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 (https://www.billingsclinic.com/about-us/) 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-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 (https://www.billingsclinic.com/careers/employee-benefits/) for more information ordownload the Employee Benefits Guide (https://ncstoragemlbillings.blob.core.windows.net/public/2021%20Billings%20Clinic%20Staff%20Benefits%20Guide.pdf) .

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 (https://www.billingsclinic.com/campaign-landing-pages/magnet/) to learn more!

Pre-Employment Requirements

All new employees must complete several pre-employment requirements prior to starting. Click here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more!

RN - Clinical Coding Specialist

FINANCE (Billings Clinic Main Campus)

req7958

Shift: Day

Employment Status: Full-Time (.75 or greater)

Hours per Pay Period: 1.00 = 80 hours (Exempt)

Starting Salary DOE: $66,684 - $83,345

This position may be eligible for a $3000 sign-on bonus, tuition loan repayment, and relocation assistance.

This position is hybrid on site for provider orientation and meetings .

The Clinical Coding Specialist RN will play a clinical role in the coding department. Responsibilities will include responding to questions from the coders, providing physician education as it relates to coding, chart reviews for targeted areas of risk, working in conjunction with multidisciplinary teams to improve the case mix index, identification of issues to be addressed through education or process improvement. Serves as the coding clinical liaison to physicians, healthcare providers and other areas of the organization. Reviews and responds to outside government and third party audits. Is responsible for monitoring for all coding related audit activity in the organization’s tracking mechanism.

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.

• Partners with other departments to improve reimbursement in targeted areas of coding and coordinates process changes necessary to accomplish clinical practices that result in improved reimbursement and/or reduced costs.

Responsible to gather clinical and financial data for proactive analysis, reviews and internal audits. . Responsible to maintain databases and documentation to support statistics on improved reimbursement and reimbursement recovery.

Reviews, analyzes and interprets coding changes and billing regulations and alerts physicians and management to ensure coding procedures used comply with all regulations and ensure maximum reimbursement for services rendered.

Monitors and performs internal audits to assure compliance with needed changes in coding and documentation are followed. Provides education to staff and physicians.

• Research new technologies and new service lines for compliant coding, documentation requirements and reimbursement information. Report findings to department managers and appropriate leadership. Audit to ensure compliance in process, coding, documentation, and to ensure maximum reimbursement is captured. Meets with equipment and drug vendors to ensure proper reimbursement for new equipment/products.

• Identifies educational issues and/or opportunities for all levels of Billings Clinic leadership and professional staff as it relates to reimbursement and coding practices. Develops and presents information to diverse audience groups regarding analysis, trending and recommendations for actions.

• Develops and maintains education for new and existing physicians and non-physician practitioners related to documentation requirements and coding practices.

• Responds to and reviews clinical coding questions from the coding staff and provides clinical direction. Acts as a liaison between coding staff, physicians, healthcare providers and external customers to resolve questions about documentation and/or coding.

• Monitors all coding related audit activity in the organization’s tracking tool. Clinical review of all coding related external audits determinations. Apply clinical and coding assessment 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.

• Performs other duties as assigned or needed to meet the needs of the department/organization

Minimum Qualifications

Education

• Graduate of an accredited school of nursing

• Bachelors degree in nursing is preferred. Associate (or Diploma) RNs hired into this position must commit to completing their Bachelor of Nursing degree within 4 years after their hire date. Billings Clinic will help support the cost through financial assistance.

Experience

• Three (3) years of medical/surgical nursing experience with at least one year of Billings Clinic experience, preferred

Certifications and Licenses

• Current Montana licensure as a Registered Nurse

• Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) preferred or able to obtain within twelve (12) months from date 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 atwww.billingsclinic.com/aboutus (https://www.billingsclinic.com/about-us/)

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