HIM Specialty Coder II

Billings Clinic; Billings (MT); Hybrid; USD 33,000 - 41,000; Full time

Job summary

Billings Clinic is hiring a HIM Specialty Coder II to accurately review, code, and abstract patient records for proper billing and reimbursement across multiple specialties.

The role requires RHIT/RHIA/CPC/CCS credentials (or equivalent) with at least two years of coding experience across multiple payer types. Strong knowledge of ICD/PCS, CPT/HCPCS, and DRG/APC methods is essential.

Qualifications

• Minimum High school graduate or equivalent.
• Formal training in anatomy, medical terminology, and medical coding.
• Two years of coding experience with multiple specialties and with all patient types and payers.
• Certification: RHIT, RHIA, CPC or CCS at hire or within 6 months; AHIMA/AAPC credentials preferred.

Responsibilities

• Reviews and analyzes inpatient, outpatient, and professional medical records to identify principal and secondary diagnoses, procedures, and services.
• Assigns ICD-CM, ICD-PCS, CPT, and HCPCS codes per official guidelines and payer requirements.
• Uses encoding systems to ensure accurate code selection, sequencing, and compliance.
• Calculates and validates DRGs and APCs to support accurate reimbursement.
• Assigns POA indicators for inpatient encounters; ensures coding data accuracy prior to billing.

Skills

Medical coding

Attention to detail

Education

High school diploma or equivalent

Formal training in anatomy, medical terminology, and medical coding

Job description

You’ll 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 you’ll 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 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- and part-time employees (minimum of 20 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.

Magnet: Commitment to Nursing Excellence

Billings Clinic is proud to be recognized for nursing excellence as aMagnet®-designated organization, joining only 97 other organizations worldwide that have achieved this honor four times. The re-designation process happens every four years.

Pre-Employment Requirements

All new employees must complete several pre-employment requirements prior to starting.

HIM Specialty Coder II

CODING RESOURCES (BILLINGS CLINIC CLINIC) req12348

• Shift: Day
• Employment Status: Full-Time (.75 or greater)
• Hours per Pay Period: 1.00 = 80 hours every two weeks (Non-Exempt)
• Starting Wage DOE: $23.92 - $29.90

The HIM Specialty Coder II is responsible for accurately reviewing, coding, and abstracting patient medical records to ensure the proper coding of diagnoses, procedures, and services for billing and reimbursement purposes. The role demands advanced knowledge in coding and reimbursement methodologies, a deep understanding of compliance regulations, and the ability to manage complex coding scenarios across multiple specialties. This position is critical to safeguarding the financial integrity of Billings Clinic by ensuring adherence to coding standards and maximizing appropriate reimbursement.

Essential Job Functions

• Reviews and analyzes inpatient, outpatient, and professional medical records to accurately identify principal and secondary diagnoses, procedures, and services
• Assigns appropriate ICD-CM, ICD-PCS, CPT, and HCPCS codes in accordance with official coding guidelines, payer requirements, and Billings Clinic policies
• Utilizes computerized encoding systems and approved reference materials to ensure accurate code selection, sequencing, and compliance
• Calculates and validates Diagnosis-Related Groups (DRGs) and Ambulatory Payment Classifications (APCs) to support accurate, ethical reimbursement
• Assigns Present on Admission (POA) indicators accurately for inpatient encounters
• Identifies and captures missing or incomplete charges and documentation to support appropriate billing
• Ensures coded data accuracy prior to billing interface and claims submission, including discharge disposition, modifiers, performing provider, date of service, and payer-specific edits
• Maintains a minimum of 95% coding accuracy based on internal and external audit findings
• Meets or exceeds established departmental productivity standards for assigned coding areas
• Identifies, documents, and promptly escalates potential coding, billing, or compliance concerns to leadership or the Corporate Compliance Department
• Initiates compliant provider queries to clarify documentation and support accurate code assignment
• Collects and abstracts required clinical and demographic data for discharge reporting, audits, and specialized studies
• Communicates professionally with physicians and non-physician providers to provide coding clarification, education, and feedback
• Maintains current knowledge of coding guidelines, reimbursement methodologies, and regulatory requirements through ongoing education and training
• Demonstrates compliance with all organizational, departmental safety, confidentiality, and patient privacy standards
• Supports and models behaviors consistent with Billings Clinic’s 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.
• Performs all other duties as assigned or as needed to meet the needs of the department/organization.

Minimum Qualifications

Education

• Minimum High school graduate or equivalent
• Prior formal training in anatomy, medical terminology, and medical coding.

Experience

• Two (2) years of coding experience with multiple specialties and basic reimbursement experience
• Two (2) years of coding experience with all patient types and all third-party and government payers.

Certifications and Licenses

• Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) or Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) At hire or other AHIMA and/or AAPC recognized certification pertinent to the position
• Specialty certification (e.g., CCS, RCC, ROCC) in addition to core coding credentials Within 6 months of hire

Or an equivalent combination of education and experience relating to the above tasks, knowledge, skills and abilities will be considered. Employees that require a licensed or certification must be properly licensed/certified and the licensure/certification must be in good standing.

Billings Clinic is Montana’s 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, tertiary care hospital and trauma center, based in Billings, Montana. Learn more at www.billingsclinic.com/aboutus

Billings Clinic is committed tobeing an inclusive and welcoming employer, that strives to be kind, safe, andcourageous in all we do. As an equal opportunity employer, our policies andprocesses are designed to achieve fair and equitable treatment of all employeesand job applicants. All employees and job applicants will be provided the sametreatment in all aspects of the employment relationship, regardless of race,color, religion, sex, gender identity, sexual orientation, pregnancy, maritalstatus, national origin, age, genetic information, military status, and/ordisability. To ensure we provide an accessible candidate experience forprospective employees, please let us know if you need any accommodations duringthe recruitment process.

Human Resources is located on the corner of North 29th and8th Avenue North. Enter through the main entrance to the building and go to the lower level. Human Resources is located at the bottom of the main entrance staircase to the right.