The HIM Specialty Coder II is responsible for accurately reviewing, coding, and abstracting patient medical records to ensure proper coding of diagnoses, procedures, and services for billing and reimbursement.
This role requires advanced knowledge of coding and reimbursement methodologies, a strong understanding of compliance regulations, and the ability to manage complex coding scenarios across multiple specialties. The position plays a key role in protecting the financial integrity of Billings Clinic by supporting accurate reimbursement and coding compliance.
Key responsibilities include reviewing inpatient, outpatient, and professional medical records; assigning ICD-CM, ICD-PCS, CPT, and HCPCS codes; validating DRGs and APCs; identifying missing charges and documentation; supporting compliant billing and claims submission; maintaining coding accuracy and productivity standards; and communicating with providers regarding documentation clarification and coding education.
Must be a high school graduate or equivalent.
Prior formal training in anatomy, medical terminology, and medical coding is required.
Experience required:
- 2 years of coding experience with multiple specialties and basic reimbursement experience
- 2 years of coding experience with all patient types and all third-party and government payers
Certifications/licensure required at hire:
- RHIT, RHIA, CPC, or CCS, or another AHIMA/AAPC-recognized certification relevant to the role
Additional certification required within 6 months of hire:
- Specialty certification such as CCS, RCC, or ROCC in addition to core coding credentials
Comprehensive benefits package for full-time and eligible part-time employees, including:
- Medical, dental, and vision coverage
- 403(b) retirement plan with employer matching
- Defined contribution pension plan
- Paid time off
- Employee wellness program
- Additional employee benefits
Location
Montana, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
No
Posted
1 month ago