Skills: Thorough knowledge of policies and procedures, knowledge of managed care principles and methods; medical terminology; proficiency in the application of clinical criteria: InterQual, International Classification of Diseases, Diagnostic and Statistical Manual of Mental Disorders, current Procedural Terminology, and Healthcare Common Procedural Coding System, and American Dental codes; working knowledge with medical management systems; proficient with Microsoft Office; knowledge of UM Process; reporting techniques. • Prepares work schedules and monitors staff caseloads to ensure adequate staffing levels at all times and accurate data entry and application of the medical management system.

Supervisor, Utilization Management

UNKNOWN

This application may connect you with current or upcoming roles such as: • Controller• Assistant Controller• Finance Director or Manager• Accounting Director or Manager• Revenue Cycle Director or Manager• Patient Financial Services Director or Manager• Patient Accounts Manager• Business Office Director or Manager• Billing Director or Manager• Coding Director, Manager, or Supervisor• Health Information Management Revenue Cycle Leader• Reimbursement Director or Manager• Chargemaster or Charge Description Master Leader• Accounts Payable or Accounts Receivable Leader• Payroll Leader• Financial Planning and Analysis Leader• Regional Finance or Revenue Cycle Leader• Senior billing, coding, reimbursement, or patient accounts supervisory roles. Opportunities may include: • Permanent leadership positions• Interim leadership assignments• Regional or multi-site leadership roles• Hospital or clinic-based positions• Public hospital district finance or revenue cycle leadership• Tribal healthcare finance or revenue cycle leadership• Hybrid or partially remote opportunities• Temporary-to-permanent opportunities• Financial or revenue cycle stabilization assignments• Short-term departmental or project support• Direct temporary employment with the healthcare organization• Independent contract arrangements where legally appropriate.

Rural Staffing Services

Montana Rural Healthcare Finance and Revenue Cycle Leadership Opportunities

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b'nnnnntnttttnttttntnntntFind Your Rewarding Career in the Heart of Montanantntntntntntntntntntntntntntnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnrnrnrnrnnnnttnnnnnnnnrnrnn. Job Overview: Individual will be responsible for assisting medical providers in the management of high risk, chronic illness patients to promote effective education, self-management support and timely healthcare delivery to achieve optimal quality and financial outcomes.

BULLHOOK COMMUNITY HEALTH CENTER

Medical Assistant

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Handles executive-level internal and external communications which includes; handling incoming phone calls, returning phone calls, responding to voice-mails, managing incoming e-mails by forwarding and responding to e-mails as appropriate, and creating and mailing letters and memos on behalf of Executive and department. Acts as project manager on assigned projects, provides administrative assistance as needed on other special projects and maintains departmental file sharing and intranet site(s), as requested.

YEAR

Reinsurance Group of America Inc

Executive Assistant (open to remote)

LCSW/LCPC

Job Overview:Â Â Functions as a member of the management team and provides direct supervision to the billing staff.Â Duties include management, record keeping, coding, patient and insurance billing, telephone duties, scheduling appointments, typing, computer operation, assisting with month end close, copying and miscellaneous business office related functions, and other duties as assigned. The DOO also assists in the planning, development, and direction of Patient Centered Medical Home (PCMH) processes and procedures to ensure ongoing certification and successful performance on quality data metrics for QA/QI, PCMH and UDS performance measures and oversees the development and implementation of Quality Assurance/Quality Improvement programs.Â Â Â.

Accounting-HR Clerk

Routinely handles cases that are sensitive or high profile, those that are complex cases involving or cases involving multiple perpetrators or intricate healthcare fraud schemes. Demonstrates high level of knowledge and expertise during interactions and acts confidently when providing testimony during civil and criminal proceedings.

<p>CVS Health offers a world of promising job opportunities across a diverse range of careers in everything from corporate and pharmacy roles to retails positions. No matter where you work at CVS Health, your unique skills, talents and abilities are welcome and valued. We recognize and reward greatness and want our employees to know their work is making a difference in the lives of millions. Join us today. Together we can continue making innovative, high-quality health and pharmacy services safe, affordable and accessible – for all. </p>

CVS Health Corp

Senior Investigator, Special Investigations Unit (Aetna SIU)

Rural Staffing Services partners with rural hospitals, clinics, public hospital districts, regional health systems, community health centers, tribal healthcare organizations, long-term care providers, and community healthcare organizations throughout Montana to identify experienced information technology and health information leaders who understand the unique needs of rural and frontier healthcare. You may help connect a rural clinic or tribal healthcare program to specialty care, strengthen cybersecurity, implement a new EHR, improve data quality, support a regional telehealth program, mentor local employees, or create systems that allow healthcare teams to work more safely and efficiently.

Montana Rural Healthcare IT and HIM Leadership Opportunities

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The position works collaboratively with healthcare providers, billing personnel, and revenue cycle staff to ensure accurate documentation, appropriate coding, and timely claims processing. This position reviews clinical documentation, assigns appropriate diagnosis and procedure codes, and ensures coding accuracy to support billing, reimbursement, regulatory compliance, and revenue cycle operations.

Rocky Boy Health Center

Certified Medical Coder (Full-Time)

partner JazzHR

ADAPTED_NOW

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

GGH is dedicated to building an inclusive, diverse, equitable, and accessible workplace that fosters a sense of belonging - so if you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, we encourage you to still consider applying. Whether through our own senior-focused primary care clinics or our suite of integrated clinical solutions for health plans and provider groups, we are making value-based care more accessible and more effective.

Greater Good Health

Nurse Practitioner (MT License required)

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

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.

Utilization Clinical Reviewer

The Director of Growth Engineering will lead the Growth engineering teams with strong partnership with growth product, overseeing all software engineering efforts dedicated to driving user acquisition, activation, and conversion across iOS, Android, and Web platforms. Each of our verticals - Hunt, Offroad, Backcountry, and Fish - is at a different stage of maturity, which means the challenges you encounter and the impact you have will vary depending on where you sit and what the business needs most.

onXmaps Inc

Director, Growth Engineering

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

The successful candidate will collaborate with cross-functional enterprise teams, provide technical leadership, and leverage deep expertise in iOS development and Apple Health technologies to deliver secure, high-quality, and customer-centric digital products. CVS Health Digital is looking for hands-on, passionate people who want to join a high energy and growing team to make a difference in customers' lives and who want to be on the forefront of digital innovation that aims to reinvent what a pharmacy and a health care company can be in the digital world.

Staff Software Development Engineer - iOS

Consumer Direct Care Network specializes in home and community-based services that assist older adults and individuals of all ages with disabilities and impairments to continue to live their lives independently in their own homes and communities. The employee is regularly required to sit, talk, or hear; frequently required to use repetitive hand motion, handle or feel, and to stand, walk, reach, bend or lift up to 40 pounds.

Consumer Direct Care Network

Software Engineer I

The ideal candidate will possess strong knowledge of outpatient medical coding, demonstrated hands-on Epic experience, and familiarity with Indian Health Service (IHS) and tribal healthcare reimbursement methodologies, including All-Inclusive Rate (AIR) reimbursement. The contractor will be responsible for reviewing clinical documentation, assigning accurate diagnosis and procedure codes, resolving coding discrepancies, and supporting timely and accurate claims processing within the Epic Electronic Health Record (EHR) system.

Certified Medical Coder (Contract/On-Site)

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.

Coding Manager Jobs in Montana

Autism Services Navigator TriWest Healthcare Alliance

Supervisor, Utilization Management TriWest Healthcare Alliance

Montana Rural Healthcare Finance and Revenue Cycle Leadership Opportunities Rural Staffing Services

Medical Assistant BULLHOOK COMMUNITY HEALTH CENTER

Executive Assistant (open to remote) Reinsurance Group of America Inc

LCSW/LCPC BULLHOOK COMMUNITY HEALTH CENTER

Accounting-HR Clerk BULLHOOK COMMUNITY HEALTH CENTER

Senior Investigator, Special Investigations Unit (Aetna SIU) CVS Health Corp

Montana Rural Healthcare IT and HIM Leadership Opportunities Rural Staffing Services

Certified Medical Coder (Full-Time) Rocky Boy Health Center

HIM Coder I Billings Clinic

Nurse Practitioner (MT License required) Greater Good Health

Regional Compliance Consultant Billings Clinic

Utilization Clinical Reviewer TriWest Healthcare Alliance

Director, Growth Engineering onXmaps Inc

Program Integrity Investigator TriWest Healthcare Alliance

Staff Software Development Engineer - iOS CVS Health Corp

Software Engineer I Consumer Direct Care Network

Certified Medical Coder (Contract/On-Site) Rocky Boy Health Center

Application Delivery Technical Lead Old Dominion Freight Line Inc

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