Experienced Professional Coding Specialist

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* Position Title:

** Experienced Professional Coding Specialist##
** Department:
** Revenue Integrity##
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* Job Description:

***** New to OU Health?  Ask your recruiter about our competitive wages and total rewards package.**
* ** Remote Eligibility:
Candidates must reside and work full-time in AR, KS, MO, OK, or TX before their first day of employment.*
* * Please do not apply if you reside outside these 5 states and will not relocate to one of the approved states listed.
*** Looking for a coding team to love at OU Health? This is it! We cover multiple specialties, so there's opportunities to learn and grow. 100% remote. Flexible shifts once training is complete. Opportunity to work four 9 hour days, and one 4 hour day. So if you're work-from-home ready, work well independently, and have strong coding skills we just may be the right fit for you!*
* * Ideal candidates will have professional fee coding experience in at least 2-3 of the clinical specialties supported by our team. These specialties include Anesthesia (including Pain Management), Cardiothoracic & Vascular Surgery, General Surgery and subspecialties, Interventional Radiology, Neurosurgery, OB/GYN and subspecialties, Ophthalmology Surgery, Otolaryngology, Orthopedic Surgery, Pathology, Pediatric Surgery, Plastic Surgery, Radiation Oncology, and Urology. Experience coding complex surgical and procedural services within an academic or multi-specialty healthcare setting is strongly preferred.

* ** General Description
** Independently performs complex professional coding across multiple specialties and settings, including office/clinic, hospital outpatient, ED/urgent care, ASC, SNF/nursing home, and telehealth. Applies advanced coding judgment, payer policy interpretation, and documentation standards to support compliant reimbursement, wRVU integrity, and audit defensibility in an academic and research enterprise.  
** Essential

Job Duties
*** Responsibilities listed in this section are core to the position.  Inability to perform these responsibilities, with or without an accommodation, may result in disqualification from the position.
** Code complex professional encounters and procedures; ensure correct sequencing, modifiers, E/M level selection, and documentation alignment. Advanced expertise in ICD‐10‐CM, CPT, HCPCS, and modifiers; 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; ability to efficiently review documentation in the EHR across settings.
* Analytical problem solving for denial/edits prevention; ability to identify documentation improvement opportunities and support compliant query workflows
* Working knowledge of risk adjustment concepts and HCC validation where applicable to supported populations.  
** General

Job Duties
*** Performs other duties as assigned  
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* Education:

** High School diploma or GED required.
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* Experience:

** At least 3 years of experience physician/provider coding required.
** Certification/License/Registration**: CPC or CCS-P required