Certified Medical Coder (Full-Time)

Rocky Boy Health Center•Box Elder, MT

2d•Onsite

About The Position

The Certified Medical Coder is responsible for accurate, timely, and compliant coding of medical services provided at Rocky Boy Health Center (RBHC). The position reviews clinical documentation, assigns diagnosis and procedure codes, and ensures coding accuracy to support billing, reimbursement, regulatory compliance, and revenue cycle operations. The coder must have an active professional coding certification and demonstrated experience using the Epic Electronic Health Record (EHR) system, and collaborates with providers, billing personnel, and revenue cycle staff to support accurate documentation, appropriate coding, and timely claims processing. The role also provides ongoing training and technical assistance to medical providers on encounter coding, clinical documentation, and Epic EHR coding functions. It provides individualized, hands-on guidance on encounter completion, diagnosis selection, procedure coding, and documentation requirements, and helps providers identify and correct deficiencies that may affect billing, reimbursement, or compliance. Other related duties may be assigned.

Requirements

High school diploma or equivalent required.
Current professional medical coding certification required, such as CPC through AAPC, CCS through AHIMA, or an equivalent recognized coding credential.
Demonstrated professional experience using the Epic Electronic Health Record (EHR) system required.
At least two years of professional medical coding experience required.
Proficiency in ICD-10-CM, CPT, and HCPCS coding systems.
Working knowledge of medical terminology, anatomy, physiology, and healthcare reimbursement practices.
Familiarity with Medicare, Medicaid, and other third-party payer coding and billing requirements.
Knowledge of HIPAA regulations and patient confidentiality requirements.
Strong attention to detail and analytical skills, including the ability to identify and resolve coding discrepancies.
Ability to work independently, manage competing priorities, and meet established productivity and accuracy standards.
Effective written and verbal communication skills and ability to collaborate with clinical and administrative personnel.
Applicants must have both an active professional medical coding certification and prior hands-on Epic experience; candidates who do not meet both requirements will not be considered.

Nice To Haves

Associate degree in Health Information Management, Medical Coding, Healthcare Administration, or a related field.
Experience coding in an ambulatory or outpatient healthcare setting.
Experience with IHS or tribal health program All-Inclusive Rate (AIR) reimbursement and associated encounter coding and billing requirements.
Experience providing coding education, training, and technical assistance to physicians, advanced practice providers, and other clinical personnel, particularly within Epic EHR.
Experience with Epic coding workflows, charge review, and coding-related work queues.
Experience working in a tribal health program, Indian Health Service (IHS), or federally funded healthcare organization.
Experience with coding audits, denial management, and clinical documentation improvement.

Responsibilities

Review medical records and clinical documentation and assign accurate ICD-10-CM, CPT, and HCPCS codes according to established coding guidelines.
Perform coding within the Epic EHR system and ensure accuracy, completeness, and timely processing.
Review provider documentation to confirm codes reflect services rendered and support medical necessity.
Identify incomplete, inconsistent, or insufficient documentation and communicate with providers to obtain clarification.
Collaborate with billing and revenue cycle personnel to resolve coding discrepancies, claim denials, and reimbursement issues.
Monitor coding-related work queues in Epic and resolve assigned tasks in a timely manner.
Conduct coding reviews and audits to identify errors, trends, and opportunities for improvement.
Maintain compliance with applicable federal, tribal, and organizational regulations, including HIPAA, CMS requirements, and official coding guidelines.
Stay current with coding classifications, payer requirements, reimbursement methodologies, and industry best practices.
Educate providers and clinical staff about documentation requirements and coding accuracy.
Support efforts to improve coding quality, revenue integrity, and operational efficiency.
Provide ongoing training and technical assistance to medical providers on encounter coding, clinical documentation, and Epic EHR coding functions.
Educate providers on selecting and applying ICD-10-CM, CPT, HCPCS, and Evaluation and Management (E/M) codes appropriately.
Assist providers in identifying and correcting coding and documentation deficiencies affecting billing accuracy, reimbursement, or regulatory compliance.
Provide hands-on guidance to providers on encounter completion, diagnosis selection, procedure coding, and documentation requirements within Epic.
Perform other related duties as assigned.