MD Anderson Cancer Center
Senior Clinical Coding Specialist - OR Surgery
MD Anderson Cancer Center, Houston, Texas, United States, 77246
Senior Clinical Coding Specialist - OR Surgery
1 week ago Be among the first 25 applicants
Summary The primary purpose of the Senior Clinical Coding Specialist position is to analyze medical records and abstract clinical data by assigning codes from patient records in accordance with coding classification systems. The candidate reviews patient encounters for accurate code assignment of all relevant diagnosis and applicable modifiers, enters appropriate codes into the 3M encoder hospital's mainframe computer for transfer of data to billing files for reimbursement, queries physicians when code assignments are not straightforward or documentation is inadequate, ambiguous or unclear, and serves as a resource for other department users related to the abstracted coded data.
Job-Specific Competencies & Responsibilities People / Service (34%)
Effectively communicate and interact with members of the combined coding team, management, peers, business office, and external customers.
Provide detailed questions and supportive feedback to management and coordinators when inquiring for assistance with coding questions, quality reviews, and coding education/training.
Provide supportive feedback for internal and external requests on coding corrections/edits or re-reviews.
Promptly report workflow or system issues to management.
Development / Innovation (26%)
Advance professional growth and development through continuing education, pertinent literature, coding rounds, seminars, and other educational forums.
Participate and provide ongoing feedback, when necessary, on documentation challenges, potential coding compliance concerns, and opportunities for coding clinic updates.
Actively participate in ongoing team and departmental staff meetings.
Coding Quality / Protected Health Information (40%)
Instrumental in maintaining DNB and place holder or Pre-AR accounts thresholds baselines per coding leadership direction.
Comprehend and appropriately apply official coding guidelines, coding clinics, departmental policies, and Craneware; identify and initiate queries when appropriate.
Review medical record documentation, understand, and assign accurate primary, ICD‑10‑CM, CPT/HCPCS, modifiers, LCD/NCD, MUE, and NCCI methods codes to professional records using 3M software, EPIC, or coding books.
Comply with the Standards of Ethical Coding set forth by AHIMA and uphold HIPAA compliance rules and regulations.
Reports to:
Manager, Clinical Coding Operations
Education
Required: Associate’s Degree in Health Information Management, Healthcare Administration, or related field.
Preferred: Bachelor’s Degree in Health Information Management, Healthcare Administration, or related field.
Work Experience
Required: 5 years clinical coding experience for complex or multi‑specialties.
Required: 3 years clinical coding experience for complex or multi‑specialties with preferred degree.
May substitute required education degree with additional years of equivalent experience on a one‑to‑one basis.
Preferred Experience
Prior experience working in a teaching hospital setting; surgical coding for both physician and facility.
Experience in Breast and Plastics, Surgical Oncology, Head and Neck, and/or Urology.
Strong foundation in medical coding principles, including knowledge of ICD‑10, CPT, and HCPCS, and practical experience in inpatient and outpatient coding.
Licenses & Certifications
RHIA – Registered Health Information Administrator (AHIMA)
RHIT – Registered Health Information Technician (AHIMA)
CCS – Certified Coding Specialist (AHIMA)
CCA – Certified Coding Associate (AHIMA)
Certified Coder – AHIMA or AAPC
CPC‑A – Certified Professional Coder – Apprentice (AAPC)
COC – Certified Outpatient Coding (AAPC)
Other Requirements
Must pass pre‑employment skills test as required and administered by Human Resources.
Benefits The University of Texas MD Anderson Cancer Center offers medical, dental, paid time off, retirement, tuition benefits, educational opportunities, and individual and team recognition.
EEO Statement The University of Texas MD Anderson Cancer Center is an equal opportunity employer without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/emphasis, disability, protected veteran status, genetic information, or any other basis protected by institutional policy or by federal, state, or local laws.
Additional Information
Requisition ID: 177097
Employment Status: Full‑Time
Employee Status: Regular
Work Week: Days
Minimum Salary: USD 67,000
Midpoint Salary: USD 83,500
Maximum Salary: USD 100,000
FLSA: Non‑exempt and eligible for overtime pay
Fund Type: Hard
Work Location: Remote (within Texas only)
Pivotal Position: Yes
Referral Bonus Available?: No
Relocation Assistance Available?: No
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Summary The primary purpose of the Senior Clinical Coding Specialist position is to analyze medical records and abstract clinical data by assigning codes from patient records in accordance with coding classification systems. The candidate reviews patient encounters for accurate code assignment of all relevant diagnosis and applicable modifiers, enters appropriate codes into the 3M encoder hospital's mainframe computer for transfer of data to billing files for reimbursement, queries physicians when code assignments are not straightforward or documentation is inadequate, ambiguous or unclear, and serves as a resource for other department users related to the abstracted coded data.
Job-Specific Competencies & Responsibilities People / Service (34%)
Effectively communicate and interact with members of the combined coding team, management, peers, business office, and external customers.
Provide detailed questions and supportive feedback to management and coordinators when inquiring for assistance with coding questions, quality reviews, and coding education/training.
Provide supportive feedback for internal and external requests on coding corrections/edits or re-reviews.
Promptly report workflow or system issues to management.
Development / Innovation (26%)
Advance professional growth and development through continuing education, pertinent literature, coding rounds, seminars, and other educational forums.
Participate and provide ongoing feedback, when necessary, on documentation challenges, potential coding compliance concerns, and opportunities for coding clinic updates.
Actively participate in ongoing team and departmental staff meetings.
Coding Quality / Protected Health Information (40%)
Instrumental in maintaining DNB and place holder or Pre-AR accounts thresholds baselines per coding leadership direction.
Comprehend and appropriately apply official coding guidelines, coding clinics, departmental policies, and Craneware; identify and initiate queries when appropriate.
Review medical record documentation, understand, and assign accurate primary, ICD‑10‑CM, CPT/HCPCS, modifiers, LCD/NCD, MUE, and NCCI methods codes to professional records using 3M software, EPIC, or coding books.
Comply with the Standards of Ethical Coding set forth by AHIMA and uphold HIPAA compliance rules and regulations.
Reports to:
Manager, Clinical Coding Operations
Education
Required: Associate’s Degree in Health Information Management, Healthcare Administration, or related field.
Preferred: Bachelor’s Degree in Health Information Management, Healthcare Administration, or related field.
Work Experience
Required: 5 years clinical coding experience for complex or multi‑specialties.
Required: 3 years clinical coding experience for complex or multi‑specialties with preferred degree.
May substitute required education degree with additional years of equivalent experience on a one‑to‑one basis.
Preferred Experience
Prior experience working in a teaching hospital setting; surgical coding for both physician and facility.
Experience in Breast and Plastics, Surgical Oncology, Head and Neck, and/or Urology.
Strong foundation in medical coding principles, including knowledge of ICD‑10, CPT, and HCPCS, and practical experience in inpatient and outpatient coding.
Licenses & Certifications
RHIA – Registered Health Information Administrator (AHIMA)
RHIT – Registered Health Information Technician (AHIMA)
CCS – Certified Coding Specialist (AHIMA)
CCA – Certified Coding Associate (AHIMA)
Certified Coder – AHIMA or AAPC
CPC‑A – Certified Professional Coder – Apprentice (AAPC)
COC – Certified Outpatient Coding (AAPC)
Other Requirements
Must pass pre‑employment skills test as required and administered by Human Resources.
Benefits The University of Texas MD Anderson Cancer Center offers medical, dental, paid time off, retirement, tuition benefits, educational opportunities, and individual and team recognition.
EEO Statement The University of Texas MD Anderson Cancer Center is an equal opportunity employer without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/emphasis, disability, protected veteran status, genetic information, or any other basis protected by institutional policy or by federal, state, or local laws.
Additional Information
Requisition ID: 177097
Employment Status: Full‑Time
Employee Status: Regular
Work Week: Days
Minimum Salary: USD 67,000
Midpoint Salary: USD 83,500
Maximum Salary: USD 100,000
FLSA: Non‑exempt and eligible for overtime pay
Fund Type: Hard
Work Location: Remote (within Texas only)
Pivotal Position: Yes
Referral Bonus Available?: No
Relocation Assistance Available?: No
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