Remote Medical Coder — Expert Professional Coding

OU Health; Lawton (OK); Ibrido; USD 70.000 - 90.000; Tempo pieno

Vantaggi offerti da questo lavoro

PTO

401(k)

Medical/dental plans

Descrizione del lavoro

OU Health in the United States is seeking an Experienced Professional Coding Specialist to independently perform complex professional coding across multiple settings, ensuring accurate E/M levels, modifiers, and documentation alignment to support compliant reimbursement and audit defensibility.

You will analyze denials, apply payer policies, and guide peers while participating in quality reviews. Hybrid work options and a competitive compensation package accompany this role.

Competenze

• 3+ years of physician/provider coding experience.
• Certification required: RHIA, RHIT, CCS, CPC, or CIC.
• Expertise in ICD-10-CM, CPT, HCPCS, and E/M coding.
• Proficient with Epic professional coding workflows and encoder tools.

Mansioni

• Code complex professional encounters and procedures; ensure correct sequencing, modifiers, E/M level selection, and documentation alignment.
• Resolve coding-related edits and denials by identifying root cause and supporting rebilling actions.
• 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; review documentation across settings.
• Demonstrate analytical problem solving for denial/edits prevention; identify documentation improvement opportunities.
• Demonstrate working knowledge of risk adjustment concepts and HCC validation where applicable.

Conoscenze

ICD-10-CM

CPT

HCPCS

E/M coding

Payer policy interpretation

Documentation standards

Auditing/denials

Formazione

High School diploma or GED

Strumenti

Epic

Descrizione del lavoro

OU Health in the United States is seeking an Experienced Professional Coding Specialist to independently perform complex professional coding across multiple settings, ensuring accurate E/M levels, modifiers, and documentation alignment to support compliant reimbursement and audit defensibility.

You will analyze denials, apply payer policies, and guide peers while participating in quality reviews. Hybrid work options and a competitive compensation package accompany this role.