Experienced Professional Coding Specialist

OU Health; Tulsa (OK); Remote; USD 90,000 - 120,000; Full time

Job summary

OU Health seeks an Experienced Professional Coding Specialist to independently perform complex professional coding across multiple clinical specialties and care settings. The role emphasizes ICD-10-CM, CPT, HCPCS, and E/M coding with strong payer policy interpretation and audit readiness.

The candidate should have 3+ years of physician coding experience, CPC or CCS-P certification, and be able to work remotely within approved states.

Qualifications

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

Responsibilities

• Code complex professional encounters across settings with correct sequencing and documentation.
• Resolve coding edits and denials by identifying root causes.
• Apply payer policies and global service considerations to pro fee claims.
• Provide real-time guidance to peers on coding scenarios and best practices.
• Participate in internal quality reviews and drive education actions based on findings.
• Work queues in Epic professional coding and encoder tools; review documentation across settings.
• Identify documentation improvement opportunities and support corrective queries.
• Understand risk adjustment concepts and HCC validation where applicable.

Skills

ICD-10-CM coding

CPT coding

HCPCS coding

E/M coding

Payer policy

Education

High School diploma or GED

CPC or CCS-P certification

Tools

Epic professional coding

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.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.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 ICD10CM, 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.
• Providerealtime guidance to peers on standard coding scenarios; promote consistency through bestpractice 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

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.