Certified Medical Coder (Contract/On-Site)

Rocky Boy Health Center; Box Elder (MT); On-site; USD 55,000 - 83,000; Full time

Job summary

Rocky Boy Health Center in Box Elder, Montana, seeks a Certified Medical Coder for an immediate contract engagement. The initial 60 days require on-site work at RBHC to support coding, education, and revenue cycle activities within the Epic EHR and AIR reimbursement frameworks.

After the initial period, hybrid or remote arrangements may be considered based on performance and organizational needs. Requires CPC/CCS/CCS-P, Epic experience, and 2+ years of outpatient coding expertise.

Qualifications

• Strong knowledge of ICD-10-CM, CPT, HCPCS, and E/M coding.
• Experience providing coding education or training to providers is required.
• Proficiency with Medicare/Medicaid and third‑party payer coding and billing requirements.

Responsibilities

• Review clinical documentation and assign ICD-10-CM, CPT, HCPCS and E/M codes.
• Operate within Epic EHR, manage coding queues, and assist with charge review.
• Identify incomplete documentation and obtain clarification from providers.
• Collaborate with Revenue Cycle to resolve coding discrepancies and denials.
• Deliver training and technical assistance to clinicians on coding and documentation.

Skills

Analytical thinking

Communication

Terminology mastery

Education

Certified Professional Coder (CPC)

Certified Coding Specialist (CCS)

CCS-P

Tools

Epic EHR

Job description

Contract Opportunity | Immediate Opening

Location: Rocky Boy Health Center | Box Elder, Montana

Engagement Type: Contractual

Work Arrangement: On-Site Required for Initial 60 Days; Hybrid or Remote Arrangement May Be Considered Thereafter

Start Date: As Soon As Possible

Contract Duration: Initial Short-Term Engagement with Potential for Extension or Long-Term Contract

Compensation: Competitive, Negotiable Based on Qualifications and Experience

Position Summary:

Rocky Boy Health Center (RBHC) is seeking an experienced Certified Medical Coder for an immediate contractual engagement to support medical coding, provider education, and revenue cycle operations. 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. The contractor will also provide direct training and technical assistance to medical providers to improve encounter documentation, coding accuracy, and proficiency with Epic coding workflows. 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. This opportunity requires an initial 60-day on‑site engagement at Rocky Boy Health Center. Following the initial period, hybrid or remote arrangements may be considered based on demonstrated performance, operational needs, and mutual agreement. RBHC is initially seeking short‑term assistance but is open to extending the engagement or establishing a longer‑term contractual relationship with a qualified individual.

Scope of Services and Responsibilities:

• Review clinical documentation and accurately assign ICD-10-CM, CPT, HCPCS, and Evaluation and Management (E/M) codes in accordance with applicable coding guidelines.
• Perform medical coding functions within Epic EHR, including managing coding work queues, charge review, and resolution of coding‑related issues.
• Review outstanding coding assignments and assist in resolving backlogs that may delay claims submission or reimbursement.
• Identify incomplete or inconsistent documentation and coordinate with medical providers to obtain clarification.
• Collaborate with Revenue Cycle and billing personnel to resolve coding discrepancies, claim edits, denials, and reimbursement issues.
• Support coding quality assurance activities, including identification of recurring errors, documentation deficiencies, and opportunities for process improvement.
• Maintain compliance with HIPAA, CMS requirements, official coding guidelines, and applicable organizational policies.
• Provide individualized, hands‑on training and technical assistance to physicians, advanced practice providers, and other clinical personnel regarding accurate encounter coding and documentation.
• Educate providers on appropriate selection and application of diagnosis, procedure, and E/M codes.
• Assist providers in navigating Epic coding and encounter completion workflows, including diagnosis selection, documentation requirements, and appropriate charge capture.
• Identify recurring coding and documentation errors and provide targeted education and recommendations for improvement.
• Serve as a technical resource for providers regarding coding guidelines, documentation standards, payer requirements, and coding‑related questions.
• Collaborate with clinical leadership to improve provider coding proficiency, documentation quality, and encounter completion practices.
• Develop or recommend educational resources, workflow guidance, and coding reference materials to support ongoing provider education.
• Support accurate encounter coding and documentation for services reimbursed under applicable Indian Health Service (IHS) and tribal healthcare All‑Inclusive Rate (AIR) methodologies.
• Provide guidance to medical providers and Revenue Cycle personnel regarding coding and documentation requirements associated with AIR‑eligible encounters.
• Assist in identifying and resolving coding, documentation, and billing issues affecting encounter‑based reimbursement.
• Review coding practices to support appropriate encounter capture and compliance with applicable Medicare, Medicaid, and other payer requirements.
• Provide technical assistance regarding payer‑specific coding requirements, same‑day encounter rules, and distinctions between AIR and traditional fee‑for‑service reimbursement.
• Identify opportunities to strengthen coding accuracy, revenue integrity, and reimbursement processes within the organization’s tribal healthcare setting.

Required Qualifications:

• Current professional medical coding certification required, such as Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Coding Specialist–Physician‑based (CCS‑P), or an equivalent recognized credential.
• Demonstrated hands‑on experience performing medical coding functions within Epic EHR required.
• Minimum of two (2) years of professional medical coding experience.
• Experience providing coding education, training, or technical assistance to medical providers.
• Proficiency in ICD‑10‑CM, CPT, HCPCS, and E/M coding.
• Strong knowledge of medical terminology, clinical documentation requirements, and healthcare reimbursement practices.
• Familiarity with Medicare, Medicaid, and third‑party payer coding and billing requirements.
• Ability to independently manage coding assignments, identify discrepancies, and maintain high standards of accuracy and productivity.
• Strong analytical, organizational, problem‑solving, and communication skills.
• Ability to provide services on‑site at Rocky Boy Health Center for the initial 60‑day period.

Preferred Qualifications:

• Experience with IHS or tribal healthcare All‑Inclusive Rate (AIR) reimbursement methodologies and encounter‑based billing.
• Experience with Epic, including coding work queues, charge review, and revenue cycle workflows.
• Experience in ambulatory or outpatient medical coding.
• Experience with provider documentation improvement, coding audits, and educational program development.
• Experience addressing coding backlogs, claim denials, and revenue cycle inefficiencies.
• Previous experience providing contractual or consulting medical coding services.
• Experience working with IHS, tribally operated healthcare programs, or federally funded healthcare organizations.

Contract Terms and Work Arrangement

Rocky Boy Health Center is seeking a qualified contractor who can begin providing services as soon as possible. The initial engagement is intended to address immediate medical coding and provider education needs. However, RBHC is open to extending the contract or establishing a longer‑term engagement based on organizational needs, contractor performance, and mutual agreement. Initial 60 Days: Services must be performed on‑site at Rocky Boy Health Center in Rocky Boy, Montana to facilitate collaboration with medical providers, Revenue Cycle personnel, and organizational leadership. Following Initial 60 Days: Hybrid or remote arrangements may be considered based on operational needs, performance, demonstrated ability to independently fulfill contractual responsibilities, and mutual agreement. Remote or hybrid arrangements are not guaranteed. Contract duration, compensation, scheduling, and other terms will be negotiated based on qualifications, availability, and organizational needs.

Disclaimer

This employment announcement does not contain a comprehensive description of activities, duties, or responsibilities that are required for this position. Duties, responsibilities, and activities will be reviewed periodically as duties and responsibilities change with necessity. Applicants with credentials that do not meet the minimum qualification for this position will not be considered. Rocky Boy Health Center Human Resources disclaims responsibility for ensuring the completion of application packages, considering only those applications received in proper and completed form before the 4:00 PM closing date for the advertised position. This employment announcement is subject to change depending on budget availability and organizational priorities. Employment offers are contingent upon the satisfactory completion of a background check and pre‑employment drug test, with successful applicants being subject to a 60 business day probationary period.