HIM Manager/Coder
Ernest
Billings, MT · Posted November 6, 2026
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November 2026
How AI is used in this kind of work
Among medical records specialists, AI is already used for a large share of the tasks. Measured exposure for medical records specialists: 67% (high).
Share of this job’s tasks that AI is already used for at work, from real usage. It is not a forecast of job loss, and a low number means no use seen yet. Source: Anthropic Economic Index.
About the job
Overview
HIM Manager/Coder - Full Time - Billings, MT
Big Sky Rehabilitation Hospital in Billings, Montana, is a leading inpatient rehabilitation hospital dedicated to helping patients recover, regain independence, and achieve their highest level of function after serious illness, injury, or surgery. Through comprehensive inpatient rehabilitation, 24-hour nursing care, and coordinated interdisciplinary treatment, our team provides expert care for patients recovering from stroke, brain and spinal cord injuries, neurological conditions, orthopedic procedures, amputations, and other complex medical conditions. Serving communities across Montana and the surrounding region, we help patients return to their families, workplaces, and everyday lives with greater strength, confidence, and independence. Every team member plays a vital role in creating life-changing outcomes and moments of hope for patients and families. Join a collaborative, compassionate team dedicated to delivering exceptional care through human connection.
Billings, Montana - Montana’s largest city, Billings is a gateway to Yellowstone and the Beartooth Mountains. With low unemployment, a growing downtown, and stunning natural beauty, Billings offers a high quality of life and wide-open opportunity. Billings is growing into a vibrant community with a diverse mix of urban and rural activities and amenities to fit your lifestyle. Although Billings is the largest city in the state, it still has a smaller-town feel, offering quick commutes, good schools, friendly neighbors, and so much more. Billings has what you want, whether you want to be, grow, or play in the great state of Montana.
We're looking for professionals with a passion for coding, attention to detail, and with excellent communication skills.
The HIM Manager/Coder is part of the hospital’s leadership team, working closely with CEO and Clinical Directors.
Successful candidates will enjoy working both independently and collaborating with a team of clinical professionals.
Key responsibilities include:
Provide expertise in the areas of coding and classification systems to healthcare providers throughout our hospital, and help drive improvements of reimbursement, and the revenue cycle.
Responsible for timely coding charts in accordance with the current principles of ICD-10 and AHA coding guidelines.
Supports the Health Information Services Department through a variety of clerical, technical, and related support services.
Performs other daily duties within the Health Information Management Services department as assigned.
Supervises and evaluates the performance of HIM department personnel.
Requirements:
Minimum of 2 years of inpatient or outpatient coding experience preferred.
Strong knowledge of ICD-10 coding guidelines
CPC, CCS, CIC, RHIT, or RHIA certification via AHIMA or AAPC
Why should you apply?
Challenging and rewarding work environment
Competitive Compensation & Generous Paid Time Off
Excellent Medical, Dental, Vision and Prescription Drug Plan
401(K)
HIM Bonus plan
Wellness program with quarterly wellness challenges and participation incentives