Professional Coder - Radiology

oumedicine; United States; On-site; USD 75,000 - 110,000; Full time

Benefits offered by this job

401(k) plan

PTO

Medical and dental plans

Job summary

OU Health is seeking a Professional Coder - Radiology to perform complex physician coding across settings: office, hospital outpatient, ED, ASC, telehealth. You will apply advanced coding judgment, payer policies, and documentation standards to support compliant reimbursement and audit defensibility in an academic, research-driven environment.

Ideal candidate has teaching hospital or trauma center coding experience and familiarity with CT, MRI and Ultrasounds; CIRCC certification moves you to

Qualifications

• Minimum 3 years of professional coding experience required.
• Experience coding for physician/provider settings.
• CPC or CCS-P certification required.
• Payer policies and documentation standards knowledge.

Responsibilities

• Code complex professional encounters and procedures with correct sequencing and modifiers.
• Resolve coding edits and denials by root-cause analysis.
• Apply payer policies and NCCI concepts to pro fee claims.
• Provide real-time guidance to peers on coding scenarios.
• Participate in internal quality reviews and education actions.
• Review documentation in the EHR across settings.
• Demonstrate analytical problem-solving for denial prevention.
• Understand risk adjustment concepts and HCC validation where applicable.

Skills

ICD-10-CM

CPT

HCPCS

EM coding

Payer policy

Documentation

Denials resolution

Education

High School diploma or GED

Tools

Epic

Encoder Pro

Solventum/3M

Job description

Position Title

Professional Coder - Radiology

Department

Revenue Integrity

Remote Eligibility

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

Specialty Area

Neuro Interventional Radiology

Ideal Candidate

Ideal candidate would have teaching hospital or trauma center coding experience and familiarity with CT, MRI and Ultrasounds. 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, wRVU integrity, and audit defensibility in an academic and research enterprise.

Essential Job Duties

• 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.

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

Benefits

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.