Senior Clinical Coding Specialist - OR Surgery

As a Senior Clinical Coding Specialist, this role supports accurate and compliant coding operations that directly impact revenue integrity and timely billing processes. The Senior Clinical Coding Specialist works collaboratively with internal teams to ensure high-quality coding and documentation standards. MD Anderson Cancer Center is a leading institution focused on cancer care, research, education, and prevention. The Senior Clinical Coding Specialist contributes to this mission through expert application of coding guidelines, communication with clinical teams, and support of institutional compliance.

The Senior Clinical Coding Specialist is essential in maintaining workflow efficiency, supporting documentation clarification, and ensuring coding accuracy. Individuals in this role must be detail-oriented, highly organized, and committed to continuous learning and adherence to official coding guidelines.

The ideal candidate for the Senior Clinical Coding Specialist will have surgery coder experience in Breast and Plastics, Surgical Oncology, Head and Neck, Urology and advanced knowledge of ICD-10-CM, CPT/HCPCS along with experience in both inpatient and outpatient coding.

Shift Hours: 8am - 5pm remote but must be able to attend meetings onsite as needed.

Why Us?

The Senior Clinical Coding Specialist plays a key role in supporting MD Anderson's mission by ensuring coding accuracy, enabling timely billing, and upholding compliance standards. This position offers opportunities for continuous learning, professional development, and the ability to contribute meaningfully to high-impact operational workflows.

* 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, and external customers.

* Provide detailed questions and feedback to management regarding coding issues, quality reviews, and training.

* Support internal and external requests for coding corrections or re-reviews.

* Report workflow or system issues promptly to management.

Development & Innovation Advance professional growth through continuing education, coding rounds, seminars, and literature review.

* Participate in team meetings and provide feedback on documentation challenges and compliance concerns.

* Contribute to discussions on coding clinic updates and process improvements.

Coding Quality & Compliance Maintain discharged-not-final-billed (DNB) and Pre-AR account thresholds as directed by leadership.

* Apply official coding guidelines, coding clinics, and departmental policies accurately.

* Review medical records and assign ICD-10-CM, CPT/HCPCS, modifiers, and other codes using 3M software, EPIC, and coding references.

* Initiate physician queries when documentation is unclear or insufficient.

* Uphold AHIMA ethical coding standards and HIPAA compliance rules.At MD Anderson Cancer Center, you'll be part of a world-class team dedicated to Making Cancer History. As a Senior Clinical Coding Specialist in our Revenue Operations and Coding Department, your expertise ensures accurate coding that supports patient care and institutional compliance. This is more than a job-it's an opportunity to contribute to life-saving work while advancing your career.

What's in it for you?

* Paid Medical Benefits: MD Anderson covers 100% of medical benefits for employees, plus dental and vision options.

* Generous Paid Time Off (PTO): Vacation, sick leave, and holidays to help you recharge.

* Retirement Plans: Secure your future with robust retirement programs and employer contributions.

* Professional Growth: Access to continuing education, coding seminars, and career advancement opportunities.

* Mission-Driven Culture: Work in an environment where your skills directly impact patient care and institutional excellence.

Key Responsibilities

People & Service (34%)

* Communicate effectively with coding team members, management, business office, and external customers.

* Provide detailed questions and feedback to management regarding coding issues, quality reviews, and training.

* Support internal and external requests for coding corrections or re-reviews.

* Report workflow or system issues promptly to management.

Development & Innovation (26%)

* Advance professional growth through continuing education, coding rounds, seminars, and literature review.

* Participate in team meetings and provide feedback on documentation challenges and compliance concerns.

* Contribute to discussions on coding clinic updates and process improvements.

Coding Quality & Compliance (40%)

* Maintain discharged-not-final-billed (DNB) and Pre-AR account thresholds as directed by leadership.

* Apply official coding guidelines, coding clinics, and departmental policies accurately.

* Review medical records and assign ICD-10 CM, CPT/HCPCS, modifiers, and other codes using 3M software, EPIC, and coding references.

* Initiate physician queries when documentation is unclear or insufficient.

* Uphold AHIMA ethical coding standards and HIPAA compliance rules.

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 Experience:

* Prior experience working in a Teaching Hospital setting. This specific position is for a surgical position in OR surgical coding for both the physician and the facility.

* Experience in Breast and Plastics, Surgical Oncology, Head and Neck, and/or Urology.

* A strong foundation in medical coding principles, including knowledge of ICD-10, CPT and HCPCS, along with practical experience in both inpatient and outpatient coding.

LICENSES AND CERTIFICATIONS:

One or more of the following is required.

* RHIA - Registered Health Information Administrator American Health Information Management Association (AHIMA).

* RHIT - Registered Health Information Technician American Health Information Management Association (AHIMA).

* CCS-Certified Coding Specialist American Health Information Management Association (AHIMA).

* CCA - Certified Coding Associate American Health Information Management Association (AHIMA).

* Certified Coder-AHIMA or AAPC American Academy of Professional Coders (AAPC).

* CPC-A - Cert Prof Coder-Apprentice American Academy of Professional Coders (AAPC).

* COC - Certified Outpatient Coding American Academy of Professional Coders (AAPC).

OTHER REQUIREMENTS: Must pass pre-employment skills test as required and administered by Human Resources.

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.

Additional Information

* Requisition ID: 178716

* 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?: No

* Relocation Assistance Available?: No

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