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Billings Clinic EKG Technician I in Billings, Montana

You can make a difference as a part of our region's largest health care system, based locally in Billings, Montana. Join our amazing team with a focus on safe, high quality care and an excellent patient experience. Billings Clinic is here to take care of our community and region.

We look forward to meeting you.

About Us

Billings Clinic is a community-owned, not-for-profit, Physician-led health system based in Billings with more than 4,700 employees, including over 550 physicians and non-physician providers. Our integrated organization consists of a multi-specialty group practice and a 304-bed hospital.Learn more ( about Billings Clinic (our organization, history, mission, leadership and regional locations) and how we are recognized nationally for our exceptional quality.

Your Benefits

We provide a comprehensive and competitive benefits package to all full-time employees (minimum of 24 hours/week), including Medical, Dental, Vision, 403(b) Retirement Plan with employer matching, Defined Contribution Pension Plan, Paid Time Off, employee wellness program, and much more.Click here ( for more information ordownload the 2021 Employee Benefits Guide ( .

Magnet: Commitment to Nursing Excellence

Billings Clinic is proud to be recognized for nursing excellence as a Magnet®-designated organization, joining only 97 other organizations worldwide that have achieved this honor four times. The re-designation process happens every four years. Click here ( to learn more!

EKG Technician I

EKG (Billings Clinic Main Campus)


Shift: Day, Evening, Weekends

Employment Status: Full-Time (.75 or greater)

Hours per Pay Period: 1.00 = 80 hours (Non-Exempt)

Starting Wage DOE: $14.18 - $17.01

According to previously defined procedures and upon request of a physician, operates electrocardiographic equipment, holter monitor equipment, and stress testing equipment to record and/or analyze the electrical impulses of the heart, for physician use in the diagnosis of heart disorders. Individual is responsible for setting up, applying and removing cardiac monitor equipment. Responsible for associated clerical and assigned duties. Performs duties under minimal supervision. Is a member of the CPR Team (HOSPITAL ONLY).

Essential Job Functions

• Develops a complete understanding of electrocardiogram (EKG) analysis and maintains a high level of knowledge by utilizing education opportunities.

• Maintains, cleans, troubleshoots and operates EKG carts, various cardiac monitors and stress test equipment to conduct numerous diagnostic tests throughout the facility. Maintains all department equipment and supplies including cleaning, ordering, and stocking.

• Reviews patient chart and history, introduces self, acquires two forms of patient ID, and educates by explaining purpose and procedure of the test to the patient. Assures consent forms are signed and in order.

• Attaches electrodes to the proper predetermined positions according to American Heart Association (AHA). Observes patient privacy/confidentiality at all times.

• Assists providers with various stress testing protocols. In the clinic assists with Tilt Tables and Padnet.

• Operates computer systems, performs clerical duties including data entry, billing, order review/entry, chart review, EKG review, Alerts appropriate staff of critical arrhythmias and abnormalities, billing and charting errors. This list is not all inclusive.

• Responds to all CPR codes; begins or relieves CPR compressions and assists per order of the team captain (HOSPITAL ONLY) Organizes and adjusts work schedule; to preform STAT and now orders, routine orders, new admissions in hospital, walk-ins, outpatient testing, and fluctuations in patient workload. Affiliates and outreach account assistance and other provider's requests.

• Acts as a resource in providing technical support and assistance to affiliates, outreach accounts and providers. Assists in the orientation, skill development and skill competency of other personnel. Participates in the completion of peer performance/competency reviews.

• Identifies needs and sets goals for own growth and development, meets all mandatory departmental and system requirements.

Knowledge, Skills, and Abilities

• Billings Clinic policy and procedures, both organizational and departmental

• Microsoft Office Programs (i.e., Windows, Outlook, Word, Excel, etc.)

• Billings Clinic Code of Business Conduct

• Billings Clinic Corporate Compliance Program

• HIPAA and confidentiality requirements

• Patients’ /employee rights

• Patient safety standards

• Customer service techniques and Personal Service Excellence (PSE) skills

• Basic knowledge of cardiac anatomy and physiology, electrocardiogram analysis and medical terminology

• Complete understanding of EKG, Holter and stress testing procedures and methods

• Understands the operational capacity of all related equipment

• Basic data entry, filing and clerical procedures


• Performing quality tests, detecting and reporting life-threatening arrhythmias/abnormalities

• Recognizing and reporting any abnormalities in EKG rhythms

• Conflict resolution skills, communication skills, both oral and written

• Decipher and understand physician orders and interpretations with complete accuracy, questioning when appropriate

• Effectively detect, analyze, troubleshoot and report abnormal or improper equipment operation

• Effective in time management in the various departments we support

• Act as a resource and provide technical assistance and support to Outreach account personnel and physicians (10% or more)

• Requires the ability to obtain vital signs with patients at rest and while walking on a moving treadmill and all situations, both manually and automatically


• Incorporate population specific needs into all aspects of communication and patient care, services provided will

• encompass age groups from infants to geriatrics

• Establish and maintain collaborative relationships with team members

• Work independently

• Respond calmly and effectively in emergent or difficult situations

• Requires good physical condition - varying degrees of walking, standing, stooping, and pushing an ECG cart (80+ pounds.) - Majority of ECG’s performed at patient bedside (50% or more) in all patient care areas of hospital and Billings Clinic. Stress tests performed in several different locations. Occasional assistance with patient lifting. Frequent patient transporting

• Hear adequately to perform blood pressure readings


• Routinely performs duties in an independent manner

• Work schedule must often be modified to accommodate fluctuations in patient workload or acuity

• Sound technical judgment must be used when test practices must occasionally be altered, according to established guidelines, to obtain desired results

• Must be alert to patient symptoms along with significant EKG changes during and after exercise testing and respond and assist physician with appropriate emergency measures if necessary. Must be alert to patient safety at all times

• Improper lead placement or equipment operation may result in an inaccurate diagnosis

• Failure to maintain positive internal/external relationships could have a negative impact on Billings Clinic

• Improper computer operation could result in the permanent loss of patient test data

• Clerical errors could result in inaccurate patient records or charges which could result in patient complaints or loss of revenue

Minimum Qualifications


High school graduate or equivalent


• Six (6) months previous ECG, holter monitor and stress testing experience, preferred

• Must complete the Billings Clinic cardiac arrhythmia course with passing score of 85% or better within the first year of employment (class offerings are available quarterly)

• Healthcare Provider CPR Certification

• Completion of the Certified Cardiac Technician (CCT) exam within three (3) years of employment, preferred

• Courses in mathematics and science, preferred

Or an equivalent combination of education and/or experience relating to the above tasks, knowledge, skills and abilities will be considered

Billings Clinic is Montana’s largest health system serving Montana, Wyoming and the western Dakotas. A not-for-profit organization led by a physician CEO, the health system is governed by a board of community members, nurses and physicians. Billings Clinic includes an integrated multi-specialty group practice, tertiary care hospital and trauma center, based in Billings, Montana. Learn more (

Billings Clinic is committed to the principles of Equal Employment Opportunity. All policies and processes are designed toward achieving fair and equitable treatment of all employees and job applicants. Employees are encouraged to discuss any concerns they have in this regard with their immediate supervisor and/or the Vice President People Resources. All employees and job applicants will be provided the same treatment in all aspects of the employment relationship, regardless of race, color, creed, religion, national origin, gender, gender identity, sexual orientation, age, marital status, genetic information or disability.