Clinical Billing Specialist - Division of Cancer Medicine

UT MD Anderson Cancer Center • Houston, TX

23h • Remote

About The Position

The Clinical Billing Specialist in the Division of Cancer Medicine provides clinical billing support, primarily for Melanoma Medical Oncology and Sarcoma Medical Oncology, and supports other clinical departments as divisional operational needs require. The role supports revenue integrity and accurate, timely billing through Epic (OneConnect) analysis, charge capture, reconciliation, reporting, billing compliance, and resolution of billing-related issues. The specialist works closely with the Senior Financial Analyst, departmental leadership, providers, revenue cycle partners, and financial teams.

The work is generally divided among revenue capture activities (50%), inpatient and outpatient charge reconciliation (25%), and reporting activities (25%). Responsibilities include maintaining accurate charge capture in Epic, reviewing documentation and charge activity, following up on incomplete or uncharged encounters, preparing and maintaining billing reports, performing audits, and supporting divisional revenue-cycle initiatives. The position may also provide backup coverage, assist with backlogs and provider follow-up, participate in Epic testing and automated charge capture initiatives, and support training and standardized billing processes across the division.

The position is remote and has a typical day schedule. The listed annual salary range is $53,000 to $79,000, with a midpoint of $66,000; the hourly range is $25.48 to $37.98, with a midpoint of $31.73. 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 are stated requirements. Additional professional billing experience may substitute for the required education on a one-to-one basis. A bachelor's degree, additional healthcare business experience, MD Anderson systems experience, and CPC certification are preferred.

Requirements

• Associate's degree in Business Administration or a related field.
• Three years of professional fee or technical billing experience in healthcare, insurance, or a related field.
• Additional years of professional billing experience may substitute for the required education on a one-to-one basis.
• Strong professional billing background and experience reviewing charges.
• Strong skills in charge capture, reconciliation, billing compliance, reporting, intermediate Excel, presentations, and written communication.
• Ability to collaborate effectively and professionally with division staff, department chairs, and other stakeholders.
• Ability to satisfy and maintain any requirements necessary to ensure the security and integrity of critical infrastructure, if applicable to the position.

Nice To Haves

• Bachelor's degree.
• Five years of business experience in healthcare, insurance, or a multi-specialty physician practice.
• At least two years of MD Anderson systems experience.
• Experience with Epic, professional billing, and revenue cycle operations.
• Prior revenue cycle experience.
• Medical coding and billing experience in a private practice or midsize healthcare setting.
• CPC (Certified Professional Coder) certification upon hire.

Responsibilities

• Develop, implement, and monitor processes to capture professional charges accurately and promptly in Epic (OneConnect) for Melanoma Medical Oncology and Sarcoma Medical Oncology.
• Review charge activity and documentation to identify and resolve missing, incomplete, delayed, or inaccurate charges and Charge Review Work Queue items.
• Apply knowledge of charge capture, CPT/HCPCS codes, E&M services, and documentation requirements to support accurate billing and compliance.
• Collaborate with providers, departmental leadership, and revenue cycle partners to resolve billing issues and identify revenue opportunities, trends, and recurring concerns.
• Provide divisional clinical billing support under the Senior Financial Analyst's direction, including backup coverage, assistance during staff absences or vacancies, reconciliation backlogs, audits, provider follow-up, Epic testing, automated charge capture initiatives, and special projects.
• Support standardized billing processes, training, and knowledge sharing across the Division of Cancer Medicine.
• Participate in institutional revenue and coding meetings and communicate relevant updates as appropriate.
• Perform inpatient and outpatient charge reconciliation for Melanoma Medical Oncology and Sarcoma Medical Oncology to ensure services rendered are captured in Epic.
• Review arrived and admitted patient encounters for missing or incomplete charges and coordinate corrections with providers and departmental staff.
• Follow up on uncharged and unreconciled encounters, escalating unresolved items according to divisional procedures.
• Monitor reconciliation activity to support timely charge capture and reduce outstanding or aging encounters.
• Assist with validation and monitoring of automated reconciliation and other charge capture initiatives.
• Provide reconciliation support to other Division of Cancer Medicine departments during absences, vacancies, backlogs, or other operational needs.
• Prepare and maintain reports on charge capture, reconciliation, open encounters, Epic work queues, and other billing activities.
• Compile and review Epic Charge Review Work Queue information and follow identified billing issues through resolution.
• Perform routine audits and reconcile billing records with financial and operational reports to identify discrepancies and potential revenue opportunities.
• Use Epic reporting tools, including SlicerDicer and Revenue Guardian, for billing analysis and reconciliation.
• Identify billing trends, recurring issues, and potential revenue risks and communicate findings to the Senior Financial Analyst and appropriate leadership.
• Support division-wide billing reports, audits, work queue reviews, data validation, and assigned revenue cycle projects.
• Perform other duties as assigned.

Benefits

• Employer-paid medical coverage beginning on day one for employees working 30 or more hours per week.
• Optional group dental, vision, life, AD&D, and disability insurance.
• Accruals for paid time off and an Extended Illness Bank.
• Paid holidays and wellness, childcare, and other leave options.
• Tuition Assistance Program after six months of service.
• Access to wellness, fitness, and employee resource groups.
• Defined-benefit pension through the Teachers Retirement System.
• Voluntary retirement plans.
• Employer-paid life and reduced salary protection programs.
• Educational opportunities and individual and team recognition.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree