MD Anderson Cancer Center Sr Clinical Coding Specialist - Outpatient in Houston, Texas

This position will be located in Houston, TX.

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 Outpatient Clinical Coding Specialist position is to…

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 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.

Key Functions

  • Effectively and accurately assigns ICD-10 CM/ CPT-4 codes to hospital outpatient records with clear understanding of disease process, medical terminology, and pharmacology.

  • Strong knowledge in oncology coding with the ability to abstract medical record documentation to identify pertinent diagnoses/procedures assignment for the purpose of reimbursement, research, and compliance with federal regulations.

  • Must possess a proficient understanding of the Outpatient Prospective Payment Systems (OPPS), National Correct Coding initiative Edits (NCCI), ICD-10 Official Guidelines for Coding and Reporting, Coding Clinics and CPT Assistant.

  • Queries physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes.

  • Keeps abreast of coding guidelines and brings identified concerns to manager for resolution.

  • Accountable for maintaining quality standards in accordance to ICD-10 CM/CPT-4 code assignment; ability to consistently meet established productivity standards while maintaining minimal abstracting errors.

  • Works independently, applies in-depth knowledge of coding principles to determine potential coding issues and quality concerns

  • Comply with the American Health Information Management Association (AHIMA) Code of Ethics and adheres to the official coding conventions and guidelines.

  • Supports department-based goals which are instrumental to the success of the organization; mentor and act as a preceptor to peers. Advance professional growth and development through continuing education, pertinent literature, coding rounds, and seminars and other educational forums.

  • Other duties as assigned.

Education

Required: Associates Degree in Health Information Management.

Preferred: Bachelor's Degree in Health Information Management or any Healthcare related field

Experience

Required: 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.

License/Certification - At least one of the following

Required:

Registered Health Information Administrator (RHIA)

Registered Health Information Technician (RHIT)

Certified Coding Specialist (CCS)

Certified Professional Coder (CPC-H)

Certified Inpatient Coder (CIC)

Certified Outpatient Coder (COC)

Certified Professional Coder (CPC)

Preferred: Registered Health Information Administrator (RHIA)

Registered Health Information Technician (RHIT)

Certified Coding Specialist (CCS)

Certified Professional Coder (CPC-H)

Certified Inpatient Coder (CIC)

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