MD Anderson Cancer Center Clinical Coding Specialist - Revenue Operations and Coding in Houston, Texas

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 diagnosis 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 departments users related to the abstracted coded data.

Key Functions

  • Analyzes medical records and abstract clinical data by assigning codes from patient records in accordance with coding classification systems.

  • Reviews patient encounters for accurate code assignment of all relevant diagnoses and procedures. Exports appropriate codes from CodeRyte and Epic charge systems.

  • Assign appropriate modifiers, and apply guidelines as indicated through the Limited Coverage Diagnosis (LCD), as well as the National Correct Coding Initiative (CCI).

  • Meet or exceed department production and accuracy standards.

  • 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.

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

  • Resolves coding edits/denials by performing second review of medical record documentation and code assignments.

  • Must be flexible and adapt to changing work assignments.

  • Must exercise good judgment in making decisions in regard to coding and/or auditing outcomes.

  • Other duties as assigned

    Education

    Required: Associate's degree in Health Information Management.

    Preferred: Bachelor's degree in Health Information Management.

    Experience

    Preferred: Two years of coding experience in a medical services environment or one year as a Clinical Coding Associate at MD Anderson Cancer Center.

May substitute required education degree with additional years of equivalent experience on a one to one basis and no experience required with preferred degree. Must pass pre-employment skills test as required and administered by Human Resources.

Licensure

Preferred: One of the following awarded by the American Health Information Management Association (AHIMA):

  • CCA- Certified Coding Associate

  • CCS- Certified Coding Specialist

  • RHIA- Registered Health Information Administrator

  • RHIT- Registered Health Information Technician

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