Maternal Fetal Medicine; MFM Professional Coder

Maternal Fetal Medicine (MFM) Professional Coder

Department:
Revenue Integrity

Remote Eligibility:
Candidates must reside and work full‑time in AR, KS, MO, OK, or TX before their first day of employment.

Job Summary
:
We are seeking an experienced Maternal‑Fetal Medicine (MFM) Coder to manage high‑risk OB coding. This role requires mastery of complex Chapter 15 ICD‑10‑CM guidelines and specialized fetal procedures. The role requires audit, review, and coding complex maternal and fetal anomalies.
Ideal candidate will understand the nuances of global vs. split‑care billing, complex E/M guidelines, and specialized fetal therapy procedures. This is a high‑level position for an expert coder who can operate independently.

• Code complex professional encounters and procedures; ensure correct sequencing, modifiers, E/M level selection, and documentation alignment.
• Apply advanced ICD‑10‑CM, CPT®, HCPCS, and modifiers with strong E/M coding proficiency and payer policy interpretation.
• Resolve coding‑related edits and denials by identifying root cause, coordinating documentation clarification, and supporting rebilling actions as applicable.
• Apply payer medical policies, NCCI concepts, global service considerations, and telehealth coding rules as relevant to pro‑fee claims.
• Provide real‑time guidance to peers on standard coding scenarios; promote consistency through best‑practice sharing.
• Participate in internal quality review programs and implement education/corrective actions based on findings.
• Proficiency in Epic professional coding work queues and encoder tools; review documentation efficiently across settings.
• Analytical problem solving for denial/edits prevention; identify documentation improvement opportunities and support compliant query workflows.
• Working knowledge of risk adjustment concepts and HCC validation where applicable.

• Perform other duties as assigned.

High School diploma or GED required.

At least 3 years of experience in physician/provider coding required.

CPC or CCS‑P required.

OU Health is an equal opportunity employer. Equal employment opportunities are provided to all employees and applicants for employment without regard to race, color, religion, gender, national origin, age, disability, sexual orientation, gender identity, genetic information or protected veteran status in accordance with applicable federal laws. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, placement, promotion, termination, layoff, transfer, leaves of absence, compensation, and training.

Reasonable accommodations are made to the known physical and mental limitations of qualified individuals with disabilities.