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…