Sr Clinical Coding Specialist -Evaluation and Management Coder

Senior Clinical Coding Specialist

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? As a Senior Clinical Coding Specialist at UT MD Anderson, you will directly contribute to accurate clinical documentation and reimbursement processes that support patient care and institutional excellence. This role offers opportunities to expand coding expertise, collaborate with experienced professionals, and participate in ongoing education, all within a mission-driven environment that values work-life balance and career development.

Responsibilities:

• 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
• 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
• 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
• 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).

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.