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Senior Clinical Coding Specialist-Surgery

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Healthcare/Business Support
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127109 Requisition #
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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 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 operative reports and medical records to abstract clinical data by assigning codes from patient records in accordance with the coding classification systems. 


·Reviews patient encounters for accurate code assignment of all relevant diagnosis, procedures and modifiers.    


·Applies guidelines as indicated through the Local Coverage Determination Diagnosis (LCD), as well as the National Correct Coding Initiative (CCI).


·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.  


·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.


·Other duties, as assigned.

 

REQUIREMENTS

 

EXPERIENCE:

Required: Five years inpatient/outpatient coding or three years of coding with HIM bachelor’s degree.                        

 

Preferred: Seven years coding and/or auditing experience for complex or multi-specialties within a healthcare environment, with certification in coding.   Completed medical terminology and anatomy course.

 

EDUCATION:

Required: Associate's degree in Health Information Management, Healthcare Administration, or related healthcare field.

Preferred: Bachelor degree in Health Information Management or nursing degree

 

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

 

CERTIFICATIONS/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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