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Senior
On-site · Full-time · Mid
Full-time · Manager
+10K new in the last hour
Accurately transforms medical diagnoses and procedures into designated alphanumerical codes in ICD-10-CM and ICD-10-PCS codes, ensuring daily coding volumes are turned around accurately within specified turnaround time.
Serves as the principal resource for documentation, coding and reimbursement research and education for Billings Clinic providers, staff and leadership, focusing on maximizing reimbursement through proper revenue cycle practices.
The role provides strategic medical and clinical support to strengthen claims governance, Fraud, Waste & Abuse (FWA) controls, DRG implementation, and cost containment initiatives. It applies medical judgment to support investigations, audit reviews, complex case assessments, and escalation handling.
Lead and manage the OP medical coding team, ensuring accurate coding, compliance with regulations, and efficient claim submission.