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Senior Clinical Coding Specialist - E/M
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.
PEOPLE/SERVICE (34%)
DEVELOPMENT/INNOVATION (26%)
CODING QUALITY/PROTECTED HEALTH INFORMATION (40%)
***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.
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:
- Ability to level/audit/abstract documentation for E&M level.
- Outpatient E/Ms
- Inpatient E/Ms
- Observation
- Telehealth
- Critical Care
- Emergency Medicine
- Prolonged services
- Outpatient E/Ms
- Knowledge and understanding of 2023 E/M guidelines
- In office (not OR) procedure coding
- Neoplasm coding experience
- Knowledge of global periods
- Knowledge of use of modifiers
- LCDs/CCI
- Teaching facility experience is strongly recommended due to the knowledge of attestations requirements and modifiers.
- Epic experience
- 3M standalone encoder experience: 3m 360 professional experience is preferred.
Certifications:
One or more of the following Required:
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 - Associate (CPC-A) by the American Academy of Professional Coders (AAPC). Certified Outpatient Coder (COC) by the American Academy of Professional Coders (AAPC).
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
