Senior Clinical Coding Specialist - Combined Coding
- Requisition #: 172454
- Location: Houston, TX
- Posted Date: 1/8/2025
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
The primary purpose of the Senior Clinical Coding Specialist position is to analyze 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 applicable modifiers. Enters appropriate codes into the 3M encoder 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.
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
· 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 discharged not final billed (DNB) and place holder or Pre-AR accounts thresholds baselines per the direction of coding leadership
· Ability to comprehend and appropriately apply official coding guidelines, coding clinics, utilizing departmental coding policies, and Craneware. Knowledgeable in identifying. Initiate queries when appropriate
· Review medical record documentation, understand, and assign accurate primary, ICD-10 CM, CPT/HCPCS, modifiers, LCD/NCD, MUE, and NCCI methodologies codes to professional records when utilizing 3M software, EPIC, or coding books.
· Complies with the Standards of Ethical Coding set forth by the American Health Information Management Association (AHIMA) 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 Sr. 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.
Preferred Education:
Bachelor's degree in Health Information Management, Healthcare Administration, or related healthcare field.
Required Experience:
Five years of clinical coding experience for complex or multi-specialties. With preferred degree, three years of clinical coding experience for complex or multi-specialties. May substitute required education degree with additional years of equivalent experience on a one to one basis.
Preferred Experience/Skills:
A strong foundation in medical coding principles, including knowledge of ICD-10, CPT and HCPCS, along with practical experience in both inpatient and outpatient coding. Prior experience working in a healthcare hospital setting.
Certifications:
One or more of the following Required:
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
#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
The primary purpose of the Senior Clinical Coding Specialist position is to analyze 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 applicable modifiers. Enters appropriate codes into the 3M encoder 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.
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
· 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 discharged not final billed (DNB) and place holder or Pre-AR accounts thresholds baselines per the direction of coding leadership
· Ability to comprehend and appropriately apply official coding guidelines, coding clinics, utilizing departmental coding policies, and Craneware. Knowledgeable in identifying. Initiate queries when appropriate
· Review medical record documentation, understand, and assign accurate primary, ICD-10 CM, CPT/HCPCS, modifiers, LCD/NCD, MUE, and NCCI methodologies codes to professional records when utilizing 3M software, EPIC, or coding books.
· Complies with the Standards of Ethical Coding set forth by the American Health Information Management Association (AHIMA) 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 Sr. 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.
Preferred Education:
Bachelor's degree in Health Information Management, Healthcare Administration, or related healthcare field.
Required Experience:
Five years of clinical coding experience for complex or multi-specialties. With preferred degree, three years of clinical coding experience for complex or multi-specialties. May substitute required education degree with additional years of equivalent experience on a one to one basis.
Preferred Experience/Skills:
A strong foundation in medical coding principles, including knowledge of ICD-10, CPT and HCPCS, along with practical experience in both inpatient and outpatient coding. Prior experience working in a healthcare hospital setting.
Certifications:
One or more of the following Required:
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: 172454
- Employment Status: Full-Time
- Employee Status: Regular
- Work Week: Days
- Minimum Salary: US Dollar (USD) 65,000
- Midpoint Salary: US Dollar (USD) 81,000
- Maximum Salary : US Dollar (USD) 97,000
- 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
- Science Jobs: No
#LI-Remote
