Professional Coder - Maternal-Fetal Medicine

OU Health; Kansas; On-site; USD 60,000 - 90,000; Full time

Job summary

OU Health is seeking a Maternal Fetal Medicine Professional Coder to perform complex professional coding across clinic, hospital outpatient, ED, ASC, SNF, and telehealth settings. The role emphasizes advanced coding judgment, payer policy interpretation, and documentation accuracy to support compliant reimbursement.

The ideal candidate has CPC or CCS-P, a minimum of 3 years of physician coding experience, and a high school diploma or GED.

Qualifications

• Minimum 3 years of physician/provider coding experience.
• CPC or CCS-P certification required.

Responsibilities

• Code complex professional encounters and procedures with correct sequencing, modifiers, and E/M level.
• Resolve coding-related edits and denials by identifying root causes and supporting rebilling when needed.
• Apply payer medical policies and global service considerations to professional fee claims.
• Provide real-time guidance to peers on standard coding scenarios.
• Participate in internal quality review programs and implement corrective actions.

Skills

MFM coding

ICD-10-CM

CPT coding

E/M coding

Payer policy

Education

High School diploma or GED

Tools

Epic

Encoder tools

Job description

Overview

Maternal Fetal Medicine (MFM) Professional Coder position responsible for complex professional coding across multiple 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.

Responsibilities

• 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 professional 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 and Experience

Education: High School diploma or GED required.

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

Certification/License/Registration: CPC or CCS-P required

Current OU Health Employees - Please login to access internal resources. 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, creates peace of mind for you and your family.