Coder I- HIM (FT- 1.0 FTE, Day Shift, Remote)

This position can be remote. Please review the approved remote states below.

 

Remote Work Approved States:

Arizona

Florida

Georgia

Idaho

Iowa

South Dakota

Texas

South Carolina

Wisconsin

North Carolina

Michigan

*If your state is not listed, you must relocate to Montana or one of the approved states above to be eligible for this position.

Position Summary: 

The Coder I is responsible for accurately abstracting and assigning diagnosis and procedure codes for outpatient, ambulatory, and ancillary encounters using ICD-10-CM, CPT, and HCPCS coding systems. This role ensures the integrity of coded data to support appropriate reimbursement, compliance with regulatory standards, and the overall performance of the revenue cycle. The Coder I collaborates with clinicians, clinical documentation improvement staff, and Revenue Cycle teams to resolve documentation gaps, address coding edits and denials, and maintain data quality. The position contributes to audit readiness, process improvement, and education across departments.

Minimum Qualifications:

Required:

• High school diploma or equivalent.
• Successful completion of a medical coding program.
• One (1) of the following professional coding certifications:
  • Certified Coding Associate (CCA), or
  • Certified Professional Coder – Apprentice (CPC-A).

Preferred:

• Two (2) years of experience in medical coding, or the equivalent combination of healthcare experience, education, and training.

Essential Job Functions: In addition to the job's essential functions listed below, employees must have on-time completion of all required education as assigned per DNV requirements, Bozeman Health policy, and other registry requirements.

• Assigns diagnosis, procedure, ancillary, and evaluation and management codes in accordance with current coding guidelines to ensure ethical and accurate reporting and reimbursement.
• Abstracts medical, surgical, demographic, and administrative data from the patient record to support complete data capture and optimize reimbursement.
• Follows Clinical Documentation Improvement (CDI) protocols by querying providers and reconciling diagnosis assignments when required.
• Prioritizes assignments, dashboards, and work queues to support timely coding and financial outcomes.
• Applies Medicare billing rules, including Local and National Coverage Determinations (LCDs), National Coverage Determinations (NCDs), and National Correct Coding Initiative (NCCI) edits.
• Reviews professional and facility claims for accuracy and completeness before submission to minimize claim denials and rework.
• Manages assigned claim edits, denials, and account reviews in collaboration with other departments to ensure timely resolution.
• Identifies documentation or data integrity issues and reports them to the appropriate team.
• Communicates with clinicians and department staff to resolve documentation deficiencies and support accurate code assignment and compliance.
• Reports electronic health record (EHR) or system issues related to coding and assists with resolution.
• Maintains confidentiality and data security in accordance with HIPAA regulations and organizational policies.
• Escalates complex issues to leadership using established escalation pathways.
• Participates in coding team meetings, cross-departmental discussions, and educational initiatives.
• Attends required seminars and workshops to stay current with coding regulations and practices.
• Engages in job shadowing or coder training as needed for team collaboration and skill development.
• Identifies opportunities for efficiency and accuracy in coding processes.
• Meets established productivity and quality benchmarks as set by the System Manager of Coding.

Knowledge, Skills and Abilities

• Demonstrates sound judgment, patience, and maintains a professional demeanor at all times.
• Exercises tact, discretion, sensitivity, and maintains confidentiality.
• Performs essential job functions successfully in a busy and stressful environment.
• Learns current and new computer applications and office equipment utilized at Bozeman Health.
• Strong interpersonal, verbal, and written communication skills.
• Analyzes, organizes, and prioritizes work while meeting multiple deadlines.
• Knowledge of medical terminology, anatomy, physiology, pathophysiology, and the structure and format of electronic medical records.

Schedule Requirements

• This role requires regular and sustained attendance.
• The position may necessitate working beyond a standard 40-hour workweek, including weekends and after-hours shifts.
• On-call work may be required to respond promptly to organizational, patient, or employee needs.

Physical Requirements

• Lifting (Rarely – 30 pounds): Exerting force occasionally and/or using a negligible amount of force to lift, carry, push, pull, or otherwise move objects or people.
• Sit (Continuously): Maintaining a sitting posture for extended periods may include adjusting body position to prevent discomfort or strain.
• Stand (Occasionally): Maintaining a standing posture for extended periods may include adjusting body position to prevent discomfort or strain.
• Walk (Occasionally): Walking and moving around within the work area requires good balance and coordination.
• Climb (Rarely): Ascending or descending ladders, stairs, scaffolding, ramps, poles, and the like using feet and legs; may also use hands and arms.
• Twist/Bend/Stoop/Kneel (Occasionally): Twisting, bending, stooping, and kneeling require flexibility and a wide range of motion in the spine and joints.
• Reach Above Shoulder Level (Occasionally): Lifting, carrying, pushing, or pulling objects as necessary above the shoulder, requiring strength and stability.
• Push/Pull (Occasionally): Using the upper extremities to press or exert force against something with steady force to thrust forward, downward, or outward.
• Fine-Finger Movements (Continuously): Picking, pinching, typing, or otherwise working primarily with fingers rather than using the whole hand as in handling.
• Vision (Continuously): Close visual acuity to prepare and analyze data and figures and to read computer screens, printed materials, and handwritten materials.
• Cognitive Skills (Continuously): Learn new tasks, remember processes, maintain focus, complete tasks independently, and make timely decisions in the context of a workflow.
• Exposures (Rarely): Bloodborne pathogens, such as blood, bodily fluids, or tissues. Radiation in settings where medical imaging procedures are performed. Various chemicals and medications are used in healthcare settings. Job tasks may involve handling cleaning products, disinfectants, and other substances. Infectious diseases due to contact with patients in areas that may have contagious illnesses.

*Frequency Key:  Continuously (100% - 67% of the time), Repeatedly (66% - 33% of the time), Occasionally (32% - 4% of the time), Rarely (3% - 1% of the time), Never (0%).

77212200 HIM Production