Experienced Professional Coding Specialist

OU Health; Tulsa (OK); Remote; USD 70,000 - 90,000; Full time

Job summary

OU Health is seeking an Experienced Professional Coding Specialist to independently perform complex professional coding across multiple specialties in a fully remote setting. You will ensure correct coding with ICD-10-CM, CPT, and HCPCS, apply payer policies, and support compliant reimbursement and audit readiness.

The role requires at least 3 years of physician/provider coding experience, CPC or CCS-P certification, and familiarity with Epic work queues and encoder tools.

Qualifications

• High school diploma or GED required; CPC/CCS-P certification preferred.
• At least 3 years of physician/provider coding experience.
• Advanced coding knowledge across multiple specialties and payer policies.

Responsibilities

• Code complex professional encounters and procedures with proper sequencing and modifiers.
• Interpret payer policies, apply global service rules, and support rebilling when needed.
• Provide guidance to peers and participate in quality review programs.
• Utilize Epic work queues and encoder tools to review documentation across settings.

Skills

ICD-10-CM coding

CPT coding

HCPCS coding

E/M coding

payer policy interpretation

Telehealth coding

Education

High School diploma or GED

CPC or CCS-P certification

Tools

Epic

Encoder tools

Job description

## **Position Title:**Experienced Professional Coding Specialist## **Department:**Revenue Integrity## **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 **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