Clinical Coding Specialist

**Summary** Analyzes medical records and abstracts clinical data by assigning codes from patient records in accordance to coding classification systems. Reviews patient encounters for accurate code assignment of all relevant diagnosis and procedures. Enters appropriate codes into the hospital's mainframe computer for the transfer of data to billing files for reimbursement. Queries physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous or unclear for coding purposes. Serves as a resource for other departments users related to the abstracted coded data. **Key Functions** 1. Analyzes medical records to abstract clinical data by assigning codes from patient records in accordance with the coding classification systems of ICD-10-CM and/or CPT. 2. Reviews patient encounters for accurate code assignment(s) of all relevant diagnosis, procedures, and/or modifiers. 3. Applies guidelines as indicated through the Local Coverage Determination (LCD), National Coverage Determination (NCD), as well as the National Correct Coding Initiative (CCI). 4. Coder meets and maintains a production rate of 90% or higher. 5. Coder meets and maintains an accuracy rate of 90% on all coded records. 6. Maintains coding knowledge and skills through attending continuing education activities and reviewing pertinent literature, attending institutional coding meetings, seminars, and other educational forums. 7. Queries physicians and/or departments when code assignments are not straightforward or if documentation in the record is inadequate, ambiguous or unclear for coding purposes. 8. Communicates effectively and demonstrates good interpersonal and professional skills when interacting with others. 9. Resolves claim and billing edits as well as denials by performing second review of medical record documentation and code assignments. 10. Review and provide resolution of edits/warnings. 11. Other duties as assigned **Working Conditions** This position requires: Working in Office Environment No Yes Working in Patient Care Unit (e.g. Nursing unit; outpatient clinic) No Yes Exposure to human/animal blood, body fluids, or tissues No Yes Exposure to harmful chemicals No Yes Exposure to radiation No Yes **Physical Demands** Indicate the time required to do each of the following physical demands: Time Spent Never 0% Occasionally 1-33% Frequently 34-66% Continuously 67-100% Standing Walking Sitting Reaching Lifting/Carrying Up to 10 lbs 10lbs to 50 lbs More than 50 lbs Pushing/Pulling Up to 10 lbs 10lbs to 50 lbs More than 50 lbs Use computer/keyboard **Required Education:** Associate's degree in Health Information Management. **Preferred Education:** Bachelors Degree in Health Information Management **Required Experience:** Two years of coding experience in a medical services environment or one year as a Clinical Coding Associate at M D Anderson Cancer Center . May substitute required education degree with additional years of equivalent experience on a one to one basis and no experience required with preferred degree. **Preferred Experience:** Prior billing and coding experience in a professional setting. **Other Requirements:** Must pass pre-employment skills test as required and administered by Human Resources. **Certifications:** **Preferred: One or more of the following:** Registered Health Information Administrator (RHIA) by the American Health Information Management Association (AHIMA). Registered Health Information Technician (RHIT) by the American Health Information Management Association (AHIMA). Certified Coding Specialist (CCS) by the American Health Information Management Association (AHIMA). Certified Coding Associate (CCA) by the American Health Information Management Association (AHIMA). Certified Professional Coder (CPC) by the American Academy of Professional Coders (AAPC). Certified Professional Coder - Hospital (CPC-H) by the American Academy of Professional Coders (AAPC). It is the policy of The University of Texas MD Anderson Cancer Center to provide equal employment opportunity without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, disability, protected veteran status, genetic information, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. danderson.org/about-us/legal-and-policy/legal-statements/eeo-affirmative-action.html Additional Information + Requisition ID: 148322 + Employment Status: Full-Time + Employee Status: Regular + FLSA: non-exempt, eligible for overtime, and is subject to the provisions of the Fair Labor Standards Act (FLSA) + Work Week: Days + Fund Type: Hard + Work Location: Hybrid Onsite/Remote + Pivotal Position: No + Minimum Salary: US Dollar (USD) 53,000 + Midpoint Salary: US Dollar (USD) 66,000 + Maximum Salary : US Dollar (USD) 79,000 + Science Jobs: No