Professional Coder - Maternal-Fetal Medicine

OU Health; Town of Texas (WI); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

PTO

401(k) with company match

Medical and dental plans

Job summary

OU Health is seeking a Maternal Fetal Medicine Professional Coder to perform complex professional coding across office, hospital outpatient, ED/urgent care, ASC, SNF, and telehealth settings.

The role requires CPC or CCS-P certification and at least 3 years of physician coding experience, with expertise in ICD-10-CM, CPT, HCPCS, and E/M coding. Proficiency in Epic and encoder tools is essential.

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 and procedures with correct sequencing, modifiers, and E/M level.
• Ensure documentation alignment and accurate payer policy interpretation.
• Resolve coding edits and denials by identifying root causes and supporting rebilling as needed.
• Apply payer policies, NCCI concepts, global service considerations, and telehealth rules.
• Provide real-time guidance to peers on standard coding scenarios.
• Participate in internal quality review programs and implement corrective actions.
• Proficient use of Epic professional coding work queues and encoder tools.
• Review documentation across settings to support compliant coding and denial prevention.
• Identify documentation improvement opportunities and support query workflows.
• Work knowledge of risk adjustment concepts and HCC validation where applicable.

Skills

ICD-10-CM

CPT coding

HCPCS

E/M coding

Payer policy interpretation

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.