Certified Medical Coder (Full-Time)

Rocky Boy Health Center; Box Elder (MT); On-site; USD 39,000 - 55,000; Full time

Job summary

Rocky Boy Health Center is seeking a Certified Medical Coder to provide accurate ICD-10-CM, CPT, and HCPCS coding within the Epic EHR system. The role collaborates with providers and revenue cycle staff to ensure timely claims processing and compliance with HIPAA and CMS guidelines.

The position requires an active coding certification (CPC or CCS) and at least two years of coding experience, with a preference for familiarity with tribal health programs and AIR reimbursement.

Qualifications

• High school diploma or equivalent; Associate degree preferred.
• Professional medical coding certification (CPC, CCS, or equivalent).
• Experience with Epic EHR system required.
• Minimum of two years professional medical coding experience.
• Proficiency in ICD-10-CM, CPT, and HCPCS coding systems.
• Knowledge of HIPAA regulations and patient confidentiality.
• Strong attention to detail and analytical skills.
• Ability to work independently and manage competing priorities.
• Excellent written and verbal communication; collaborate with clinical and administrative personnel.

Responsibilities

• Review records to assign ICD-10-CM, CPT, and HCPCS codes per guidelines.
• Code within Epic EHR, ensuring accuracy and timeliness.
• Verify codes reflect services and medical necessity.
• Identify documentation gaps and obtain clarifications from providers.
• Collaborate with billing/revenue cycle to resolve discrepancies and denials.
• Monitor Epic work queues and resolve tasks promptly.
• Conduct coding reviews to identify errors and improvement areas.
• Maintain compliance with HIPAA, CMS rules, and coding guidelines.
• Stay updated on changes in coding classifications and payer requirements.
• Educate providers on documentation and coding accuracy within Epic.

Skills

Attention to detail

Analytical skills

Written and verbal communication

Independent working

Time management

Team collaboration

Education

Associate degree in Health Information Management or related field

Bachelor's degree in Health Information Management or related field preferred

Tools

Epic EHR

Coding audits tools

Billing/revenue cycle software

Job description

Reports To:Revenue Cycle Manager

Classification: Full-Time, Hourly, Eligible for Overtime

Work Arrangement: On-Site Only | Remote and Hybrid Work Not Available

Position Summary

The Certified Medical Coder is responsible for the accurate, timely, and compliant coding of medical services provided at Rocky Boy Health Center (RBHC). 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.

The Certified Medical Coder must possess an active professional coding certification and demonstrated experience working with the Epic Electronic Health Record (EHR) system. The position works collaboratively with healthcare providers, billing personnel, and revenue cycle staff to ensure accurate documentation, appropriate coding, and timely claims processing.

Key Responsibilities

• Review medical records and clinical documentation to assign accurate ICD-10-CM, CPT, and HCPCS codes in accordance with established coding guidelines.
• Perform coding functions directly within the Epic EHR system, ensuring accuracy, completeness, and timely processing.
• Review provider documentation to verify that assigned codes accurately reflect services rendered and support medical necessity.
• Identify incomplete, inconsistent, or insufficient documentation and communicate with providers to obtain clarification.
• Collaborate with billing and revenue cycle personnel to resolve coding discrepancies, claim denials, and reimbursement issues.
• Monitor coding-related work queues within Epic and ensure timely resolution of assigned tasks.
• Conduct coding reviews and audits to identify errors, trends, and opportunities for improvement.
• Maintain compliance with applicable federal, tribal, and organizational regulations, including HIPAA, CMS requirements, and official coding guidelines.
• Stay current with changes to coding classifications, payer requirements, reimbursement methodologies, and industry best practices.
• Assist in educating providers and clinical staff regarding documentation requirements and coding accuracy.
• Support organizational efforts to improve coding quality, revenue integrity, and operational efficiency.
• Provide ongoing training and technical assistance to medical providers regarding accurate encounter coding, clinical documentation, and appropriate use of Epic EHR coding functions.
• Educate providers on proper selection and application of ICD-10-CM, CPT, HCPCS, and
• Evaluation and Management (E/M) codes to ensure accurate representation of services rendered.
• Assist providers in identifying and correcting coding and documentation deficiencies that may affect billing accuracy, reimbursement, or regulatory compliance.
• Provide individualized, hands-on guidance to providers regarding encounter completion, diagnosis selection, procedure coding, and documentation requirements within Epic.
• Perform other related duties as assigned.

Minimum Qualifications

• High school diploma or equivalent required. Associate degree in Health Information Management, Medical Coding, Healthcare Administration, or a related field preferred.
• Current professional medical coding certification required, including Certified Professional Coder (CPC) through AAPC, Certified Coding Specialist (CCS) through AHIMA, or an equivalent recognized coding credential.
• Demonstrated professional experience using the Epic Electronic Health Record (EHR) system required.
• Minimum of two (2) years of professional medical coding experience required.
• Proficiency in ICD-10-CM, CPT, and HCPCS coding systems.
• Working knowledge of medical terminology, anatomy, physiology, and healthcare reimbursement practices.
• Familiarity with Medicare, Medicaid, and other third-party payer coding and billing requirements.
• Knowledge of HIPAA regulations and patient confidentiality requirements.
• Strong attention to detail, analytical skills, and ability to identify and resolve coding discrepancies.
• Ability to work independently, manage competing priorities, and meet established productivity and accuracy standards.
• Effective written and verbal communication skills and ability to collaborate with clinical and administrative personnel.

Preferred Qualifications

• Experience coding in an ambulatory or outpatient healthcare setting.
• Experience with IHS or tribal health program All-Inclusive Rate (AIR) reimbursement and associated encounter coding and billing requirements.
• Experience providing coding education, training, and technical assistance to physicians, advanced practice providers, and other clinical personnel, particularly within Epic EHR.
• Experience with Epic coding workflows, charge review, and coding-related work queues.
• Experience working in a tribal health program, Indian Health Service (IHS), or federally funded healthcare organization.
• Experience with coding audits, denial management, and clinical documentation improvement.

Important: Applicants must possess both an active professional medical coding certification and prior hands-on experience with Epic. Candidates who do not meet both requirements will not be considered.

Please note that all communication will be via e-mail.

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.

Notice to Recruiting Agencies and Third-Party Vendors

Rocky Boy Health Center does not accept unsolicited resumes, proposals, or candidate submissions from recruiting agencies or third-party vendors. We are not seeking new recruiting or placement services for any positions at this time. Any unsolicited submissions will be considered property of Rocky Boy Health Center, and we will not be responsible for any associated fees.