Clinical Coding Specialist - E/M
- Requisition #: 172032
- Location: Houston, TX
- Posted Date: 12/12/2024
Mission Statement:
The mission of The University of Texas M. D. Anderson Cancer Center is to eliminate cancer in Texas, the nation, and the world through outstanding programs that integrate patient care, research, and prevention and through education for undergraduate and graduate students, trainees, professionals, employees, and the public.
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 diagnoses 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 department users related to the abstracted coded data.
JOB-SPECIFIC COMPETENCIES/RESPONSIBILITIES:
PEOPLE/SERVICE (34%)
· Effectively communicate and interact with members of the professional coding team, management, peers, business office, and external customers
· Provides detailed questions and supportive feedback to management and coordinators when inquiring for assistance with coding questions, quality reviews, and coding education/training.
· Capable of providing supportive feedback to management and coordinators 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.
· Participates and provides ongoing feedback, when necessary, on documentation challenges, potential coding compliance concerns, and opportunities for coding clinic updates.
· Actively participates in ongoing team and departmental staff meetings.
CODING QUALITY/PROTECTED HEALTH INFORMATION (40%)
· Instrumental in maintaining pre-AR accounts and baseline thresholds per the direction of coding leadership
· Ability to comprehend and appropriately apply official coding guidelines, coding clinics, departmental coding policies, and usage of Craneware. Initiate queries when appropriate
· Review medical record documentation, understand, and assign accurate Evaluation & Management CPT, ICD-10 CM, LCD/NCD, and NCCI methodologies to professional claims when utilizing EPIC or coding books.
· Complies with the Standards of Ethical Coding set forth by AHIMA/AAPC and adheres to the official coding conventions and guidelines, and upholds HIPAA compliance rules and regulations
***Other duties assigned; descriptions above are not all-inclusive. The coding specialist will perform coding-related functions within the scope of responsibilities when requested.
Required Education:
Associate's degree in Health Information Management, Healthcare Administration, or related healthcare field.
Required Experience:
Two years of coding experience in a medical services environment or one year as a Clinical Coding Associate at MD 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/Skills:
Knowledge and experience in Limited coverage determination (LCD) and National coverage determination (NCD), coding outpatient and inpatient professional services for Evaluation and Management -multispecialty with strong diagnosis coding experience, global rules for post-operative visits and knowledge of correct use of modifiers.
Preferred Certification:
Other Requirements:
Must pass pre-employment skills test as required and administered by Human Resources.
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. http://www.mdanderson.org/about-us/legal-and-policy/legal-statements/eeo-affirmative-action.html
Additional Information
#LI-Remote
The mission of The University of Texas M. D. Anderson Cancer Center is to eliminate cancer in Texas, the nation, and the world through outstanding programs that integrate patient care, research, and prevention and through education for undergraduate and graduate students, trainees, professionals, employees, and the public.
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 diagnoses 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 department users related to the abstracted coded data.
JOB-SPECIFIC COMPETENCIES/RESPONSIBILITIES:
PEOPLE/SERVICE (34%)
· Effectively communicate and interact with members of the professional coding team, management, peers, business office, and external customers
· Provides detailed questions and supportive feedback to management and coordinators when inquiring for assistance with coding questions, quality reviews, and coding education/training.
· Capable of providing supportive feedback to management and coordinators 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.
· Participates and provides ongoing feedback, when necessary, on documentation challenges, potential coding compliance concerns, and opportunities for coding clinic updates.
· Actively participates in ongoing team and departmental staff meetings.
CODING QUALITY/PROTECTED HEALTH INFORMATION (40%)
· Instrumental in maintaining pre-AR accounts and baseline thresholds per the direction of coding leadership
· Ability to comprehend and appropriately apply official coding guidelines, coding clinics, departmental coding policies, and usage of Craneware. Initiate queries when appropriate
· Review medical record documentation, understand, and assign accurate Evaluation & Management CPT, ICD-10 CM, LCD/NCD, and NCCI methodologies to professional claims when utilizing EPIC or coding books.
· Complies with the Standards of Ethical Coding set forth by AHIMA/AAPC and adheres to the official coding conventions and guidelines, and upholds HIPAA compliance rules and regulations
***Other duties assigned; descriptions above are not all-inclusive. The coding specialist will perform coding-related functions within the scope of responsibilities when requested.
Required Education:
Associate's degree in Health Information Management, Healthcare Administration, or related healthcare field.
Required Experience:
Two years of coding experience in a medical services environment or one year as a Clinical Coding Associate at MD 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/Skills:
Knowledge and experience in Limited coverage determination (LCD) and National coverage determination (NCD), coding outpatient and inpatient professional services for Evaluation and Management -multispecialty with strong diagnosis coding experience, global rules for post-operative visits and knowledge of correct use of modifiers.
Preferred Certification:
- American Health Information Management Association
- Registered Health Information Administrator (RHIA)
- Registered Health Information Technician (RHIT)
- Certified Coding Specialist (CCS)
- Certified Coding Specialist - Professional (CCS-P) American Academy of Professional Coders
- Certified Outpatient Coder (COC)
- Certified Inpatient Coder (CIC)
- Certified Professional Coder (CPC)
Other Requirements:
Must pass pre-employment skills test as required and administered by Human Resources.
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. http://www.mdanderson.org/about-us/legal-and-policy/legal-statements/eeo-affirmative-action.html
Additional Information
- Requisition ID: 172032
- Employment Status: Full-Time
- Employee Status: Regular
- Work Week: Days
- Minimum Salary: US Dollar (USD) 55,500
- Midpoint Salary: US Dollar (USD) 69,500
- Maximum Salary : US Dollar (USD) 83,500
- 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
- Science Jobs: No
#LI-Remote
