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 permanent 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.
Click here for more information or download the Employee Benefits Guide. 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. Click here to learn more! Pre-Employment Requirements All new employees must complete several pre-employment requirements prior to starting. Click here to learn more! HIM Claims Specialty Coder II - Central Billing Office CENTRAL BILLING OFFICE - 8861 (Billings Clinic Main Campus) req6932 Shift: Day Employment Status: Full-Time (.75 or greater) Hours per Pay Period: 1.00 = 80 hours (Non-Exempt) Starting Wage DOE: $23.29 - $27.37This position is eligible for full-time remote and/or telework if located in Montana, Wyoming, Hawaii, Kansas, Minnesota, Michigan, Arizona, or Texas.
This position may be eligible for a sign-on bonus, tuition loan repayment, and relocation assistance Responsible for researching and analyzing coding related pre-bill scrubber edits , denials, and requests for review from Patient Financial services , and ensuring proper coding in compliance with government and third party payer regulations and CPT-4 , ICD, and HCPCs guidelines. Responsible to appeal denials and follow up with payers until the denied claims are paid. Collaborates with multiple departments and participates in review of Recovery Audit Contractor and other government audits and appeals.
Provides reports to CBO contacts for trending and research and clarification of coding (ICD, CPT-4/HCPCS) and abstracting of diseases and surgical procedures. Provides education to the CBO teams based on findings. Ensures adherence to all applicable Billings Clinic Central Business Office and regulatory compliance policies and procedures governing medical records coding, insurance billing and reimbursement methodologies Essential Job Functions 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. Researches, analyzes, and appeals government and third party payer coding related denials of service based on explanation of benefits and remittance advice information and/or patient requests. Identifies trends/patterns that could pose a compliance risk or reimbursement issue and reports them to CBO Coding Management and CBO Coding Advisor for coding and documentation education, trending, and monitoring.
Researches, analyzes, and resolves government and third party payer coding related per-bill scrubber edits. Identifies and reports any regulatory or compliance concerns to Coding Resources Manager. Monitors coding related audit activity in the organization's tracking tool. Works in conjunction with the Clinical Coding Specialist and Coding Advisors to review of all coding related external audits determinations.
Apply clinical and coding backssment skills to medical record, and extract supportive documentation for appeals. Report any issues to the department managers and compliance team. Provide clinical documentation education to appropriate staff and physicians. Communicate with outside agencies when necessary to clarify issues. Identifies needs and sets goals for own growth and development; meets all mandatory organizational and departmental requirements Minimum Qualifications Education High School or GEDExperience Minimum Two years experience in a multi-specialty clinic and/or hospital working with ICD-CM, CPT-4, HCPCS, DRG coding Previous demonstrated experience in a clinical setting performing technical responsibilities related to ICD-CM, CPT-4/HCPCS, DRG 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 Power Point. Prior training in anatomy, medical terminology and coding Or an equivalent combination of education and experience relating to the above tasks, knowledge, skills and abilities will be considered Certifications and Licenses Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA), Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) or other AHIMA or AAPC recognized credentials required.
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 /aboutus Billings Clinic is committed to the principles of Equal Employment Opportunity. All policies and processes are designed toward achieving fair and equitable treatment of all employees and job applicants. Employees are encouraged to discuss any concerns they have in this regard with their immediate supervisor and/or the Vice President People Resources. All employees and job applicants will be provided the same treatment in all aspects of the employment relationship, regardless of race, color, creed, religion, national origin, gender, gender identity, interactionual orientation, age, marital status, genetic information or disability.
responsible for performing the job in a safe and efficient manner and performing trade jobs, such as carpentry, painting, plumbing, etc. May require driving shuttle van when needed (property specific) Education & Experience Experience in a hotel or a related field preferred.
High School diploma or equivalent required. Licensed in a trade preferred (plumbing, electrical, HVAC, carpentry, etc. ). Must have a valid driver's license for the applicable state. Must have an acceptable MVR (Motor Vehicle Driving Record) property specific Must be able to convey information and ideas clearly. Must be able to evaluate and select among alternative courses of action quickly and accurately. Must work
well in stressful, high-pressure situations. Must be effective in handling problems in the workplace, including anticipating, preventing, identifying and solving problems as necessary.
Must have the ability to assimilate complex information, data, etc. from disparate sources and consider, adjust or modify to meet the constraints of the particular need. Must be effective at listening to, understanding and clarifying the issues raised by co-workers and guests. Must be able to work with and understand financial information and data, and basic arithmetic functions. Must be able to work unsupervised. Job Duties & Functions Approach all encounters with guests and employees in an attentive,
friendly, courteous and service-oriented manner. Maintain regular attendance in compliance with Avantic Lodging Enterprises standards, as required by scheduling which will vary according to the needs of the hotel.
Maintain high standards of personal appearance and grooming, which include wearing the proper uniform and name tag when working (per brand standards). Comply at all times with Avantic Lodging Enterprises standards and regulations to encourage safe and efficient hotel operations. Follow all hotel and departmental procedures and policies. Report emergencies and unusual situations immediately. Handle guest room maintenance requests in a timely fashion. Demonstrate an attitude of cooperation and helpfulness at all times.
Assist with the operation, maintenance and repair of equipment. Employees must, at all times, be friendly, courteous, and helpful to guests, employees and managers. Change out light bulbs; perform preventative maintenance for guest rooms to include: vinyl repair, touch up paint, minor furniture repair, tub caulking, tile repairs, etc. Perform preventative maintenance for ice machines, refrigerators, kitchen equipment, laundry equipment, HVAC, guestrooms, meeting rooms, the swimming pool and hot tub. Perform plumbing repair, laundry equipment repair, preventative maintenance on all exhaust fans and supply; monitor energy conservation; repair vacuum cleaners and any other small equipment upon request.
Immediately follow up on any alarms to determine the exact location and cause determine emergency status and report to the Front Desk with findings. Point out and assist with eliminating safety concerns. Assist in maintenance of health code requirements for pool and spa. Marginal: Do periodic property tours of garden and exterior perimeter for debris and trash removal; Check the lighting and irrigation periodically. Complete all appropriate Engineering forms.
Assist with the set-up of special meeting needs. Complete assigned maintenance request forms daily. Use proper two way radio etiquette at all times when communicating with other employees. Perform any other duties as requested by management. Working Conditions/Environment The following outlines the work environment employees will encounter while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the job. Frequency Grid N = Not Anticipated: 0% O = Occasionally: 1-33% (per shift) F = Frequently: 34-66% (per shift) C = Constantly: 67-100% (per shift Work Environment of Job Associate is subject to inside environmental conditions: Protection from weather conditions but not necessarily from temperature changes.
Frequency: NAssociate is subject to outside environmental conditions: No effective protection from weather. Frequency: FAssociate is subject to extreme heat or cold (temperatures below 32 degrees or above 100 degrees) for periods of more than one hour. Frequency: FAssociate is subject to noise: There is sufficient noise to cause the employee to shout in order to be heard above ambient noise level.
Frequency: FAssociate is subject to vibration: Exposure to oscillating movements of the extremities or whole body. Frequency: FAssociate is subject to hazards: Includes a variety of physical conditions, such as proximity to moving mechanical parts, moving vehicles, electrical current, working on scaffolding and high places, exposure to high heat or exposure to chemicals. Frequency: FAssociate is subject to atmospheric conditions: One or more of the following conditions that affect the respiratory system or the skin: Fumes, odors, dusts, mists, gasses, or poor ventilation.
Frequency: OAssociate is subject to oils: There is air and/or skin exposure to oils and other cutting fluids. Frequency: OAssociate is required to function in narrow aisles or passageways. Frequency: OAssociate is exposed to infectious diseases. Frequency: ONone: Associate is not substantially exposed to adverse environmental conditions (as typical office or administrative work). Frequency: N Physical Requirements of Job Climbing : Ascending or descending ladders, stairs, scaffolding, ramps, poles, and the like, using feet and legs and/or hands and arms.
Frequency: F Balancing : Maintaining body equilibrium to prevent falling when walking, standing or crouching on narrow, slippery or erratically moving surfaces. Frequency: O Stooping : Bending body downward and forward by bending spine at waist. Requires full use of the lower extremities and back muscles. Frequency: O Kneeling : Bending legs at knee to come to rest on one or both knees. Frequency: O Crouching : Bending the body downward and forward by bending leg(s) and spine. Frequency: O Crawling : Moving about on hands and knees or hands and feet. Frequency: O Reaching : Extending hand(s) and arm(s) in any direction, particularly for sustained periods of time (typing/using a mouse).
Frequency: C Standing : Remaining upright on the feet, particularly for sustained periods of time. Frequency: C Walking : Moving about on foot to accomplish tasks, particularly for long distances or moving from one work site to another. Frequency: C Pushing : Using upper extremities to press against something with steady force in order to thrust forward, downward or outward. Frequency: F Pulling : Using upper extremities to exert force in order to draw, drag, haul or tug objects in a sustained motion.
Frequency: F Finger Dexterity/Grasping : Picking, pinching, typing or otherwise working, primarily with fingers rather than with whole hand or arm as in handling. Applying pressure to an object with the fingers and palm. Frequency: O Feeling : Perceiving attributes of objects, such as size, shape, temperature or texture by touching with skin, particularly that of fingertips. Frequency: F Talking : Expressing or exchanging ideas by means of the spoken word; those activities where detailed or important spoken instructions must be conveyed to other workers or guests accurately, loudly, or quickly.
Frequency: F Hearing : Perceiving the nature of sounds at normal speaking levels with or without correction, and having the ability to receive information through oral communication. Frequency: F Repetitive Motions : Making substantial movements (motions) of the wrists, hands, and/or fingers. Frequency: N Vision : Employee is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; determine accuracy, neatness, and thoroughness of the work assigned; transcribing; viewing a computer terminal; extensive reading; visual inspection involving small defects, small parts, and/or operation of machines (including inspection); using measurements devices; and/or assembly or fabrication of parts at distances close to the eyes.
Frequency: F Lifting Lifting: Raising objects from a lower to a higher position or moving objects horizontally from position to positions. Frequency: OAmount: 50+ lbs. Background Check This job requires a valid drivers' license and motor vehicle background check. This job requires a criminal background check. General Notes This job description is not intended to be all-inclusive, additional details will be specified by the supervisor.
The associate will also perform other reasonable business duties assigned by the supervisor. Management reserves the right to change this job description, job responsibilities, duties, and working hours as needs prevail. If requested in accordance with applicable law, the Company provides reasonable accommodation to known physical or mental limitations of an otherwise qualified associate with a disability to allow him/her to perform essential functions of the job unless the accommodation would impose an undue hardship on the Company. Avantic Lodging Enterprises is an at-will employer.
This job description is a guideline and does not constitute a written or implied employment contract. Job Posted by Applicant Pro
