Sr Clinical Coding Specialist -Evaluation and Management Coder

MD Anderson Cancer Center

Houston (TX)

Remote

USD 44,000 - 66,000

Full time

3 days ago

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Benefits offered by this job

Employer-paid medical coverage fromDay

PTO and holidays

Tuition assistance

Defined-benefit pension

Job summary

The University of Texas MD Anderson Cancer Center seeks a Senior Clinical Coding Specialist for its Revenue Operations and Coding team. This remote role supports accurate coding of patient encounters to ensure timely billing and data integrity.

The ideal candidate has extensive CPT, ICD-10 expertise, AHIMA/AAPC certifications, and 5+ years of complex coding experience in healthcare settings. Remote work with quarterly in-person meetings.

Qualifications

Review medical records and assign accurate CPT/ICD-10 codes.
Adhere to official coding guidelines, clinics, and policies.
Collaborate with leadership and coding staff to ensure compliance.

Responsibilities

Communicate effectively with coding team, management, business office, and external stakeholders.
Provide detailed questions and feedback to management and coordinators on coding issues, reviews, and training needs.
Offer supportive input on coding correction requests and re-reviews.
Report workflow issues and system concerns promptly to management.
Pursue professional development through continuing education, seminars, and training forums.
Provide feedback on documentation challenges and potential compliance concerns.
Identify opportunities for coding clinic updates and process improvements.
Participate actively in team and departmental meetings.
Analyze medical records and abstract clinical data; enter coded data into hospital systems.

Skills

5+ years clinical coding experience

CPT and ICD-10 expertise

Regulatory knowledge

Education

Associate's Degree Health Information Management

Bachelor's Degree Health Information Management

RHIA

RHIT

CCS

CCA

CPC-A

COC

Job description

The University of Texas MD Anderson Cancer Center is seeking a Senior Clinical Coding Specialist to join its Revenue Operations and Coding team. The Senior Clinical Coding Specialist plays a critical role in ensuring accurate and compliant coding of patient encounters, supporting timely billing and reimbursement processes, and maintaining the integrity of clinical data across systems. This position works remotely and collaborates closely with coding professionals, leadership, and clinical partners.

The Senior Clinical Coding Specialist at UT MD Anderson is responsible for reviewing medical records, assigning appropriate clinical codes, and supporting departmental goals for accuracy, compliance, and operational efficiency. UT MD Anderson Cancer Center is a leading institution focused on cancer care, research, education, and prevention.

The ideal candidate brings strong expertise in clinical coding practices, including CPT, ICD-10, and regulatory guidelines, along with experience in professional coding environments. This includes a solid educational foundation, relevant work experience in coding or health information management, and applicable certifications, enabling effective performance in a complex healthcare setting.

Minimum $32.21 - Midpoint $40.14 - Maximum $48.08

Work Location: Remote but must be able to attend meetings quarterly.

The typical work schedule is Monday - Friday - Flexible hours.

Why Us?

Employer-paid medical coverage starting day one for employees working 30+ hours/week, plus optional group dental, vision, life, AD&D, and disability insurance.
Accruals for PTO and Extended Illness Bank, plus paid holidays, wellness, childcare, and other leave options.
Tuition Assistance Program after six months of service and access to extensive wellness, fitness, and employee resource groups.
Defined-benefit pension through the Teachers Retirement System, voluntary retirement plans, and employer-paid life and reduced salary protection programs.

Responsibilities

People/Service

Communicate effectively with coding team members, management, business office staff, and external stakeholders
Provide detailed questions and feedback to management and coordinators on coding issues, reviews, and training needs
Offer supportive input on internal and external coding correction requests and re-reviews
Report workflow issues and system concerns promptly to management

Development/Innovation

Pursue professional development through continuing education, literature, coding rounds, seminars, and training forums
Provide feedback on documentation challenges and potential compliance concerns
Identify opportunities for coding clinic updates and process improvements
Participate actively in team and departmental meetings

Coding Quality/Protected Health Information

Maintain pre-AR accounts and baseline thresholds as directed by coding leadership
Apply official coding guidelines, coding clinics, departmental policies, and Craneware usage appropriately
Initiate physician queries when documentation is unclear, ambiguous, or incomplete
Review medical records and assign accurate Evaluation and Management CPT, ICD-10 CM, LCD/NCD, and NCCI codes
Utilize EPIC and coding resources to ensure correct professional claim coding
Adhere to AHIMA and AAPC ethical coding standards and HIPAA compliance regulations

Core Coding Functions

Analyze medical records and abstract clinical data using established classification systems
Assign accurate diagnosis and procedure codes based on patient documentation
Enter coded data into hospital systems for billing and reimbursement processes
Serve as a resource for department users regarding coded data interpretation
Perform additional coding-related duties as assigned within scope of responsibility

EDUCATION

Required: Associate's Degree Health Information Management, Healthcare Administration, or related healthcare field.
Preferred: Bachelor's Degree Health Information Management, Healthcare Administration, or related healthcare field.

WORK EXPERIENCE

Required: 5 years Clinical coding experience for complex or multi-specialties. or
Required: 3 years Clinical coding experience for complex or multi-specialties with preferred degree.
May substitute required education degree with additional years of equivalent experience on a one to one basis.
Preferred: Evaluation & Management, in office procedures, oncology coding, EPIC experience, and auditing experience.

LICENSES AND CERTIFICATIONS

Required: RHIA - Registered Health Information Administrator American Health Information Management Association (AHIMA). Upon Hire or
Required: RHIT - Registered Health Information Technician American Health Information Management Association (AHIMA). Upon Hire or
Required: CCS-Certified Coding Specialist American Health Information Management Association (AHIMA). Upon Hire or
Required: CCA - Certified Coding Associate American Health Information Management Association (AHIMA). Upon Hire or
Required: Certified Coder-AHIMA or AAPC American Academy of Professional Coders (AAPC). Upon Hire or
Required: CPC-A - Cert Prof Coder-Apprentice American Academy of Professional Coders (AAPC). Upon Hire or
Required: COC - Certified Outpatient Coding American Academy of Professional Coders (AAPC). Upon Hire
Preferred: Registered Health Information Administrator (RHIA) by the American Health Information Management Association (AHIMA).
Preferred: Registered Health Information Technician (RHIT) by the American Health Information Management Association (AHIMA).
Preferred: Certified Coding Specialist (CCS) by the American Health Information Management Association (AHIMA).
Preferred: Certified Professional Coder (CPC) by the American Academy of Professional Coders (AAPC).
Preferred: Certified Outpatient Coder (COC) by the American Academy of Professional Coders (AAPC). Resources.
Preferred: Certified Coding Specialist (CCS-P)

The University of Texas MD Anderson Cancer Center offers excellent benefits, including medical, dental, paid time off, retirement, tuition benefits, educational opportunities, and individual and team recognition.

This position may be responsible for maintaining the security and integrity of critical infrastructure, as defined in Section 113.001(2) of the Texas Business and Commerce Code and therefore may require routine reviews and screening. The ability to satisfy and maintain all requirements necessary to ensure the continued security and integrity of such infrastructure is a condition of hire and continued employment.

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