Certified Medical Coder (Contract/On-Site)

Rocky Boy Health Center•Box Elder, MT

2d•Onsite

About The Position

Rocky Boy Health Center (RBHC) is seeking an experienced Certified Medical Coder for an immediate contractual engagement supporting medical coding, provider education, and revenue cycle operations. The contractor will review clinical documentation, assign accurate diagnosis and procedure codes, resolve coding discrepancies, and support timely, accurate claims processing in Epic EHR. The role also provides direct, hands-on training and technical assistance to medical providers to improve encounter documentation, coding accuracy, and proficiency with Epic coding workflows. The position requires strong outpatient medical coding knowledge, hands-on Epic experience, and familiarity with Indian Health Service (IHS) and tribal healthcare reimbursement methodologies, including All-Inclusive Rate (AIR) reimbursement. Services must be performed on-site at Rocky Boy Health Center in Box Elder, Montana, for the initial 60 days. After that period, hybrid or remote arrangements may be considered based on performance, operational needs, and mutual agreement; they are not guaranteed. The engagement is initially short-term, with the possibility of extension or a longer-term contractual relationship. Compensation, scheduling, duration, and other terms will be negotiated based on qualifications, availability, and organizational needs. The contractor must be able to begin as soon as possible.

Requirements

Current professional medical coding certification, such as CPC, CCS, CCS-P, or an equivalent recognized credential.
Demonstrated hands-on experience performing medical coding functions within Epic EHR.
At least two years of professional medical coding experience.
Experience providing coding education, training, or technical assistance to medical providers.
Proficiency in ICD-10-CM, CPT, HCPCS, and E/M coding.
Strong knowledge of medical terminology, clinical documentation requirements, and healthcare reimbursement practices.
Familiarity with Medicare, Medicaid, and third-party payer coding and billing requirements.
Ability to independently manage coding assignments, identify discrepancies, and maintain high standards of accuracy and productivity.
Strong analytical, organizational, problem-solving, and communication skills.
Ability to provide services on-site at Rocky Boy Health Center for the initial 60-day period.

Nice To Haves

Experience with IHS or tribal healthcare AIR reimbursement methodologies and encounter-based billing.
Experience with Epic coding work queues, charge review, and revenue cycle workflows.
Experience in ambulatory or outpatient medical coding.
Experience with provider documentation improvement, coding audits, and educational program development.
Experience addressing coding backlogs, claim denials, and revenue cycle inefficiencies.
Previous experience providing contractual or consulting medical coding services.
Experience working with IHS, tribally operated healthcare programs, or federally funded healthcare organizations.

Responsibilities

Review clinical documentation and assign ICD-10-CM, CPT, HCPCS, and Evaluation and Management (E/M) codes in accordance with applicable coding guidelines.
Perform coding functions in Epic EHR, including managing coding work queues, charge review, and resolving coding-related issues.
Review outstanding coding assignments and help resolve backlogs that may delay claims submission or reimbursement.
Identify incomplete or inconsistent documentation and coordinate with medical providers to obtain clarification.
Collaborate with Revenue Cycle and billing personnel to resolve coding discrepancies, claim edits, denials, and reimbursement issues.
Support coding quality assurance by identifying recurring errors, documentation deficiencies, and opportunities for process improvement.
Maintain compliance with HIPAA, CMS requirements, official coding guidelines, and organizational policies.
Provide individualized, hands-on coding and documentation training and technical assistance to physicians, advanced practice providers, and other clinical personnel.
Educate providers on appropriate selection and application of diagnosis, procedure, and E/M codes.
Assist providers with Epic coding and encounter-completion workflows, including diagnosis selection, documentation requirements, and charge capture.
Identify recurring coding and documentation errors and provide targeted education and recommendations for improvement.
Serve as a technical resource for providers regarding coding guidelines, documentation standards, payer requirements, and coding-related questions.
Collaborate with clinical leadership to improve provider coding proficiency, documentation quality, and encounter-completion practices.
Develop or recommend educational resources, workflow guidance, and coding reference materials for ongoing provider education.
Support accurate encounter coding and documentation for services reimbursed under applicable IHS and tribal healthcare AIR methodologies.
Advise providers and Revenue Cycle personnel on coding and documentation requirements for AIR-eligible encounters.
Assist in identifying and resolving coding, documentation, and billing issues affecting encounter-based reimbursement.
Review coding practices to support appropriate encounter capture and compliance with Medicare, Medicaid, and other payer requirements.
Provide technical assistance regarding payer-specific coding requirements, same-day encounter rules, and distinctions between AIR and traditional fee-for-service reimbursement.
Identify opportunities to strengthen coding accuracy, revenue integrity, and reimbursement processes in the organization's tribal healthcare setting.