What are the responsibilities and job description for the Senior Clinical Coding Specialist - Inpatient position at MD Anderson Cancer Center?
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 Inpatient Clinical Coding Specialist position is to analyze medical records and abstract 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, present on admission, patient safety indicators and procedures. 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.
Job-specific Competencies/Responsibilities
PEOPLE/SERVICE (34%):
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
Three or more years of Inpatient coding experience specializing in oncology, at least 2 years auditing experience, familiar with patient safety indicators, Vizient and modality, strong communication skills.
Required 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 - 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
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 Inpatient Clinical Coding Specialist position is to analyze medical records and abstract 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, present on admission, patient safety indicators and procedures. 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.
Job-specific Competencies/Responsibilities
PEOPLE/SERVICE (34%):
- Effectively communicate and interact with members of the inpatient coding team, management, peers, business office, and external customers
- Provides detailed questions and supportive feedback to management and coordinators when inquiring for assistance with coding questions, quality reviews, and coding education/training.
- Capable of providing supportive feedback to management and coordinators for internal and external requests on coding corrections/edits or re-reviews.
- Promptly report workflow or system issues to management
- Advance professional growth and development through continuing education, pertinent literature, coding rounds, seminars, and other educational forums.
- Participates and provides ongoing feedback, when necessary, on documentation challenges, potential coding compliance concerns, and opportunities for coding clinic updates.
- Actively participates in ongoing team and departmental staff meetings.
- Instrumental in maintaining discharged not final billed thresholds per the direction of coding leadership
- Ability to comprehend and appropriately apply official coding guidelines, coding clinics, and departmental coding policies with a clear understanding of disease process, knowledgeable in identifying major complications and chronic conditions, and comprehension of present on admission. Initiate compliant impactful queries when appropriate
- Review medical record documentation, interpret, and assign accurate MS- APR DRG, POA, ICD-10 CM/PCS, and PSI codes to hospital inpatient records when utilizing 3M software, EPIC, or coding books.
- Complies with the Standards of Ethical Coding set forth by the American Health Information Management Association (AHIMA) and adheres to the official coding conventions and guidelines, and upholds HIPAA compliance rules and regulations
- Other duties assigned; descriptions above are not all-inclusive. The coding specialist will also perform other business- related needs when requested.
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
Three or more years of Inpatient coding experience specializing in oncology, at least 2 years auditing experience, familiar with patient safety indicators, Vizient and modality, strong communication skills.
Required 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 - 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: 173653
- Employment Status: Full-Time
- Employee Status: Regular
- Work Week: Days
- Minimum Salary: US Dollar (USD) 67,000
- Midpoint Salary: US Dollar (USD) 83,500
- Maximum Salary : US Dollar (USD) 100,000
- FLSA: non-exempt and eligible for overtime pay
- Fund Type: Hard
- Work Location: Remote (within Texas only)
- Pivotal Position: Yes
- Referral Bonus Available?: Yes
- Relocation Assistance Available?: No
- Science Jobs: No
