• Clin.Data Spec. I, PBD

    Job Locations USA-NY-New York
    Posted Date 5 days ago(5/15/2019 5:06 PM)
    Requisition ID
    Allied Health - Health Information Management
  • Company Overview

    At Memorial Sloan Kettering (MSK), we’re not only changing the way we treat cancer, but also the way the world thinks about it. By working together and pushing forward with innovation and discovery, we’re driving excellence and improving outcomes.
    For the 28th year, MSK has been named a top hospital for cancer by U.S. News & World Report. We are proud to be on Becker’s Healthcare list as one of the 150 Great Places to Work in Healthcare in 2018, as well as one of Glassdoor’s Employees’ Choice Best Place to Work for 2018. We’re treating cancer, one patient at a time. Join us and make a difference every day.

    Job Description

    The Clinical Data Specialist analyzes medical records; extracting surgical, pathological, therapeutic and epidemiologic data in accordance with established ICD-10-CM and CPT-4 AMA coding principles and guidelines.  They will ensure that data is optimally coded for research purposes, financial reimbursement, planning, statistics and regulatory reporting and communicate directly with Surgery Administration and Physicians to ensure that surgical documentation is coded in compliance with CMS guidelines and National Correct Coding Initiatives.


    The Clinical Data Specialist is responsible for: 


    • Selects CPT codes at their highest level of specificity per documentation and research requirements 
    • Identifies appropriate principal diagnosis and applicable subsequent diagnoses adherent to specific surgical procedure
    •  Identifies correct/appropriate primary procedure, including any and all additional procedures
    •  Follows all coding guidelines as defined by NCCI and CMS regulations

    Follow Up: 

    • Follows status of OP Reports and Physical Presence Statements as outlined in the Surgical Coder –CDS Reference Guide 
    • Follows e-mail schedule as to Coding Approvals as noted in the Surgical Coder-CDS Reference Guide and Procedure E-mail Grid
    • Weekly follow-up on pending cases to ensure they are coded within timeframe specified in the Surgical Coder - CDS Reference Guide 
    • Appropriately escalates to management any cases that fall outside of the coding timeframe guidelines as defined in the Surgical Coder –CDS Reference Guide 

    Data Verification: 

    • Matches the correct medical record with corresponding case and verifies that information corresponds with the Operative Report and Pathology Report (if applicable) as documented in the Electronic Medical Record.
    • Enters coding information into the Surgical Coding Database 


    • Communicates new coding scenarios and procedure terminology to management as appropriate
    • Reviews and resolves coding rejections based on resource review when warranted
    • Researches specific coding scenarios upon management request.

    You Need:

    • 2-4 years of experience in surgical coding
    • Knowledge of CPT and ICD-10-CM coding, anatomy, physiology, and medical terminology.
    • Experience in an automated healthcare coding environment is required
    • Bachelor's degree preferred




    MSK is an equal opportunity and affirmative action employer committed to diversity and inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration without regard to race, color, gender, gender identity or expression, sexual orientation, national origin, age, religion, creed, disability, veteran status or any other factor which cannot lawfully be used as a basis for an employment decision.  


    Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please tell us if you require a reasonable accommodation to apply for a job or to perform your job. Examples of reasonable accommodation include making a change to the application process or work procedures, providing documents in an alternate format, using a sign language interpreter, or using specialized equipment.


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