Senior Clinical Coding Specialist - ProFee - MD Anderson
Houston, TX
About the Job
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 Sr. Clinical Coding Specialist position is to analyze medical records and abstract clinical data by assigning codes from patient records in accordance to ICD 10 and CPT 4 coding classification systems.
KEY FUNCTIONS:
Analyzes medical records to audit/abstract clinical data by assigning ICD10, CPT, HCPCS and modifier codes from patient records in accordance to coding classification systems. Reviews patient encounters for accurate code assignment of all relevant diagnosis and procedures in Epic.
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:
Initiate high-level decision-making by auditing/abstracting professional services according to the rules and regulations established through CMS and the AMA, resolves coding edits/denials by performing second review of medical record documentation and code assignments.
Must be flexible and adapt to changing work assignments, assign appropriate modifiers, and apply guidelines as indicated through the Limited Coverage Diagnosis (LCD), as well as the National Correct Coding Initiative (CCI), possess a thorough knowledge and understanding of institutional coding policies and procedures; maintains knowledge of ICD-10-CM, HCPCS and CPT-4 coding guidelines according to CMS, AMA, AHA and other official sources.
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
#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 Sr. Clinical Coding Specialist position is to analyze medical records and abstract clinical data by assigning codes from patient records in accordance to ICD 10 and CPT 4 coding classification systems.
KEY FUNCTIONS:
Analyzes medical records to audit/abstract clinical data by assigning ICD10, CPT, HCPCS and modifier codes from patient records in accordance to coding classification systems. Reviews patient encounters for accurate code assignment of all relevant diagnosis and procedures in Epic.
- Assign appropriate modifiers, and apply guidelines as indicated through the Limited Coverage Diagnosis (LCD), as well as the National Correct Coding Initiative (CCI).
- Possess a thorough knowledge and understanding of institutional coding policies and procedures; maintains knowledge of ICD-10-CM, HCPCS and CPT-4 coding guidelines according to CMS, AMA, AHA and other official sources.
- May conduct coding and compliance research as necessary
- Maintains coding knowledge and skills through attending continuing education activities and reviewing pertinent literature, attending institutional coding meetings, AAPC/AHIMA seminars, and other educational forums.
- Meet or exceed department production and accuracy standards.
- Queries physicians when code assignments are not straightforward or if documentation in the record is inadequate, ambiguous or unclear for coding purposes.
- Identify and apply knowledge of global periods and modifiers
- Identifies and reports documentation issues and may participate in team education activities.
- Serves as a resource concerning clinical coding practice, policies and procedures.
- Initiate high-level decision-making by auditing professional services according to the rules and regulations established through CMS and the AMA.
- Resolves coding edits/denials by performing second review of medical record documentation and code assignments.
- Must be flexible and adapt to changing work assignments.
- Review and respond to coding concerns from billing or management.
- Compile reports with pertinent statistical data for review by management.
- Other duties, as assigned.
WORK CONDITIONS:
This position requires:
Working in Office Environment ____ No __X__ Yes
Working in Patient Care Unit (e.g. nursing
unit; outpatient clinic) _X__ No ______ Yes
Exposure to human/animal blood,
Body fluids, or tissues __X__ No ____ Yes
Exposure to harmful chemicals __ X__ No ____ Yes
Exposure to radiation __ X__ No ____ Yes
Exposure to animal's __ X__ No ____ Yes
PHYSICAL DEMANDS
Indicate the time required to do each of the following physical demands:
Time Spent
Never
0%
Occasionally
1-33%
Frequently
34-66%
Continuously
67-100%
Standing
X
Walking
X
Sitting
X
Reaching
X
Lifting/Carrying
Up to 10 lbs
X
10lbs to 50 lbs
X
More than 50 lbs
X
Pushing/Pulling
Up to 10 lbs
X
10lbs to 50 lbs
X
More than 50 lbs
X
Use computer/keyboard
X
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:
Initiate high-level decision-making by auditing/abstracting professional services according to the rules and regulations established through CMS and the AMA, resolves coding edits/denials by performing second review of medical record documentation and code assignments.
Must be flexible and adapt to changing work assignments, assign appropriate modifiers, and apply guidelines as indicated through the Limited Coverage Diagnosis (LCD), as well as the National Correct Coding Initiative (CCI), possess a thorough knowledge and understanding of institutional coding policies and procedures; maintains knowledge of ICD-10-CM, HCPCS and CPT-4 coding guidelines according to CMS, AMA, AHA and other official sources.
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: 169453
- 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
Source : MD Anderson
