Bozeman Health

Role Description This position can be remote. Please review the approved remote states below. - Arizona - Florida - Georgia - Idaho - Iowa - South Dakota - Texas - South Carolina - Wisconsin - North Carolina - Michigan *If your state is not listed, you must relocate to Montana or one of the approved states above to be eligible for this position. The Clinical Documentation Improvement Specialist (CDIS) conducts concurrent reviews of inpatient medical records to enhance the quality, accuracy, and completeness of documentation. Utilizing clinical expertise and current coding systems (ICD-10-CM & PCS), the CDIS ensures proper code assignment and alignment with the patient’s clinical condition and care provided. The role involves collaborating with providers through education and the physician query process to support severity of illness, quality metrics, and regulatory compliance. Additionally, the CDIS maintains expertise in coding principles, government regulations, and third-party requirements while serving as a resource for clinicians, coders, and Revenue Cycle teams. Qualifications - Bachelor's degree in Nursing (RN) with current Registered Nurse (RN) licensure; OR - Graduate of an accredited or equivalent international medical program or advanced medical program (MD, DO, NP, MBBS or equivalent); OR - Ten (10) years of experience in Clinical Documentation Improvement (CDI) in an acute care setting - At least one of the following CDI or coding credentials/certifications: - Certified Coding Specialist (CCS) - Certified Clinical Documentation Specialist (CCDS) - Certified Documentation Improvement Practitioner (CDIP) - Registered Health Information Administrator (RHIA) - Registered Health Information Technician (RHIT) Requirements - Three (3) years of experience in one of the following areas: - Medical/Surgical or Critical Care nursing. - Clinical Documentation Improvement (CDI) or Inpatient Coding in an acute care setting. - Experience with Epic and 3M 360 Encoder systems. Essential Job Functions - Ensure ethical, accurate, and complete coding by adhering to current coding practices, guidelines, and conventions when assigning DRGs, diagnoses, and procedures. - Conduct concurrent medical record reviews for inpatient admissions, assigning a working principal diagnosis, secondary diagnoses, procedures, and DRG. - Follow CDI processes for querying providers, reconciling DRG or diagnosis assignments with facility coders, and resolving physician queries before patient discharge. - Collaborate with healthcare professionals, including physicians, advanced practice providers, case managers, and coders, to ensure documentation accurately reflects severity of illness, risk of mortality, and level of services provided. - Utilize designated clinical documentation systems (e.g., 3M 360, Epic) to identify documentation improvement opportunities and enhance hospital outcomes. - Identify medical record data integrity issues and escalate concerns related to coding, CDI functions, or electronic health record (EHR) systems to the appropriate department. - Maintain compliance with HIPAA regulations to ensure data security and patient confidentiality. - Participate in team, clinician, and interdepartmental meetings, as well as training, shadowing, and education initiatives for staff related to compliance, coding, and CDI best practices. - Provide education and act as a consultant to coders and clinical staff when additional documentation or clarification is needed for accurate DRG assignment and coding compliance. - Identify and recommend process improvements and efficiencies within CDI and coding workflows while monitoring and reporting patterns, trends, and variances in documentation. - Generate scheduled reports and other reports as requested to track CDI effectiveness and documentation trends. - Stay up to date with CMS regulations and industry best practices, researching literature and incorporating changes into daily CDI practice. - Meet productivity and quality standards as designated by the System Manager of CDI and complete special projects as assigned. Knowledge, Skills and Abilities - Demonstrates sound judgment, patience, and maintains a professional demeanor at all times. - Exercises tact, discretion, sensitivity, and maintains confidentiality. - Performs essential job functions successfully in a busy and stressful environment. - Learns current and new computer applications and office equipment utilized at Bozeman Health. - Strong interpersonal, verbal, and written communication skills. - Analyzes, organizes, and prioritizes work while meeting multiple deadlines. Schedule Requirements - This role requires regular and sustained attendance. - The position may necessitate working beyond a standard 40-hour workweek, including weekends and after-hours shifts. - On-call work may be required to respond promptly to organizational, patient, or employee needs. Physical Requirements - Lifting (Rarely – 30 pounds): Exerting force and/or using a negligible amount of force to lift, carry, push, pull, or otherwise move objects or people. - Sit (Continuously): Maintaining a sitting posture for extended periods may include adjusting body position to prevent discomfort or strain. - Stand (Occasionally): Maintaining a standing posture for extended periods may include adjusting body position to prevent discomfort or strain. - Walk (Occasionally): Walking and moving around within the work area requires good balance and coordination. - Climb (Rarely): Ascending or descending ladders, stairs, scaffolding, ramps, poles, and the like using feet and legs; may also use hands and arms. - Twist/Bend/Stoop/Kneel (Occasionally): Twisting, bending, stooping, and kneeling require flexibility and a wide range of motion in the spine and joints. - Reach Above Shoulder Level (Occasionally): Lifting, carrying, pushing, or pulling objects as necessary above the shoulder, requiring strength and stability. - Push/Pull (Occasionally): Using the upper extremities to press or exert force against something with steady force to thrust forward, downward, or outward. - Fine-Finger Movements (Continuously): Picking, pinching, typing, or otherwise working primarily with fingers rather than using the whole hand as in handling. - Vision (Continuously): Close visual acuity to prepare and analyze data and figures and to read computer screens, printed materials, and handwritten materials. - Cognitive Skills (Continuously): Learn new tasks, remember processes, maintain focus, complete tasks independently, and make timely decisions in the context of a workflow. - Exposures (Rarely): Bloodborne pathogens, such as blood, bodily fluids, or tissues. Radiation in settings where medical imaging procedures are performed. Various chemicals and medications are used in healthcare settings. Job tasks may involve handling cleaning products, disinfectants, and other substances. Infectious diseases due to contact with patients in areas that may have contagious illnesses.

Role Description The Trauma Registrar retrieves, abstracts, analyzes, and enters clinical and demographic data into the trauma registry database in accordance with American College of Surgeons (ACS), State of Montana, and organizational guidelines. This role supports the integrity, accuracy, and completeness of trauma program data used for quality improvement, benchmarking, reporting, and regulatory compliance. The incumbent collaborates with the Trauma Program leadership team to identify trends, support performance improvement initiatives, and maintain compliance with trauma registry standards. The Trauma Registrar also assists with trauma-related reporting, committee preparation, and registry maintenance activities. Qualifications - High School Diploma or equivalent. - Completion of a Trauma Registry Course within one (1) year of hire. - Completion of the Association for the Advancement of Automotive Medicine (AAAM) Injury Scale Course within one (1) year of hire. - Completion of an International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) course within the last five (5) years or within one (1) year of hire. - Preferred: College or vocational training in healthcare. - Preferred: Current Montana Emergency Medical Technician (EMT) licensure. - Preferred: Prior experience in trauma registry, medical coding, or healthcare data abstraction. - Preferred: Experience with healthcare quality improvement systems and reporting processes. Requirements - Attend an International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) course every five (5) years to maintain current coding knowledge and compliance. - Organize and maintain trauma registry data systems in accordance with trauma registry operational standards and regulatory requirements. - Retrieve, abstract, and process patient data as established by the American College of Surgeons (ACS) and the State of Montana. - Analyze trauma patient records for completeness, accuracy, and compliance with trauma registry guidelines. - Complete chart reviews and submit required data to the National Trauma Data Bank (NTDB) and State of Montana trauma registry. - Generate reports and provide trauma registry data to support trauma program quality review, benchmarking, and reporting activities. - Report quality, documentation, and system concerns that may impact trauma program integrity to the Trauma Coordinator. - Attend trauma committee meetings and assist with meeting documentation and follow-up activities as assigned. - Assist with trauma-related education, prevention, and community outreach activities as assigned. - Perform trauma scribe responsibilities and additional trauma program support duties as assigned. Knowledge, Skills and Abilities - Demonstrates sound judgment, patience, and maintains a professional demeanor at all times. - Exercises tact, discretion, sensitivity, and maintains confidentiality. - Performs essential job functions successfully in a busy and stressful environment. - Learns current and new computer applications and office equipment utilized at Bozeman Health. - Strong interpersonal, verbal, and written communication skills. - Analyzes, organizes, and prioritizes work while meeting multiple deadlines. Schedule Requirements - This role requires regular and sustained attendance. - The position may necessitate working beyond a standard 40-hour workweek, including weekends and after-hours shifts. - On-call work may be required to respond promptly to organizational, patient, or employee needs. Physical Requirements - Lifting (Rarely – 30 pounds): Exerting force and/or using a negligible amount of force to lift, carry, push, pull, or otherwise move objects or people. - Sit (Continuously): Maintaining a sitting posture for extended periods may include adjusting body position to prevent discomfort or strain. - Stand (Occasionally): Maintaining a standing posture for extended periods may include adjusting body position to prevent discomfort or strain. - Walk (Occasionally): Walking and moving around within the work area requires good balance and coordination. - Climb (Rarely): Ascending or descending ladders, stairs, scaffolding, ramps, poles, and the like using feet and legs; may also use hands and arms. - Twist/Bend/Stoop/Kneel (Occasionally): Twisting, bending, stooping, and kneeling require flexibility and a wide range of motion in the spine and joints. - Reach Above Shoulder Level (Occasionally): Lifting, carrying, pushing, or pulling objects as necessary above the shoulder, requiring strength and stability. - Push/Pull (Occasionally): Using the upper extremities to press or exert force against something with steady force to thrust forward, downward, or outward. - Fine-Finger Movements (Continuously): Picking, pinching, typing, or otherwise working primarily with fingers rather than using the whole hand as in handling. - Vision (Continuously): Close visual acuity to prepare and analyze data and figures and to read computer screens, printed materials, and handwritten materials. - Cognitive Skills (Continuously): Learn new tasks, remember processes, maintain focus, complete tasks independently, and make timely decisions in the context of a workflow. - Exposures (Rarely): Bloodborne pathogens, such as blood, bodily fluids, or tissues. Radiation in settings where medical imaging procedures are performed. Various chemicals and medications are used in healthcare settings. Job tasks may involve handling cleaning products, disinfectants, and other substances. Infectious diseases due to contact with patients in areas that may have contagious illnesses.

Role Description This position can be remote. Please review the approved remote states below. - Arizona - Florida - Georgia - Idaho - Iowa - South Dakota - Texas - South Carolina - Wisconsin - North Carolina - Michigan *If your state is not listed, you must relocate to Montana or one of the approved states above to be eligible for this position. The Application Analyst II is an advanced position that has progressed in proficiency and is able to independently manage day-to-day application operations for assigned departments, escalating highly complex issues as needed. Provides expertise in area of application responsibility working closely with subject matter experts as needed to resolve incidents, fulfill requests, and perform builds that support project requirements. Optimizes the application through development of new functionality, testing, and implementing scheduled vendor releases and system upgrades. Ensures application changes follow change management procedures and protocols, creates and maintains required documentation, and develops, plans, and executes testing for supported applications. Communicates all necessary application changes, enhancements, and procedures to all affected departments. Qualifications - Bachelor’s Degree in Computer Science, Information Systems, Business Administration, or Healthcare Administration or related field; equivalent combination of education and work experience may be considered. - Epic Accreditation or Certification, examples including but not limited to Epic Willow, Epic Beaker, Epic Ambulatory, Epic MyChart. - Two (2) years of work experience managing the Epic module(s) applicable to certification(s). - Current Bozeman Health IT Department employees with one (1) year of service and two (2) years of work experience using Epic may obtain new Epic certification in job-assigned Epic module within six (6) months of position start. Must remain working in job-assigned Epic module for one (1) year after earning new certification. - Four (4) years of work experience in a similar position in healthcare (Preferred). Requirements - On-time completion of all required education as assigned per DNV requirements, Bozeman Health policy, and other registry requirements. - Primary resource dedicated to designing, building, testing, and activating the application database. - Supports new project development including system analysis, planning and preparation. - Participates on new implementation/installation project teams. - Assists other Applications staff and vendors with technical and process issues. - Troubleshoots, researches, and solves technically challenging problems involving integrated systems. - Tests and verifies software releases, upgrades, and changes prior to the promotion of code to the production environment. - Analyzes business processes to ensure proper system configuration. - Documents and maintains all required system design and build documents. - Supports end users within the facility and offsite locations. - Contributes to preparation of testing scripts and perform unit, system, and integrated testing tasks. - Logs, tracks, analyzes, and coordinates system changes including any software code implementations. - Participates in all key stakeholder working sessions in order to problem solve and gather new initiative requirements, while fostering rapport and excellent communication. - Establishes detailed knowledge and documentation of related end-user workflows. - Less than 20% travel required to support new implementation, learning/training objectives and IT initiatives. Knowledge, Skills and Abilities - Demonstrates sound judgment, patience, and maintains a professional demeanor at all times. - Exercises tact, discretion, sensitivity, and maintains confidentiality. - Performs essential job functions successfully in a busy and stressful environment. - Learns current and new computer applications and office equipment utilized at Bozeman Health. - Strong interpersonal, verbal, and written communication skills. - Analyzes, organizes, and prioritizes work while meeting multiple deadlines. Schedule Requirements - This role requires regular and sustained attendance. - The position may necessitate working beyond a standard 40-hour workweek, including weekends and after-hours shifts. - On-call work may be required to respond promptly to organizational, patient, or employee needs. Physical Requirements - Lifting (Rarely – 30 pounds): Exerting force occasionally and/or using a negligible amount of force to lift, carry, push, pull, or otherwise move objects or people. - Sit (Continuously): Maintaining a sitting posture for extended periods may include adjusting body position to prevent discomfort or strain. - Stand (Occasionally): Maintaining a standing posture for extended periods may include adjusting body position to prevent discomfort or strain. - Walk (Occasionally): Walking and moving around within the work area requires good balance and coordination. - Climb (Rarely): Ascending or descending ladders, stairs, scaffolding, ramps, poles, and the like using feet and legs; may also use hands and arms. - Twist/Bend/Stoop/Kneel (Occasionally): Twisting, bending, stooping, and kneeling require flexibility and a wide range of motion in the spine and joints. - Reach Above Shoulder Level (Occasionally): Lifting, carrying, pushing, or pulling objects as necessary above the shoulder, requiring strength and stability. - Push/Pull (Occasionally): Using the upper extremities to press or exert force against something with steady force to thrust forward, downward, or outward. - Fine-Finger Movements (Continuously): Picking, pinching, typing, or otherwise working primarily with fingers rather than using the whole hand as in handling. - Vision (Continuously): Close visual acuity to prepare and analyze data and figures and to read computer screens, printed materials, and handwritten materials. - Cognitive Skills (Continuously): Learn new tasks, remember processes, maintain focus, complete tasks independently, and make timely decisions in the context of a workflow. - Exposures (Rarely): Bloodborne pathogens, such as blood, bodily fluids, or tissues. Radiation in settings where medical imaging procedures are performed. Various chemicals and medications are used in healthcare settings. Job tasks may involve handling cleaning products, disinfectants, and other substances. Infectious diseases due to contact with patients in areas that may have contagious illnesses.

Role Description The Epic Cadence/Prelude Application Analyst is responsible for the build, maintenance, and support of the Epic scheduling and registration modules within the hospital system. This role focuses on optimizing patient access workflows, including: - Appointment scheduling - Patient registration - Real-time eligibility (RTE) verification The analyst works closely with operational departments to ensure system configurations align with front-end revenue cycle goals, improves scheduling efficiency, and supports accurate insurance validation through integrated RTE functionality. This position can be remote. Please review the approved remote states below: - Arizona - Florida - Georgia - Idaho - Iowa - South Dakota - Texas - South Carolina - Wisconsin - North Carolina - Michigan *If your state is not listed, you must relocate to Montana or one of the approved states above to be eligible for this position. Qualifications - Bachelor’s Degree in Computer Science, Information Systems, Business Administration, or Healthcare Administration or related field; equivalent combination of education and work experience may be considered. - Epic Accreditation or Certification, examples including but not limited to Epic Willow, Epic Beaker, Epic Ambulatory, Epic MyChart. - Two (2) years of work experience managing the Epic module(s) applicable to certification(s). - Current Bozeman Health IT Department employees with one (1) year of service and two (2) years of work experience using Epic may obtain new Epic certification in job-assigned Epic module within six (6) months of position start. Must remain working in job-assigned Epic module for one (1) year after earning new certification. - Four (4) years of work experience in a similar position in healthcare (preferred). Requirements - On-time completion of all required education as assigned per DNV requirements, Bozeman Health policy, and other registry requirements. - Primary resource dedicated to designing, building, testing, and activating the application database. - Supports new project development including system analysis, planning, and preparation. - Participates on new implementation/installation project teams. - Assists other Applications staff and vendors with technical and process issues. - Troubleshoots, researches, and solves technically challenging problems involving integrated systems. - Tests and verifies software releases, upgrades, and changes prior to the promotion of code to the production environment. - Analyzes business processes to ensure proper system configuration. - Documents and maintains all required system design and build documents. - Supports end users within the facility and offsite locations. - Contributes to preparation of testing scripts and perform unit, system, and integrated testing tasks. - Logs, tracks, analyzes, and coordinates system changes including any software code implementations. - Participates in all key stakeholder working sessions to problem solve and gather new initiative requirements, while fostering rapport and excellent communication. - Establishes detailed knowledge and documentation of related end-user workflows. - Less than 20% travel required to support new implementation, learning/training objectives, and IT initiatives. Company Description

Role Description This position can be remote. Please review the approved remote states below. - Arizona - Florida - Georgia - Idaho - Iowa - South Dakota - Texas - South Carolina - Wisconsin - North Carolina - Michigan *If your state is not listed, you must relocate to Montana or one of the approved states above to be eligible for this position. The Revenue Cycle Denial Specialist reviews, analyzes, and resolves post-billed denials and rejections for hospital and professional claims to support accurate reimbursement and denial prevention. This role applies expertise in payer requirements, government regulations, and appeal processes to determine root cause, validate denial rationale, and drive corrective actions. The specialist prepares and manages appeals within required timelines, collaborates across departments to reduce avoidable denials, and provides reporting and education to support system-wide revenue cycle performance. Provides reporting, analysis, and coordination support for the Denial Steering Committee and Task Force to drive denial reduction strategies and operational improvements. Qualifications - Associate's degree or Certification in Healthcare Business, or related field, or equivalent combination of education and experience may be considered. - Three (3) years of healthcare experience in a revenue cycle position. - Three (3) years of experience working with International Classification of Diseases, Tenth Revision (ICD-10) diagnosis and procedure coding, Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), modifiers, and coding guidelines. - Proficiency with Microsoft Office applications, including advanced Excel, Word, and PowerPoint skills. Requirements - Healthcare Financial Management Association Revendure Cycle Representative (HFMA CRCR) or Certified Professional Coder (CPC) certifications (Preferred). - Five (5) years of experience in a hospital revenue cycle billing position (Preferred). - Experience with Epic or other electronic medical record (EMR) applications (Preferred). - Experience using payer portals, electronic work queues, and denial/appeals tracking tools (Preferred). Essential Job Functions - Analyze denials to determine root cause, appeal eligibility, and appropriate resolution strategy. - Prepare, submit, and track payer appeals and reconsiderations within required timeframes. - Manage the full appeal lifecycle, ensuring compliance with contractual and regulatory requirements. - Monitor denial and appeal trends; develop reports and dashboards for leadership and committees. - Present findings and recommendations to support denial reduction and process improvement efforts. - Collaborate with coding, billing, clinical, compliance, and operational teams to address denial drivers. - Develop and deliver education and training to reduce avoidable denials and improve workflows. - Support denial-related committees and task forces through reporting, analysis, and coordination. - Manage audit requests, including Recovery Audit Contractor (RAC) and governmental audits, ensuring timely submission and tracking. - Perform audits and utilize reporting tools (e.g., Epic) to support data analysis and operational insights. - Maintain knowledge of payer rules, state and federal regulations, and reimbursement requirements. Knowledge, Skills and Abilities - Demonstrates sound judgment, patience, and maintains a professional demeanor at all times. - Exercises tact, discretion, sensitivity, and maintains confidentiality. - Performs essential job functions successfully in a busy and stressful environment. - Learns current and new computer applications and office equipment utilized at Bozeman Health. - Strong interpersonal, verbal, and written communication skills. - Analyzes, organizes, and prioritizes work while meeting multiple deadlines. Schedule Requirements - This role requires regular and sustained attendance. - The position may necessitate working beyond a standard 40-hour workweek, including weekends and after-hours shifts. - On-call work may be required to respond promptly to organizational, patient, or employee needs. Physical Requirements - Lifting (Rarely – 30 pounds): Exerting force occasionally and/or using a negligible amount of force to lift, carry, push, pull, or otherwise move objects or people. - Sit (Continuously): Maintaining a sitting posture for extended periods may include adjusting body position to prevent discomfort or strain. - Stand (Occasionally): Maintaining a standing posture for extended periods may include adjusting body position to prevent discomfort or strain. - Walk (Occasionally): Walking and moving around within the work area requires good balance and coordination. - Climb (Rarely): Ascending or descending ladders, stairs, scaffolding, ramps, poles, and the like using feet and legs; may also use hands and arms. - Twist/Bend/Stoop/Kneel (Occasionally): Twisting, bending, stooping, and kneeling require flexibility and a wide range of motion in the spine and joints. - Reach Above Shoulder Level (Occasionally): Lifting, carrying, pushing, or pulling objects as necessary above the shoulder, requiring strength and stability. - Push/Pull (Occasionally): Using the upper extremities to press or exert force against something with steady force to thrust forward, downward, or outward. - Fine-Finger Movements (Continuously): Picking, pinching, typing, or otherwise working primarily with fingers rather than using the whole hand as in handling. - Vision (Continuously): Close visual acuity to prepare and analyze data and figures and to read computer screens, printed materials, and handwritten materials. - Cognitive Skills (Continuously): Learn new tasks, remember processes, maintain focus, complete tasks independently, and make timely decisions in the context of a workflow. - Exposures (Rarely): Bloodborne pathogens, such as blood, bodily fluids, or tissues. Radiation in settings where medical imaging procedures are performed. Various chemicals and medications are used in healthcare settings. Job tasks may involve handling cleaning products, disinfectants, and other substances. Infectious diseases due to contact with patients in areas that may have contagious illnesses.

This position can be remote. Please review the approved remote states below. Remote Work Approved States: Arizona Florida Georgia Idaho Iowa South Dakota Texas South Carolina Wisconsin North Carolina Michigan *If your state is not listed, you must relocate to Montana or one of the approved states above to be eligible for this position. Position Summary: The Nurse Navigator collaborates with providers and/or clinical areas to coordinate service and ensure quality of care for patients. This nurse interdependently assesses, evaluates and implements care delivered to patients and ensures a smooth transition of patients from clinic to procedural and outpatient treatment areas. The nurse navigator, together with the multidisciplinary team, facilitates timely scheduling of appointments, diagnostic testing, and procedures to expedite the plan of care and promote continuity of care. The registered nurse also plans and implements patient and family education. Minimum Qualifications: Required - Bachelors in Nursing from accredited nursing school - Montana Licensure (Registered Nurse) - American Heart Association BLS - 1 year of direct patient care experience Preferred - Certification in specialty - Experience in specialty - 3 years of direct patient care experience Essential Job Functions: In addition to the essential functions of the job listed below, employees must have on-time completion of all required education as assigned per DNV requirements, Bozeman Health policy, and other registry requirements. - Coordination of patients - Actively participates as a team member by communicating with providers, schedulers, nursing, infusion, radiology, lab, and other departments - Assist in tracking of incidental radiological/laboratory findings as needed. Contact patients if needed to assure appropriate follow up is done. - Coordinate the ordering, scheduling, and performance of selected procedures and treatments as indicated. - Collaborate with clinic team as well as other departments to ensure overall coordination of services and ensure positive interactions with providers from oncology, primary care, and specialty/procedural areas. - Assist with Survivorship care planning as needed - Counsel and educate patients to insure the patient is well informed of all portions of the plan of care - Works with non-licensed staff to gather necessary medical records for review. - Works with other co-workers to improve care processes in the department. - Room patients - Gather patient data consistently and accurately, collect information on history of present illness or injury, obtain vital signs, review current medications and allergies. Document patient encounters in EMR. - Triage and respond to patient phone messages in a timely manner according to clinic guidelines, collaborate with provider, act on provider response, and communicate with patient; document task communications in EMR/paper chart. Knowledge, Skills, and Abilities - Demonstrates sound judgement, patience, and maintains a professional demeanor at all times - Ability to work in a busy and stressful environment - Creativity, problem analysis and decision making - Ability to work varied shifts - Exercises tact, discretion, sensitivity and maintains confidentiality - Strong emotional intelligence, interpersonal and teamwork skills Schedule Requirements - This role requires regular and sustained attendance. - The position may necessitate working beyond a standard 40-hour workweek, including weekends and after-hours shifts. - On-call work may be required to respond promptly to organizational, patient, or employee needs. Physical Requirements - Lifting (Repeatedly – 50 pounds): Exerting force occasionally and/or using a negligible amount of force to lift, carry, push, pull, or otherwise move objects or people. - Sit (Occasionally): Maintaining a sitting posture for extended periods may include adjusting body position to prevent discomfort or strain. - Stand (Repeatedly): Maintaining a standing posture for extended periods may include adjusting body position to prevent discomfort or strain. - Walk (Repeatedly): Walking and moving around within the work area requires good balance and coordination. - Climb (Rarely): Ascending or descending ladders, stairs, scaffolding, ramps, poles, and the like using feet and legs; may also use hands and arms. - Twist/Bend/Stoop/Kneel (Repeatedly): Twisting, bending, and stooping require flexibility and a wide range of motion in the spine and joints. - Reach Above Shoulder Level (Repeatedly): Lifting, carrying, pushing, or pulling objects as necessary above the shoulder, requiring strength and stability. - Push/Pull (Repeatedly): Using the upper extremities to press or exert force against something with steady force to thrust forward, downward, or outward. - Fine-Finger Movements (Continuously): Picking, pinching, typing, or otherwise working primarily with fingers rather than using the whole hand as in handling. - Vision (Continuously): Close visual acuity to prepare and analyze data and figures and to read computer screens, printed materials, and handwritten materials. - Cognitive Skills (Continuously): Learn new tasks, remember processes, maintain focus, complete tasks independently, and make timely decisions in the context of a workflow. - Exposures (Continuously): Bloodborne pathogens, such as blood, bodily fluids, or tissues. Radiation in settings where medical imaging procedures are performed. Various chemicals and medications are used in healthcare settings. Job tasks may involve handling cleaning products, disinfectants, and other substances. Infectious diseases are caused by contact with patients in areas that may have contagious illnesses. Emotionally challenging situations, such as dealing with distressed patients or difficult family interactions. *Frequency Key: Continuously (100% - 67% of the time), Repeatedly (66% - 33% of the time), Occasionally (32% - 4% of the time), Rarely (3% - 1% of the time), Never (0%). The above statements are intended to describe the general nature and level of work being performed by people assigned to the job classification. They are not to be construed as a contract of any type nor an exhaustive list of all job duties performed by individuals so classified. 77353400 Geriatric Clinic (BHDH)

This position can be remote. Please review the approved remote states below. Remote Work Approved States: Arizona Florida Georgia Idaho Iowa South Dakota Texas South Carolina Wisconsin North Carolina Michigan *If your state is not listed, you must relocate to Montana or one of the approved states above to be eligible for this position. Position Summary: The Insurance Billing Specialist’s main focus is to obtain maximum and appropriate reimbursement for Bozeman Health and all related entities, hospital (HB) and/or professional (PB) claims from third party payers. Supports the timely development and accurate submission of claims to third party payers to include insurance follow-up related to no response, returned claims, denied claims, or claim edits preventing claim submission, submitting corrected or replacement claims, and combining hospital accounts in accordance with payer billing policies. Monitor, resolve or escalate payer denials, returned claims, claim edits, correspondence and report payer claim processing behavior to assist with identifying systemic issues that may require process improvement to strengthen the health of the Revenue Cycle as well escalating identified concerns to the HB or PB Supervisor. Collaborate and coordinate with other Revenue Cycle functions or departments to resolve DNBs, claim edits, denials that are preventing timely claim submission or appropriate reimbursement. Prioritizes and completes accounts routed to billing WQs to reduce accounts receivable days and escalates high-dollar accounts or systemic issues to either the HB or PB Billing supervisor for resolution. Minimum Qualifications: Required - High School Diploma or Equivalent - One year of office experience Preferred - Completion of program in medical billing degree or certification program - Two years of healthcare clinic/hospital billing experience Essential Job Functions: - Submits timely and accurate claims to primary, secondary, and tertiary insurances for both electronic and paper submission - Follows up on applicable No Response WQs and Rejected Claims WQs through phone contact or written correspondence to ensure that no account reaches 180 days old from discharge date and still due by insurance, regardless of dollar amount - Reviews accounts by verifying that reimbursement amounts are appropriate, coordination of refunds, if appropriate, and submitting adjustments for approval when necessary, routes claims for appeal, resubmits claims, or moves balances from insurance responsibility to patient responsibility when appropriate - Ensures that claims have appropriate information on them for submission to insurance companies or agencies by reviewing claim edit WQs and other prebilling insurance WQs and escalates systemic issues identified to supervisor - Assists Customer Service with claim processing questions - Identifies and escalates concerns regarding claim processing to Billing Supervisor Knowledge, Skills and Abilities - Demonstrates sound judgment, patience, and maintains a professional demeanor at all times - Exercises tact, discretion, sensitivity, and maintains confidentiality - Performs essential job functions successfully in a busy and stressful environment - Learns current and new computer applications and office equipment utilized at Bozeman Health - Strong interpersonal, verbal, and written communication skills - Analyzes, organizes, and prioritizes work while meeting multiple deadlines - Works varied shifts as scheduled and/or needed - Schedule Requirements - This role requires regular and sustained attendance. - The position may necessitate working beyond a standard 40-hour workweek, including weekends and after-hours shifts. - On-call work may be required to respond promptly to organizational, patient, or employee needs. Physical Requirements - Lifting (Rarely – 30 pounds): Exerting force occasionally and/or using a negligible amount of force to lift, carry, push, pull, or otherwise move objects or people. - Sit (Continuously): Maintaining a sitting posture for extended periods may include adjusting body position to prevent discomfort or strain. - Stand (Occasionally): Maintaining a standing posture for extended periods may include adjusting body position to prevent discomfort or strain. - Walk (Occasionally): Walking and moving around within the work area requires good balance and coordination. - Climb (Rarely): Ascending or descending ladders, stairs, scaffolding, ramps, poles, and the like using feet and legs; may also use hands and arms. - Twist/Bend/Stoop/Kneel (Occasionally): Twisting, bending, stooping, and kneeling require flexibility and a wide range of motion in the spine and joints. - Reach Above Shoulder Level (Occasionally): Lifting, carrying, pushing, or pulling objects as necessary above the shoulder, requiring strength and stability. - Push/Pull (Occasionally): Using the upper extremities to press or exert force against something with steady force to thrust forward, downward, or outward. - Fine-Finger Movements (Continuously): Picking, pinching, typing, or otherwise working primarily with fingers rather than using the whole hand as in handling. - Vision (Continuously): Close visual acuity to prepare and analyze data and figures and to read computer screens, printed materials, and handwritten materials. - Cognitive Skills (Continuously): Learn new tasks, remember processes, maintain focus, complete tasks independently, and make timely decisions in the context of a workflow. - Exposures (Rarely): Bloodborne pathogens, such as blood, bodily fluids, or tissues. Radiation in settings where medical imaging procedures are performed. Various chemicals and medications are used in healthcare settings. Job tasks may involve handling cleaning products, disinfectants, and other substances. Infectious diseases due to contact with patients in areas that may have contagious illnesses. *Frequency Key: Continuously (100% - 67% of the time), Repeatedly (66% - 33% of the time), Occasionally (32% - 4% of the time), Rarely (3% - 1% of the time), Never (0%). The above statements are intended to describe the general nature and level of work being performed by people assigned to the job classification. They are not to be construed as a contract of any type nor an exhaustive list of all job duties performed by individuals so classified. 77211370 Patient Financial Services

This position can be remote. Please review the approved remote states below. Remote Work Approved States: Arizona Florida Georgia Idaho Iowa South Dakota Texas South Carolina Wisconsin North Carolina *If your state is not listed, you must relocate to Montana or one of the approved states above to be eligible for this position. Position Summary: The Coder II will evaluate medical records and charge tickets to ensure completeness, accuracy, and compliance with the International Classification of Diseases Manual - Clinical Modification (ICD-10-CM) and the American Medical Associations Current Procedural Terminology Manual (CPT). The Coder II will also provide technical guidance and training on medical coding to physicians and staff as required. Minimum Qualifications: Required - High School Diploma or Equivalent - One of the following professional coding certifications: - Certified Professional Coder (CPC), or - Certified Coding Specialist (CCS), or - Certified Coding Specialist – Physician based (CCS-P), or - Certified Coding Associate (CCA), or - Registered Health Information Administrator (RHIA) or - Registered Health Information Technician (RHIT) - 1-2 years of experience in medical record coding, or the; equivalent combination of experience, education, and training. Preferred - Essential Job Functions: In addition to the essential functions of the job listed below, employees must have on-time completion of all required education as assigned per DNV requirements, Bozeman Health policy, and other registry requirements. - Evaluates medical record documentation and charge-ticket coding to optimize reimbursement by ensuring that diagnostic and procedural codes and other documentation accurately reflects and supports outpatient visits and to ensure that data complies with legal standards and guidelines. - Interprets medical information such as diseases or symptoms and diagnostic descriptions and procedures to accurately assign and sequence the correct ICD-10-CM and CPT codes. - Reviews state and federal Medicare reimbursement claims for completeness and accuracy before submission to minimize claim denial. - May evaluates records and prepares reports on such topics as the number of denied claims or documentation or coding issues for review by management and/or professional evaluation committees. - May makes recommendations for changes in policies and procedures. Develops and updates procedures manuals to maintain standards for correct coding, to minimize the risk of fraud and abuse, and to optimize revenue recovery. - May provide technical guidance to physicians and other staff in identifying and resolving issues or errors such as incomplete or missing records and documentation, ambiguous or nonspecific documentation, and/or codes that do not conform to approved coding principles/guidelines. - May work with Patient Financial Services staff to assure maximum efficiency and reimbursement for properly documented services. Knowledge, Skills, and Abilities - Demonstrates sound judgement, patience, and maintains a professional demeanor at all times - Ability to work in a busy and stressful environment - Computer applications, MS Office, EMR, internet applications and standard office equipment - Ability to analyze, organize and prioritize work while meeting multiple deadlines - Self-directed, completes assignments accurately, thoroughly and with minimal oversight - Detail oriented, organizational skills and the ability to prioritize Schedule Requirements - This role requires regular and sustained attendance. - The position may necessitate working beyond a standard 40-hour workweek, including weekends and after-hours shifts. - On-call work may be required to respond promptly to organizational, patient, or employee needs. Physical Requirements - Lifting (Rarely – 30 pounds): Exerting force occasionally and/or using a negligible amount of force to lift, carry, push, pull, or otherwise move objects or people. - Sit (Continuously): Maintaining a sitting posture for extended periods may include adjusting body position to prevent discomfort or strain. - Stand (Occasionally): Maintaining a standing posture for extended periods may include adjusting body position to prevent discomfort or strain. - Walk (Occasionally): Walking and moving around within the work area requires good balance and coordination. - Climb (Rarely): Ascending or descending ladders, stairs, scaffolding, ramps, poles, and the like using feet and legs; may also use hands and arms. - Twist/Bend/Stoop/Kneel (Occasionally): Twisting, bending, stooping, and kneeling require flexibility and a wide range of motion in the spine and joints. - Reach Above Shoulder Level (Occasionally): Lifting, carrying, pushing, or pulling objects as necessary above the shoulder, requiring strength and stability. - Push/Pull (Occasionally): Using the upper extremities to press or exert force against something with steady force to thrust forward, downward, or outward. - Fine-Finger Movements (Continuously): Picking, pinching, typing, or otherwise working primarily with fingers rather than using the whole hand as in handling. - Vision (Continuously): Close visual acuity to prepare and analyze data and figures and to read computer screens, printed materials, and handwritten materials. - Cognitive Skills (Continuously): Learn new tasks, remember processes, maintain focus, complete tasks independently, and make timely decisions in the context of a workflow. - Exposures (Rarely): Bloodborne pathogens, such as blood, bodily fluids, or tissues. Radiation in settings where medical imaging procedures are performed. Various chemicals and medications are used in healthcare settings. Job tasks may involve handling cleaning products, disinfectants, and other substances. Infectious diseases due to contact with patients in areas that may have contagious illnesses. *Frequency Key: Continuously (100% - 67% of the time), Repeatedly (66% - 33% of the time), Occasionally (32% - 4% of the time), Rarely (3% - 1% of the time), Never (0%). The above statements are intended to describe the general nature and level of work being performed by people assigned to the job classification. They are not to be construed as a contract of any type nor an exhaustive list of all job duties performed by individuals so classified. 77212200 HIM Production

This position can be remote. Please review the approved remote states below. Remote Work Approved States: Arizona Florida Georgia Idaho Iowa South Dakota Texas South Carolina Wisconsin North Carolina Michigan *If your state is not listed, you must relocate to Montana or one of the approved states above to be eligible for this position. Position Summary: Responsible for reviewing and resolving post-billed coding-related denials and rejections for hospital and medical group claims to support accurate reimbursement and denial prevention. Applies expertise in International Classification of Diseases, Tenth Revision (ICD-10), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) to validate denial rationale, determine root cause, and recommend corrective actions. Prepares, submits, and tracks payer appeals and reconsiderations within required timeframes while maintaining complete documentation. Collaborates with coding, billing, clinical, compliance, and information systems partners to reduce avoidable denials and provide education on coding best practices. Qualifications: Required - Associate’s Degree in Health Information Management, Business, or related field, or equivalent combination of education and experience may be considered. - Current coding certification: CCA, CPC, CCS, CCS-P, CPMA, RHIA, or RHIT. - Three (3) years’ experience in advanced hospital and professional (practice) coding. - Knowledge of ICD-10 diagnosis and procedure coding, CPT, HCPCS, modifiers, and coding guidelines. - Proficiency with Microsoft Office applications, including advanced Excel, Word, and PowerPoint skills. Preferred - Bachelor’s Degree in Health Information Management, Business, or related field. - Two (2) years’ experience in coding denial management, appeals, or related denial resolution work. - Certified Professional Medical Auditor (CPMA). - Experience with Epic and 3M. - Experience using payer portals, electronic work queues, and denial/appeals tracking tools. Essential Job Functions: In addition to the essential functions of the job listed below, employees must have on-time completion of all required education as assigned per DNV requirements, Bozeman Health policy, and other registry requirements. - Reviews and triages post-billed coding denials, rejections, and coding-related billing edits for assigned professional and/or facility claim inventory. - Validates denial rationale using remittance advice/Explanation of Benefits (EOB), payer policies, coding guidelines, and applicable regulations. - Performs medical record review to confirm documentation support, code selection, modifier usage, and charge accuracy; identifies and initiates required corrections. - Coordinates charge and coding corrections and supports rebilling actions in accordance with established workflows and department standards. - Drafts, submits, and tracks first-level and second-level appeals/reconsiderations, ensuring compliance with payer requirements and timely filing deadlines. - Documents actions taken, supporting evidence, communications, and outcomes in the denial management system to maintain a complete audit trail. - Analyzes denial trends and root-cause categories; prepares routine and ad hoc reports and communicates findings to stakeholders. - Partners with coding, billing, clinical staff, patient access, information systems, and compliance to resolve complex denials and implement denial prevention strategies. - Develops and delivers education and presentations to providers and staff on denial drivers and coding best practices, including National Correct Coding Initiative (NCCI) edits. - Maintains working knowledge of payer medical review policies and regulatory guidance, including National Coverage Determinations (NCDs) and Local Coverage Determinations (LCDs). Knowledge, Skills and Abilities - Demonstrates sound judgment, patience, and maintains a professional demeanor at all times - Exercises tact, discretion, sensitivity, and maintains confidentiality - Performs essential job functions successfully in a busy and stressful environment - Learns current and new computer applications and office equipment utilized at Bozeman Health - Strong interpersonal, verbal, and written communication skills - Analyzes, organizes, and prioritizes work while meeting multiple deadlines Schedule Requirements - This role requires regular and sustained attendance. - The position may necessitate working beyond a standard 40-hour workweek, including weekends and after-hours shifts. - On-call work may be required to respond promptly to organizational, patient, or employee needs. Physical Requirements - Lifting (Rarely – 30 pounds): Exerting force and/or using a negligible amount of force to lift, carry, push, pull, or otherwise move objects or people. - Sit (Continuously): Maintaining a sitting posture for extended periods may include adjusting body position to prevent discomfort or strain. - Stand (Occasionally): Maintaining a standing posture for extended periods may include adjusting body position to prevent discomfort or strain. - Walk (Occasionally): Walking and moving around within the work area requires good balance and coordination. - Climb (Rarely): Ascending or descending ladders, stairs, scaffolding, ramps, poles, and the like using feet and legs; may also use hands and arms. - Twist/Bend/Stoop/Kneel (Occasionally): Twisting, bending, stooping, and kneeling require flexibility and a wide range of motion in the spine and joints. - Reach Above Shoulder Level (Occasionally): Lifting, carrying, pushing, or pulling objects as necessary above the shoulder, requiring strength and stability. - Push/Pull (Occasionally): Using the upper extremities to press or exert force against something with steady force to thrust forward, downward, or outward. - Fine-Finger Movements (Continuously): Picking, pinching, typing, or otherwise working primarily with fingers rather than using the whole hand as in handling. - Vision (Continuously): Close visual acuity to prepare and analyze data and figures and to read computer screens, printed materials, and handwritten materials. - Cognitive Skills (Continuously): Learn new tasks, remember processes, maintain focus, complete tasks independently, and make timely decisions in the context of a workflow. - Exposures (Rarely): Bloodborne pathogens, such as blood, bodily fluids, or tissues. Radiation in settings where medical imaging procedures are performed. Various chemicals and medications are used in healthcare settings. Job tasks may involve handling cleaning products, disinfectants, and other substances. Infectious diseases due to contact with patients in areas that may have contagious illnesses. *Frequency Key: Continuously (100% - 67% of the time), Repeatedly (66% - 33% of the time), Occasionally (32% - 4% of the time), Rarely (3% - 1% of the time), Never (0%). The above statements are intended to describe the general nature and level of work being performed by people assigned to the job classification. They are not to be construed as a contract of any type nor an exhaustive list of all job duties performed by individuals so classified. 77212200 HIM Production

This position can be remote. Please review the approved remote states below. Remote Work Approved States: Arizona Florida Georgia Idaho Iowa South Dakota Texas South Carolina Wisconsin North Carolina Michigan *If your state is not listed, you must relocate to Montana or one of the approved states above to be eligible for this position. Position Summary: Responsible for reviewing and resolving post-billed coding-related denials and rejections for hospital and medical group claims to support accurate reimbursement and denial prevention. Applies expertise in International Classification of Diseases, Tenth Revision (ICD-10), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) to validate denial rationale, determine root cause, and recommend corrective actions. Prepares, submits, and tracks payer appeals and reconsiderations within required timeframes while maintaining complete documentation. Collaborates with coding, billing, clinical, compliance, and information systems partners to reduce avoidable denials and provide education on coding best practices. Qualifications: Required - Associate’s Degree in Health Information Management, Business, or related field, or equivalent combination of education and experience may be considered. - Current coding certification: CCA, CPC, CCS, CCS-P, CPMA, RHIA, or RHIT. - Three (3) years’ experience in advanced hospital and professional (practice) coding. - Knowledge of ICD-10 diagnosis and procedure coding, CPT, HCPCS, modifiers, and coding guidelines. - Proficiency with Microsoft Office applications, including advanced Excel, Word, and PowerPoint skills. Preferred - Bachelor’s Degree in Health Information Management, Business, or related field. - Two (2) years’ experience in coding denial management, appeals, or related denial resolution work. - Certified Professional Medical Auditor (CPMA). - Experience with Epic and 3M. - Experience using payer portals, electronic work queues, and denial/appeals tracking tools. Essential Job Functions: In addition to the essential functions of the job listed below, employees must have on-time completion of all required education as assigned per DNV requirements, Bozeman Health policy, and other registry requirements. - Reviews and triages post-billed coding denials, rejections, and coding-related billing edits for assigned professional and/or facility claim inventory. - Validates denial rationale using remittance advice/Explanation of Benefits (EOB), payer policies, coding guidelines, and applicable regulations. - Performs medical record review to confirm documentation support, code selection, modifier usage, and charge accuracy; identifies and initiates required corrections. - Coordinates charge and coding corrections and supports rebilling actions in accordance with established workflows and department standards. - Drafts, submits, and tracks first-level and second-level appeals/reconsiderations, ensuring compliance with payer requirements and timely filing deadlines. - Documents actions taken, supporting evidence, communications, and outcomes in the denial management system to maintain a complete audit trail. - Analyzes denial trends and root-cause categories; prepares routine and ad hoc reports and communicates findings to stakeholders. - Partners with coding, billing, clinical staff, patient access, information systems, and compliance to resolve complex denials and implement denial prevention strategies. - Develops and delivers education and presentations to providers and staff on denial drivers and coding best practices, including National Correct Coding Initiative (NCCI) edits. - Maintains working knowledge of payer medical review policies and regulatory guidance, including National Coverage Determinations (NCDs) and Local Coverage Determinations (LCDs). Knowledge, Skills and Abilities - Demonstrates sound judgment, patience, and maintains a professional demeanor at all times - Exercises tact, discretion, sensitivity, and maintains confidentiality - Performs essential job functions successfully in a busy and stressful environment - Learns current and new computer applications and office equipment utilized at Bozeman Health - Strong interpersonal, verbal, and written communication skills - Analyzes, organizes, and prioritizes work while meeting multiple deadlines Schedule Requirements - This role requires regular and sustained attendance. - The position may necessitate working beyond a standard 40-hour workweek, including weekends and after-hours shifts. - On-call work may be required to respond promptly to organizational, patient, or employee needs. Physical Requirements - Lifting (Rarely – 30 pounds): Exerting force and/or using a negligible amount of force to lift, carry, push, pull, or otherwise move objects or people. - Sit (Continuously): Maintaining a sitting posture for extended periods may include adjusting body position to prevent discomfort or strain. - Stand (Occasionally): Maintaining a standing posture for extended periods may include adjusting body position to prevent discomfort or strain. - Walk (Occasionally): Walking and moving around within the work area requires good balance and coordination. - Climb (Rarely): Ascending or descending ladders, stairs, scaffolding, ramps, poles, and the like using feet and legs; may also use hands and arms. - Twist/Bend/Stoop/Kneel (Occasionally): Twisting, bending, stooping, and kneeling require flexibility and a wide range of motion in the spine and joints. - Reach Above Shoulder Level (Occasionally): Lifting, carrying, pushing, or pulling objects as necessary above the shoulder, requiring strength and stability. - Push/Pull (Occasionally): Using the upper extremities to press or exert force against something with steady force to thrust forward, downward, or outward. - Fine-Finger Movements (Continuously): Picking, pinching, typing, or otherwise working primarily with fingers rather than using the whole hand as in handling. - Vision (Continuously): Close visual acuity to prepare and analyze data and figures and to read computer screens, printed materials, and handwritten materials. - Cognitive Skills (Continuously): Learn new tasks, remember processes, maintain focus, complete tasks independently, and make timely decisions in the context of a workflow. - Exposures (Rarely): Bloodborne pathogens, such as blood, bodily fluids, or tissues. Radiation in settings where medical imaging procedures are performed. Various chemicals and medications are used in healthcare settings. Job tasks may involve handling cleaning products, disinfectants, and other substances. Infectious diseases due to contact with patients in areas that may have contagious illnesses. *Frequency Key: Continuously (100% - 67% of the time), Repeatedly (66% - 33% of the time), Occasionally (32% - 4% of the time), Rarely (3% - 1% of the time), Never (0%). The above statements are intended to describe the general nature and level of work being performed by people assigned to the job classification. They are not to be construed as a contract of any type nor an exhaustive list of all job duties performed by individuals so classified. 77212200 HIM Production