Professional Coder - Radiology

OU Health; Town of Texas (WI); Remote; USD 80,000 - 110,000; Full time

Benefits offered by this job

PTO

401(k)

Medical insurance

Dental plans

Job summary

OU Health is seeking an Experienced Professional Coding Specialist for a 100% remote role in Revenue Integrity. The ideal candidate will independently perform complex professional coding across multiple specialties, with strong skills in ICD-10-CM, CPT, HCPCS, E/M, and payer policy interpretation.

Epic, Encoder Pro, and Solventum/3M experience are preferred. Requirements include a CPC or CCS-P certification and at least 3 years of physician/provider coding experience.

Qualifications

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

Responsibilities

• Code complex professional encounters across settings (office, hospital outpatient, ED/urgent care, ASC, SNF, telehealth).
• Ensure correct sequencing, modifiers, and E/M levels; align documentation.
• Address edits and denials; assist rebilling as needed.

Skills

ICD-10-CM coding

CPT coding

HCPCS coding

E/M coding

Payer policy interpretation

Audit/denials support

Education

CPC or CCS-P certification

Tools

Epic

Encoder Pro

Solventum/3M

Job description

Experienced Professional Coding Specialist

Revenue Integrity

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.

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!

***The ideal candidate would have teaching hospital or trauma center coding experience. While coding knowledge in multiple specialties is a big plus, the CIRCC certification moves you to the top of the list of candidates. Epic, Encoder Pro and Solventum/3M experience 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,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.