Senior Clinical Coding Specialist
3 days ago
At MD Anderson Center, we are seeking a highly skilled Senior Clinical Coding Specialist to join our team. As a key member of our coding team, you will play a critical role in ensuring the accuracy and integrity of our clinical data.
Job Summary:The Senior Clinical Coding Specialist will be responsible for analyzing medical records and abstracting clinical data by assigning codes from patient records in accordance with ICD-10 and CPT-4 coding classification systems. This role requires a strong understanding of institutional coding policies and procedures, as well as knowledge of ICD-10-CM, HCPCS, and CPT-4 coding guidelines.
Key Responsibilities:- Assign appropriate modifiers and apply guidelines as indicated through the Limited Coverage Diagnosis (LCD) and the National Correct Coding Initiative (CCI).
- Review patient encounters for accurate code assignment of all relevant diagnosis and procedures in Epic.
- Conduct coding and compliance research as necessary.
- Maintain coding knowledge and skills through attending continuing education activities and reviewing pertinent literature.
- Meet or exceed department production and accuracy standards.
- Query 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.
- Identify and report documentation issues and may participate in team education activities.
- Serve 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.
- Resolve coding edits/denials by performing second review of medical record documentation and code assignments.
- 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.
To be successful in this role, you will need:
- An Associate's degree in Health Information Management, Healthcare Administration, or a related healthcare field.
- Five years of clinical coding experience for complex or multi-specialties. With a preferred degree, three years of clinical coding experience for complex or multi-specialties.
- One or more of the following certifications: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Coding Associate (CCA), Certified Professional Coder (CPC), Certified Professional Coder - Associate (CPC-A), or Certified Outpatient Coder (COC).
As a Senior Clinical Coding Specialist at MD Anderson Center, you will have the opportunity to work with a talented team of professionals who are passionate about delivering high-quality patient care. We offer a competitive salary and benefits package, as well as opportunities for professional growth and development.
We are an equal employment opportunity employer and welcome applications from diverse candidates. If you are a motivated and detail-oriented individual who is passionate about clinical coding, we encourage you to apply for this exciting opportunity.
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