Professional Coder - Maternal-Fetal Medicine

OU Medicine; Oklahoma; Hybrid; USD 85,000 - 110,000; Full time

Benefits offered by this job

PTO

401(k)

Medical and dental plans

Job summary

OU Health is seeking an experienced Maternal-Fetal Medicine (MFM) coder to manage high-risk OB coding. This role requires mastery of complex ICD-10-CM guidelines and specialized fetal procedures. Independent operation and audit defensibility are essential in an academic/research setting.

General Description: Performs complex professional coding across multiple settings, applying advanced coding judgment and payer policy interpretation to support compliant reimbursement and wRVU integrity.

Qualifications

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

Responsibilities

• Code complex professional encounters and procedures with correct sequencing and documentation.
• Apply ICD-10-CM, CPT, HCPCS and modifiers; ensure correct E/M levels.
• Resolve coding edits and denials by identifying root causes and supporting rebilling actions.
• Apply payer policies, NCCI concepts, and global service considerations to pro fee claims.
• Provide real-time guidance to peers and participate in quality review programs.
• Review documentation across settings using Epic work queues and encoder tools.

Skills

ICD-10-CM

CPT coding

E/M guidelines

Payer policy

Audit support

Global/Telehealth rules

Education

High School diploma

Tools

Epic

Encoder tools

Job description

Professional Coder - Maternal-Fetal Medicine

Department: Revenue Integrity

Eligibility

Candidates must reside and work full-time in AR, KS, MO, OK, or TX before their first day of employment.

Specialty Area

Maternal-Fetal Medicine

Job Summary

We are seeking an experienced Maternal-Fetal Medicine (MFM) Coder to manage high-risk OB coding. This role requires mastery of complex Chapter 15 ICD-10-CM guidelines and specialized fetal procedures. The role requires audit, review, and coding complex maternal and fetal anomalies. Ideal candidate will understand the nuances of global vs. split-care billing, complex E/M guidelines, and specialized fetal therapy procedures. This is a high-level position for an expert coder who can operate independently.

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.
• Perform 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.

Benefits

• 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.

Employer Information

OU Health is the state's only comprehensive academic health system of hospitals, clinics and centers of excellence. With 11,000 employees and more than 1,300 physicians and advanced practice providers, OU Health is home to Oklahoma's largest doctor network with a complete range of specialty care. OU Health serves Oklahoma and the region with the state's only freestanding children's hospital, the only National Cancer Institute-Designated OU Health Stephenson Cancer Center, Oklahoma's flagship hospital, which serves as the state's only Level 1 trauma center and Edmond Medical Center in the heart of the Edmond Community.

Becker's Hospital Review named University of Oklahoma Medical Center one of the 100 Great Hospitals in America for 2020. OU Health's oncology program at OU Health Stephenson Cancer Center was named Oklahoma's top facility for cancer care by U.S. News & World Report in its 2020-21 rankings. OU Health also was ranked by U.S. News & World Report as high performing in these specialties: Colon Surgery, COPD and Congestive Heart Failure.

OU Health's mission is to lead healthcare in patient care, education and research. Experts in prevention, treatment and cures, our team works to improve lives through innovation in medical care, education and research, while investing in the people, technologies and facilities that will enable us to achieve our goals.

We are seeking individuals who have a passion and talent for caring for others. By joining our team, you will provide quality health care to our community through the work you do every day. We provide clinical and non-clinical opportunities to further your career and we invite you to explore our available positions.

EEO/DEI Statement

OU Health is an equal opportunity employer.

Equal employment opportunities are provided to all employees and applicants for employment without regard to race, color, religion, gender, national origin, age, disability, sexual orientation, gender identity, genetic information or protected veteran status in accordance with applicable federal laws. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, placement, promotion, termination, layoff, transfer, leaves of absence, compensation, and training.

Reasonable accommodations are made to the known physical and mental limitations of qualified individuals with disabilities.