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Clinical Coding Manager
The Manager of Clinical Coding supports the Revenue Operations & Coding (ROC) department, which oversees timely, accurate, and compliant coding of patient accounts for physicians and mid-level providers within the MD Anderson Physicians Referral Service. The Manager of Clinical Coding plays a key role in maintaining efficient, high‑quality workflows and ensuring alignment with institutional guidelines. MD Anderson Cancer Center is a leading institution focused on cancer care, research, education, and prevention.
The Manager of Clinical Coding provides leadership and direction for coding operations, education, and cross‑departmental communication. This role ensures that coding staff receive consistent training, that documentation meets regulatory expectations, and that coding‑related workflows remain productive and compliant with established standards.
The ideal candidate brings strong experience in medical coding operations, leadership of outpatient or multi‑specialty coding teams, and expertise with documentation guidelines and regulatory requirements. A background that includes coding education, EPIC, workflow optimization, personnel management, and compliance oversight is beneficial for success in this role.
The typical work schedule is Days.
Work Location: Remote but must be willing to come onsite 2 days a week.
Why Us?
This role directly contributes to MD Anderson’s mission by ensuring accurate and compliant clinical coding, supporting financial stewardship, and strengthening documentation practices that impact patient care. Team members benefit from meaningful work, opportunities to grow coding and leadership expertise, and support for professional and personal well‑being.
• Employer-paid medical coverage starting day one for employees working 30+ hours/week, plus optional group dental, vision, life, AD&D, and disability insurance.
• Accruals for PTO and Extended Illness Bank, plus paid holidays, wellness, childcare, and other leave options.
• Tuition Assistance Program after six months of service and access to extensive wellness, fitness, and employee resource groups.
• Defined-benefit pension through the Teachers Retirement System, voluntary retirement plans, and employer-paid life and reduced salary protection programs.
Essential Job Responsibilities
People / Service Leadership (30%)
Collaborates with the Director to plan and deliver inpatient coding education and training, aligning short- and long-term goals with institutional priorities, policies, and regulatory standards.
Manages inpatient coding staff, including conducting monthly department meetings with a focus on education, performance, and continuous development; maintains meeting documentation and issue tracking.
Identifies and resolves workflow inefficiencies while prioritizing tasks and managing time effectively to meet operational demands.
Independently manages personnel matters in a timely, fair, and professional manner consistent with organizational policy.
Provides motivating, constructive, and uplifting feedback to supervisors, coordinators, and coding staff.
Oversees performance evaluations and delivers actionable feedback and improvement plans as appropriate.
Serves as a coding subject matter expert, providing compliant guidance on documentation and coding issues to physicians, internal teams, and external departments.
Quality & Coding Compliance (25%)
Assists in the development, implementation, and maintenance of inpatient coding policies and procedures to support departmental quality standards.
Partners with Inpatient Coding Coordinators to review internal and external audit findings and develop targeted education initiatives and coding roundtables.
Maintains up-to-date knowledge of regulatory changes and coding guideline updates; ensures staff education and adherence.
Monitors coding performance to ensure compliance with official coding guidelines, regulatory requirements, and internal standards.
Workflow & Financial Management (45%)
Provides direct oversight to supervisors managing inpatient coding workflows, work queues, and daily operational responsibilities.
Monitors and manages Discharged Not Final Billed (DNFB) thresholds and Charged Not Final Billed (CFB) accounts to support timely billing and revenue goals.
Coordinates daily work assignments and monitors coder productivity; proactively resolves barriers impacting unbilled or aging accounts.
Collaborates with external departments to address coding-related concerns and ensure timely claim submission.
Provides regular updates to the Director regarding operational risks, project statuses, barriers, and successes.
Develops and implements solutions aligned with departmental and Finance Division operational expectations while mitigating workflow and revenue risks.
Prepares and provides documentation related to potential denials upon request.
Participates in EHR and coding system implementations, upgrades, and testing; reports and follows up on system issues until resolution.
EDUCATION
- Required: Bachelor's Degree Health Information Management, Healthcare Administration, or related healthcare field.
WORK EXPERIENCE
- Required: 7 years Experience of coding in physician and/or academic healthcare organization to include three years of supervisory/management experience.
- May substitute required education degree with additional years of equivalent experience on a one to one basis.
- Successful completion of the LEADing Self Accelerate and/or LEADing Self Discover programs may substitute for one year of required supervisory or management experience. Completion of both programs can be substituted for a maximum of two years of supervisory or management experience.
LICENSES AND CERTIFICATIONS
- Required: RHIA - Registered Health Information Administrator American Health Information Management Association (AHIMA). Upon Hire or
- Required: RHIT - Registered Health Information Technician American Health Information Management Association (AHIMA). Upon Hire or
- Required: CCS-Certified Coding Specialist American Health Information Management Association (AHIMA). Upon Hire or
- Required: CCA - Certified Coding Associate American Health Information Management Association (AHIMA). Upon Hire or
- Required: CPC - Certified Professional Coder Certified Professional Coder (CPC) by the American Academy of Professional Coders (AAPC). Upon Hire or
- Required: COC - Certified Outpatient Coding American Academy of Professional Coders (AAPC). Upon Hire or
- Required: CPC-A - Cert Prof Coder-Apprentice American Academy of Professional Coders (AAPC). Upon Hire
OTHER REQUIREMENTS: Must pass pre-employment skills test as required and administered by Human Resources.
The University of Texas MD Anderson Cancer Center offers excellent benefits, including medical, dental, paid time off, retirement, tuition benefits, educational opportunities, and individual and team recognition.
This position may be responsible for maintaining the security and integrity of critical infrastructure, as defined in Section 113.001(2) of the Texas Business and Commerce Code and therefore may require routine reviews and screening. The ability to satisfy and maintain all requirements necessary to ensure the continued security and integrity of such infrastructure is a condition of hire and continued employment.
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
