Professional Coding Specialist II

OU Health; Oklahoma; Hybrid; USD 50,000 - 65,000; Full time

Benefits offered by this job

PTO

401(k)

Medical and dental plans

Job summary

OU Health is seeking a Professional Coding Specialist II in Oklahoma. This role involves coding encounters, resolving denials, and ensuring compliance across multiple medical specialties. Ideal candidates will have at least 3 years of coding experience, as well as CPC or CCS-P certification.

The position offers flexible remote or hybrid options, competitive compensation, and a supportive work environment. Join OU Health to play an essential role in maintaining quality patient care and enhancing organizational efficiency.

Qualifications

• At least 3 years of experience in physician/provider coding.
• CPC or CCS-P certification required.
• Advanced expertise in coding regulations and payer policies.

Responsibilities

• Code complex professional encounters and procedures.
• Resolve coding-related edits and denials.
• Provide real-time guidance on standard coding scenarios.
• Participate in internal quality review programs.

Skills

ICD10CM

CPT

HCPCS

E/M coding proficiency

payer policy interpretation

Education

High School diploma or GED

Tools

Epic

Job description

Position Title

Professional Coding Specialist II

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.

Join Our Team

Join a forward-thinking team where your expertise drives quality patient care! We are looking for a detail-oriented Professional Medical Coder to help streamline our charge review coding workflow for Adult and Pediatric Evaluation and Management services and Minor Procedures, resolve denials and work with leadership to put processes in place to reduce denials. Enjoy flexible remote / hybrid options, continuous career development, and competitive compensation in a supportive environment.

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 ICD10CM, 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.

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.