Experienced Professional Coding Specialist

OU Health; Oklahoma City (OK); Hybrid; USD 65,000 - 95,000; Full time

Benefits offered by this job

Remote/hybrid options

Career development

Competitive compensation

Benefits package

Job summary

OU Health is seeking an Experienced Professional Coding Specialist in Revenue Integrity to expertly code complex professional encounters across multiple settings, support accurate reimbursement, and reduce denials. You will apply ICD-10-CM, CPT, HCPCS, and E/M rules, provide real-time guidance, review documentation in the EHR, and participate in quality reviews.

Remote/hybrid options available; 3+ years of physician coding; CPC or CCS-P required; strong Epic experience preferred.

Qualifications

• High School diploma or GED required.
• At least 3 years of physician/provider coding experience.
• CPC or CCS-P certification required.
• Strong knowledge of ICD-10-CM, CPT, HCPCS and E/M coding.
• Experience with Epic professional coding workflows.

Responsibilities

• Code complex professional encounters with correct sequencing, modifiers, and E/M level selection.
• Resolve denials by root‑cause analysis and rebilling actions.
• Apply payer policies, NCCI concepts, and telehealth rules for pro fee claims.
• Provide real‑time guidance to peers and share best practices.
• Participate in internal quality reviews and implement corrective actions.
• Work with Epic queues and encoder tools; review documentation across settings.
• Analyze denials for prevention; suggest documentation improvements.
• Knowledge of risk adjustment concepts and HCC validation where applicable.

Skills

Complex coding

ICD-10-CM

CPT/HCPCS

E/M coding

Payer policy

Epic experience

Education

High School diploma or GED

Tools

Epic

Encoder tools

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. Appliesadvanced coding judgment, payer policy interpretation, and documentation standards to support compliant reimbursement,wRVUintegrity, 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 levelselection, 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 byidentifyingroot 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.
• Providereal‑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.
• Proficiencyin Epic professional codingwork queuesand encoder tools; ability to efficiently review documentation in the EHR across settings.
• Analytical problem solving for denial/edits prevention; ability toidentifydocumentation 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

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OU Health is an equal opportunity employer. We offer a comprehensive benefits package, including PTO, 401(k), medical and dental plans, and many more.