Charge Capture - Clinical Billing Specialist

Clinical Billing Specialist opportunity in the Ambulatory Charge Capture Services department. The ideal candidate has an associate's degree in business administration or a related field, and three years of professional fee or technical billing experience in healthcare, insurance, or a related field. Experience abstracting injection and infusion charges by accurately applying CPT hierarchy guidelines based on clinical documentation is preferred. Coding proficiency (CPT/HCPCS) is an added asset.

Shift: Monday - Friday 7:30 am - 4:00 pm


*Remote in Texas with onsite requirements based on business needs*

Salary: $53,000 - minimum - $66,000 midpoint - $79,000 maximum
Hourly breakdown of salary range: Minimum $25.48 - Midpoint $31.73 - Maximum $37.98

What's In It for You?

Grow your expertise in oncology revenue cycle with hands-on experience in ambulatory charge capture, charge reconciliation, and CPT/HCPCS application.

Enjoy work-life balance and flexibility with a Monday-Friday daytime schedule and a primarily remote work arrangement within Texas, supported by a collaborative team and strong training resources.

Build a meaningful impact on patient care and organizational success by ensuring accurate, compliant charge capture that directly supports clinical operations, audit readiness, and overall revenue integrity.

SUMMARY
The Clinical Billing Specialist (CBS) ensures accurate and timely charge capture, documentation, and reconciliation for ambulatory oncology services. This role requires strong attention to detail, effective communication with clinical teams, and excellent customer service skills. Strong knowledge of CPT, HCPCS, and applicable state and local charging and documentation guidelines is highly desirable. Experience with the Epic EMR system is also preferred.

KEY FUNCTIONS

Technical Charge Capture
Perform daily high volume charge capture reviews for accuracy, timeliness, and compliance.

Ensure correct cost center mapping using EHR tools and reports.

Apply infusion charging hierarchy rules to ensure accurate sequencing and billing.

Monitor processes, resolve issues, and recommend improvements.

Validate documentation with strong attention to detail and CPT/HCPCS knowledge.

Resolve open encounters, process corrections, and escalate barriers as needed.

Technical Charge Reconciliation
Conduct daily reconciliation in a high volume setting to identify and resolve missing charges.

Use reports and work queues to ensure compliant, accurate billing aligned with infusion hierarchy guidelines.

Communicate with clinical teams and management to resolve discrepancies efficiently.

Collaborate across departments to support accurate revenue capture.

Maintain workflow standards and support team training/cross coverage.

Project Management and Follow-Up
Support charging compliance monitoring, CDM maintenance, and staff/clinical teams' education.

Collect and summarize data for reporting and special projects and develop/monitor audit and reconciliation processes.

Identify process improvement opportunities and communicate recommendations to management.

EDUCATION
Required: Associate's degree in business administration or related field.
Preferred: None

WORK EXPERIENCE
Preferred: Three years of professional fee or technical billing experience in healthcare, insurance, or related field. May substitute required education degree with additional years of professional billing experience on a one-to-one basis.
Preferred: Experience abstracting injection and infusion charges by accurately applying CPT hierarchy guidelines based on clinical documentation

LICENSES AND CERTIFICATIONS
Required: None
Preferred: Certified Professional Coder via AAPC (CPC) or Certified Coding Specialist - Physician Based

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.