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Senior Clinical Coding Specialist-Outpatient

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Healthcare/Business Support
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127112 Requisition #
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The University of Texas MD Anderson Cancer Center in Houston is one of the world's most respected centers focused on cancer patient care, research, education and prevention. It was named the nation's No. 1 hospital for cancer care in U.S. News & World Report’s 2018 rankings. It is one of the nation's original three comprehensive cancer centers designated by the National Cancer Institute.


Summary


The primary purpose of the Senior 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.

  • 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.


 Minimum Qualifications

  • Education: Associates degree in Health Information Management or any Healthcare Related Field preferred.
  • Licenses/Certifications: American Health Information Management Association (AHIMA)  or  Coding Certification from the American Association of Professional Coders (AAPC)

  • Utilizes EPIC electronic health record and 3M’s Coding and Reimbursement System encoder, effective oral and written communication skills.

  • Strong knowledge of outpatient hospital coding.

  • Analytical skills necessary to interpret data contained in the health records and to assign appropriate codes.

  • Proficient knowledge of human anatomy and pathophysiology, medical terminology, and pharmacology.

  • Critical thinking, good judgment and decision making skills

  • Knowledge of coding compliance policies, official coding guidelines, regulatory requirements and internal policies and procedures affecting the coding process. Proficient in navigating a Windows-based application environment.

 REQUIREMENTS


Experience       

Required: Five years inpatient/outpatient coding or three years of coding with HIM bachelor’s degree. May substitute required education degree with additional years of equivalent experience on a one to one basis.

Preferred: Five years of outpatient coding experience specializing in oncology.

 

Education

Required: Associates Degree in Health Information Management or any Healthcare related field

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

 

May substitute required education degree with additional years of equivalent experience on a one to one basis.

 

CERTIFCATIONS/LICENSES

 

One or more of the following: 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 - Hospital (CPC-H) by the American Academy of Professional Coders (AAPC). Certified Professional Coder - Associate (CPC-A) by the American Academy of Professional Coders (AAPC).



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

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