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SUMMARY:The primary purpose of the Sr. Clinical Coding Specialist position is to analyze complex medical records and abstract clinical data by assigning codes from patient records in accordance with coding classification systems.The following will apply to a position hired for the Interventional Radiology (IR) coder:
Matrix relationship to Revenue Operations & Coding, Supervisor and IR, Associate Director.
Split time and shared oversight with IR
CIRCC certification through the American Academy of Professional coders
Training and quality oversight of the IR technologist
Routine quality review reports
KEY FUNCTIONS:
Analyzes complex medical records to abstract clinical data by assigning codes from patient records in accordance with the coding classification systems of ICD-10-CM and/or CPT.
Reviews patient encounters for accurate code assignment(s) of all relevant diagnosis, procedures and/or modifiers.
Applies guidelines as indicated through the Local Coverage Determination (LCD), National Coverage Determination (NCD), as well as the National Correct Coding Initiative (CCI).
Coder meets and maintains a production rate of 90% or higher.
Coder meets and maintains an accuracy rate of 90% on all coded records.
Queries physicians and/or departments when code assignments are not straightforward or if documentation in the record is inadequate, ambiguous or unclear for coding purposes.
Maintains coding knowledge and skills through attending continuing education activities and reviewing pertinent literature, attending institutional coding meetings, seminars, and other educational forums.
Identifies and reports documentation issues and may participate in team or provider educational activities.
Communicates effectively and demonstrates good interpersonal and professional skills when interacting with others.
May be required to attend/participate in group, or individual meetings with providers of service, or with administration.
May collect and prepare data for management review.
Serves as a resource concerning clinical coding practice, policies and procedures.
Report problems/concerns to management proactively for continuous process improvement.
Review and provide resolution of edits/warnings.
Resolves claim and billing edits as well as denials by performing second review of medical record documentation and code assignments.
Other duties, as assigned.
WORK CONDITIONS:This position requires:Working in Office Environment No X YesWorking in Patient Care Unit (e.g. nursingUnit; outpatient clinic) X No YesExposure to human/animal blood,Body fluids, or tissues X No YesExposure to harmful chemicals X No YesExposure to radiation X No YesExposure to animal's X No YesPHYSICAL DEMANDSIndicate the time required to do each of the following physical demands:Time SpentNever0%Occasionally1-33%Frequently34-66%Continuously67-100%StandingWalkingSittingReachingLifting/CarryingUp to 10 lbs10lbs to 50 lbsMore than 50 lbsPushing/PullingUp to 10 lbs10lbs to 50 lbsMore than 50 lbsUse computer/keyboardRequired 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:Experience analyzing oncologic procedure reports to abstract critical clinical data by assigning ICD-10-CM, modifiers, and CPT codes from patient records, experience with coding and billing pro-fee and facility oncologic Interventional radiology procedures, experience in applying guidelines as indicated through the Local Coverage Determination (LCD) as well as National Correct Coding Initiative (CCI), need someone who is willing to adapt, quick learner and is driven.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.Additional Information
Requisition ID: 157115
Employment Status: Full-Time
Employee Status: Regular
Work Week: Days
Minimum Salary: US Dollar (USD) 61,500
Midpoint Salary: US Dollar (USD) 77,000
Maximum Salary : US Dollar (USD) 92,500
FLSA: non-exempt and eligible for overtime pay
Fund Type: Hard
Work Location: Hybrid Onsite/Remote
Pivotal Position: Yes
Referral Bonus Available?: No
Relocation Assistance Available?: No
Science Jobs: No
Full-time