Contract Opportunity | Immediate Opening
Location: Rocky Boy Health Center | Box Elder, Montana
Engagement Type: Contractual
Work Arrangement: On-Site Required for Initial 60 Days; Hybrid or Remote Arrangement May Be Considered Thereafter
Start Date: As Soon As Possible
Contract Duration: Initial Short-Term Engagement with Potential for Extension or Long-Term Contract
Compensation: Competitive, Negotiable Based on Qualifications and Experience
Position Summary:
Rocky Boy Health Center (RBHC) is seeking an experienced Certified Medical Coder for an immediate contractual engagement to support medical coding, provider education, and revenue cycle operations.
The contractor will be responsible for reviewing clinical documentation, assigning accurate diagnosis and procedure codes, resolving coding discrepancies, and supporting timely and accurate claims processing within the Epic Electronic Health Record (EHR) system. The contractor will also provide direct training and technical assistance to medical providers to improve encounter documentation, coding accuracy, and proficiency with Epic coding workflows.
The ideal candidate will possess strong knowledge of outpatient medical coding, demonstrated hands-on Epic experience, and familiarity with Indian Health Service (IHS) and tribal healthcare reimbursement methodologies, including All-Inclusive Rate (AIR) reimbursement.
This opportunity requires an initial 60-day on-site engagement at Rocky Boy Health Center. Following the initial period, hybrid or remote arrangements may be considered based on demonstrated performance, operational needs, and mutual agreement.
RBHC is initially seeking short-term assistance but is open to extending the engagement or establishing a longer-term contractual relationship with a qualified individual.
Scope of Services and Responsibilities: Review clinical documentation and accurately assign ICD-10-CM, CPT, HCPCS, and Evaluation and Management (E/M) codes in accordance with applicable coding guidelines.
Perform medical coding functions within Epic EHR, including managing coding work queues, charge review, and resolution of coding-related issues.
Review outstanding coding assignments and assist in resolving 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 activities, including identification of recurring errors, documentation deficiencies, and opportunities for process improvement.
Maintain compliance with HIPAA, CMS requirements, official coding guidelines, and applicable organizational policies.
Provide individualized, hands-on training and technical assistance to physicians, advanced practice providers, and other clinical personnel regarding accurate encounter coding and documentation.
Educate providers on appropriate selection and application of diagnosis, procedure, and E/M codes.
Assist providers in navigating Epic coding and encounter completion workflows, including diagnosis selection, documentation requirements, and appropriate 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 to support ongoing provider education.
Support accurate encounter coding and documentation for services reimbursed under applicable Indian Health Service (IHS) and tribal healthcare All-Inclusive Rate (AIR) methodologies.
Provide…