Experienced Professional Coding Specialist

OU Medicine; Northern (KY); Hybrid; USD 60,000 - 98,000; Full time

Job summary

OU Health in Oklahoma seeks an Experienced Professional Medical Coder to perform complex professional coding across multiple settings, ensuring accurate E/M levels and applying payer policies. You will help streamline denial prevention and support compliant coding practices.

The role emphasizes collaboration with leadership, education, and process improvement, with flexible remote/hybrid options and a comprehensive benefits package.

Qualifications

• High School diploma or GED required.
• At least 3 years of physician/provider coding experience.
• CPC or CCS-P certification required.

Responsibilities

• Code complex professional encounters across multiple settings with correct sequencing, modifiers, and E/M levels.
• Maintain advanced ICD-10-CM, CPT, HCPCS coding proficiency and payer policy interpretation.
• Resolve coding edits and denials; support rebilling and documentation clarification as needed.
• Apply payer policies, NCCI concepts, and telehealth rules for professional fee claims.
• Provide real-time guidance to peers and participate in quality review programs.
• Utilize Epic professional coding queues and encoder tools to review documentation across settings.
• Identify documentation improvement opportunities and support compliant query workflows.
• Work knowledge of risk adjustment concepts and HCC validation where applicable.

Job description

Position Title: Experienced Professional Coding Specialist

Department: Revenue Integrity

Job Description

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

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

• CPC or CCS-P required #cb

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.

OU Health is the state’s only comprehensive academic health system of hospitals, clinics and centers of excellence.

With 11,000 employees and more than 1,300 physicians and advanced practice providers, OU Health is home to Oklahoma’s largest doctor network with a complete range of specialty care.

OU Health serves Oklahoma and the region with the state’s only freestanding children’s hospital, the only National Cancer Institute-Designated OU Health Stephenson Cancer Center, Oklahoma’s flagship hospital, which serves as the state’s only Level 1 trauma center and Edmond Medical Center in the heart of the Edmond Community.

Becker’s Hospital Review named University of Oklahoma Medical Center one of the 100 Great Hospitals in America for 2020.

OU Health’s oncology program at OU Health Stephenson Cancer Center was named Oklahoma’s top facility for cancer care by U.S. News & World Report in its 2020-21 rankings.

OU Health also was ranked by U.S. News & World Report as high performing in these specialties: Colon Surgery, COPD and Congestive Heart Failure.

OU Health’s mission is lead healthcare in patient care, education and research.

Experts in prevention, treatment and cures, our team works to improve lives through innovation in medical care, education and research, while investing in the people, technologies and facilities that will enable us to achieve our goals.

We are seeking individuals who have a passion and talent for caring for others.

By joining our team, you will provide quality health care to our community through the work you do every day.

We provide clinical and non‑clinical opportunities to further your career and we invite you to explore our available positions.

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.