Experienced Professional Coding Specialist

OU Health; Lawton (OK); Hybrid; USD 70,000 - 90,000; Full time

Benefits offered by this job

PTO

401(k)

Medical/dental plans

Job summary

OU Health in the United States is seeking an Experienced Professional Coding Specialist to independently perform complex professional coding across multiple settings, ensuring accurate E/M levels, modifiers, and documentation alignment to support compliant reimbursement and audit defensibility.

You will analyze denials, apply payer policies, and guide peers while participating in quality reviews. Hybrid work options and a competitive compensation package accompany this role.

Qualifications

• 3+ years of physician/provider coding experience.
• Certification required: RHIA, RHIT, CCS, CPC, or CIC.
• Expertise in ICD-10-CM, CPT, HCPCS, and E/M coding.
• Proficient with Epic professional coding workflows and encoder tools.

Responsibilities

• Code complex professional encounters and procedures; ensure correct sequencing, modifiers, E/M level selection, and documentation alignment.
• Resolve coding-related edits and denials by identifying root cause and supporting rebilling actions.
• 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 across settings.
• Demonstrate analytical problem solving for denial/edits prevention; identify documentation improvement opportunities.
• Demonstrate working knowledge of risk adjustment concepts and HCC validation where applicable.

Skills

ICD-10-CM

CPT

HCPCS

E/M coding

Payer policy interpretation

Documentation standards

Auditing/denials

Education

High School diploma or GED

Tools

Epic

Job description

Position Title

Experienced Professional Coding Specialist

Department

Revenue Integrity

Job Description

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.

Join a forward-thinking team where your expertise drives quality patient care! We are looking for a detail-oriented Professional Medical Coder to help streamline our charge review coding workflow for Adult and Pediatric Evaluation and Management services and Minor Procedures, resolve denials and work with leadership to put processes in place to reduce denials. Enjoy flexible remote / hybrid options, continuous career development, and competitive compensation in a supportive environment.

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

• 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

Education:

High School diploma or GED required.

Experience:

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

Certification/License/Registration

RHIA, RHIT, CCS, CPC, or CIC required.

Benefits and Compensation

OU Health is an equal opportunity employer. We offer a comprehensive benefits package, including PTO, 401(k), medical and dental plans, and many more. We know that a total benefits and compensation package, designed to meet your specific needs both inside and outside of the work environment, create peace of mind for you and your family.