Clinical Billing Specialist - Division of Cancer Medicine

The University of Texas MD Anderson Cancer Center is a leading institution focused on cancer care, research, education, and prevention. Within the Division of Cancer Medicine, this role provides clinical billing support for Melanoma Medical Oncology and Sarcoma Medical Oncology and supports other clinical departments based on divisional operational needs. The Clinical Billing Specialist plays a critical role in revenue integrity, charge capture accuracy, reconciliation activities, reporting, and billing compliance.

UT MD Anderson is recognized for its commitment to advancing cancer care through innovation, collaboration, and operational excellence. The Clinical Billing Specialist works closely with departmental leadership, providers, revenue cycle partners, and financial teams to ensure accurate and timely billing practices. The Clinical Billing Specialist supports key revenue cycle initiatives, and the Clinical Billing Specialist contributes to efficient financial operations across the Division of Cancer Medicine.

The primary purpose of the Clinical Billing Specialist, Division of Cancer Medicine (DoCM), is to provide clinical billing support with primary responsibility for Melanoma Medical Oncology and Sarcoma Medical Oncology, while supporting other DoCM clinical departments based on divisional operational needs. Responsibilities for this position will include Epic (OneConnect) analysis, charge capture and reconciliation, revenue-generating activities, billing compliance, reporting, and resolution of billing-related issues. The position will work closely with the Senior Financial Analyst, departmental leadership, providers, and revenue cycle partners to ensure accurate and timely charge capture and reconciliation.

The ideal candidate will have experience with Epic, professional billing, and revenue cycle operations. This role requires strong skills in charge capture, reconciliation, billing compliance, reporting, intermediate Excel, presentations, and written communication. A bachelor's degree is preferred. Candidates should have a strong professional billing background with experience reviewing charges, and prior revenue cycle experience is highly desired. Experience in medical coding and billing within a private practice or midsize healthcare setting is strongly preferred. The successful candidate must be highly professional and able to effectively collaborate with division staff, department chairs, and other key stakeholders.

This positions duties will generally be distributed as follows:

Revenue Capture Activities – 50%
Reconciliation of Charges (Inpatient and Outpatient) – 25%
Reporting Activities – 25%

Position Information
Salary: Minimum $53,000 - Midpoint $66,000 - Maximum $79,000
Hourly Salary Breakdown: Minimum $25.48 - Midpoint $31.73 - Maximum $37.98
Typical Work Schedule: Days
Work Location: Remote

Why Us?
At UT MD Anderson, the Clinical Billing Specialist contributes directly to the institution’s mission by supporting accurate clinical billing, compliance, and revenue cycle performance that helps sustain exceptional patient care, research, and education. This role offers opportunities to collaborate with multidisciplinary teams, participate in organization-wide initiatives, strengthen analytical and reporting skills, and gain valuable experience in healthcare finance and revenue cycle operations while maintaining a meaningful impact on cancer care delivery.

• 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.

JOB SPECIFIC COMPETENCIES

Revenue Capture Activities – 50%

• Develop, implement, and monitor processes to ensure professional charges for Melanoma Medical Oncology and Sarcoma Medical Oncology are captured accurately and timely in Epic (OneConnect).
• 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 processes, 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 direction of the Senior Financial Analyst, including backup coverage, staff vacancies or absences, reconciliation backlogs, audits, provider follow-up, Epic testing, automated charge capture initiatives, and special revenue cycle projects.
• Support standardized billing processes, training, and knowledge sharing across DoCM to promote consistent and effective charge capture practices.
• Participate in institutional revenue and coding meetings and communicate relevant updates as appropriate.

Reconciliation of Charges – Inpatient and Outpatient – 25%

• Perform inpatient and outpatient charge reconciliation for Melanoma Medical Oncology and Sarcoma Medical Oncology to ensure services rendered are appropriately captured in Epic.
• Review arrived and admitted patient encounters for missing or incomplete charges and coordinate necessary corrections with providers and departmental staff.
• Follow up on uncharged and unreconciled encounters and escalate unresolved items in accordance with established 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 DoCM departments during absences, vacancies, backlogs, or other operational needs.

Reporting Activities – 25%

• Prepare and maintain reports related to charge capture, reconciliation, open encounters, Epic work queues, and other billing activities.
• Compile, review, and communicate 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.
• Utilize Epic reporting tools, including SlicerDicer and Revenue Guardian, to support 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 special revenue cycle projects as assigned.

Other duties as assigned

Education

• Associate's degree in Business Administration or related field.  
• Preferred Education - Bachelor's degree

Experience

• Three years 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: Five years of business experience in healthcare, insurance, or a multi-specialty physician practice; minimum 2 years MDACC systems experience

LICENSES AND CERTIFICATIONS

• Preferred: CPC - Certified Professional Coder Upon Hire

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.http://www.mdanderson.org/about-us/legal-and-policy/legal-statements/eeo-affirmative-action.html