Professional Coder - Radiology

OU Health; Tulsa (OK); Remote; USD 65,000 - 90,000; Full time

Job summary

OU Health seeks an Experienced Professional Coding Specialist to join Revenue Integrity. The role covers diverse specialties in a remote setting, with four 9-hour days option and training period.

Ideal candidates are strong coders with hospital coding exposure and familiarity with payer policies. Responsibilities include complex professional coding across settings, resolving edits/denials, applying policies, and guiding peers.

Qualifications

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

Responsibilities

• Code complex professional encounters across settings with correct E/M levels.
• Resolve coding edits and denials and rebilling actions as needed.
• Apply payer policies, NCCI concepts, and telehealth coding rules as relevant to professional claims.
• Provide realtime guidance to peers on standard coding scenarios.
• Participate in internal quality review programs and implement corrective actions.
• Proficiency in Epic professional coding work queues and encoder tools.
• Identify documentation improvement opportunities and support compliant query workflows.
• Knowledge of risk adjustment concepts and HCC validation where applicable.

Skills

Coding expertise

Payer policy interpretation

Query guidance

Education

High School diploma or GED

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.