Coding Resources Advisor I

Youll 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 youll 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 (/ billingsclinic. com/about-us/) 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-time employees (minimum of 24 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. (/ billingsclinic. com/careers/employee-benefits/) for more information ordownload the Employee Benefits Guide (/ncstoragemlbillings. blob. core. windows. net/public/2021%20Billings%20Clinic%20Staff%20Benefits%20Guide. pdf) .

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. (/ billingsclinic. com/campaign-landing-pages/magnet/) to learn more!

Pre-Employment Requirements

All new employees must complete several pre-employment requirements prior to starting. (/billingsclinic. csod. com/ats/careersite/search. aspx?site=15&c=billingsclinic) to learn more!

Coding Resources Advisor I

FINANCE (Billings Clinic Main Campus)

req8779

Shift: Day

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

Hours per Pay Period: 1. 00 = 80 hours (Exempt)

Starting Wage DOE: $28. 31 - $33. 26

This is a hybrid position - on campus as needed for meetings

Serves as the principal resource for documentation, coding and reimbursement research and education for Billings Clinic providers, staff and leadership. Educates physicians through group and individual sessions on the full circle of proper revenue cycle practices regarding clinical documentation, coding, reimbursement, denials and appeals. Strives to maximize reimbursement by educating providers in appropriate clinical documentation as it pertains to coding and billing. Provides feedback to providers and management by auditing as needed for proper documentation and coding. Analyzes and reports coding distribution and trends in clinical denials to providers and management. Analyzes payer bulletins and regulations and interprets them for Billings Clinic. Researches appropriate billing methodologies and implements them for new procedures or technologies. Works closely with the Reimbursement department and Information Services on changes to the electronic charge entry systems. Works closely with Billings Clinic leadership to ensure coding and compliance guidelines are adhered to, the Cerner Charge build and fee schedule are correct and high risk areas are identified, reported, and appropriate steps are taken.

Essential Job Functions

Supports and models behaviors consistent with Billings Clinics mission, vision, values, code of business conduct and service expectations. Meets all mandatory organizational and departmental requirements. Maintains competency in all organizational, departmental and outside agency standards as it relates to the environment, employee, patient safety or job performance.

Educates staff in accurate documentation, coding, billing and reimbursement with primary emphasis on educating the providers.

Coordinates and completes coding, reimbursement, compliance, and internal audits including any monitoring activities that require a review of relevant information. Such reviews may be part of the annual audit work plan or as assigned throughout the year. Audits data to ensure that coding and documentation at Billings Clinic meets set standards.

Reviews, analyzes and interprets coding changes and billing regulations and disseminates information. Monitors and audits records for compliance with regulatory changes in documentation.

Analyzes and researches government and third party payer policies and updates for coding and reimbursement content. Appeals for changes in these policies when appropriate.

Researches and audits new technologies and new service lines for compliant coding, documentation requirements in conjunction with reimbursement information. Meets with equipment and drug vendors to ensure proper reimbursement for new equipment/products.

Coordinates effort to ensure that charge masters are updated appropriately on a regular basis. This includes participation in annual CDM/Code reviews, identifying enhancements in fee structure and making sure that electronic charge capture tools are accurate.

Responsible for coding and abstracting diagnoses and procedures from patient charts using ICD and CPT/HCPCS codes for statistical and reimbursement purposes for all Billings Clinic inpatient and outpatient services.

Researches and responds to questions from Billings Clinic leadership and staff. Performs other duties as assigned or needed to meet the needs of the department/organization. May conduct other special projects as assigned.

Minimum Qualifications

Education

High school graduate or equivalent

Experience

Previous demonstrated experience (2+ years) in a clinical setting performing technical responsibilities related to ICD-CM, CPT-4/HCPCS coding, fees and reimbursement.

Demonstrated ability to understand and develop information using databases and creating complex spreadsheets. Intermediate knowledge of Microsoft Office products, including Word, Excel and PowerPoint.

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 recognized AAPC or AHIMA credentials.

Billings Clinic is Montanas 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, tertiar.