Remote Medical Coding Pro - Denials & Revenue Integrity

OU Health; Missouri; Hybrid; USD 70,000 - 100,000; Full time

Benefits offered by this job

PTO

401(k)

Medical plans

Dental plans

Job summary

OU Health seeks an Experienced Professional Coding Specialist to independently code complex professional encounters across office, hospital outpatient, ED, ASC, and telehealth settings. You will apply ICD-10-CM, CPT, HCPCS coding rules, payer policies, and documentation standards to support accurate reimbursement and audit defensibility.

Responsibilities include resolving denials, guiding peers, and contributing to quality review initiatives.

Qualifications

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

Responsibilities

• Code complex professional encounters across multiple settings with correct E/M levels.
• Resolve denials by identifying root causes and coordinating documentation.
• Apply payer policies and NCCI concepts to pro fee claims.
• Provide realtime guidance to peers on standard coding scenarios.
• Participate in internal quality review and education actions.
• Review documentation in the EHR across settings with Epic coding workflows.

Skills

Advanced coding

Payer policy interpretation

Coding judgment

Education

High School diploma or GED

Tools

Epic professional coding

Encoder tools

Job description

OU Health seeks an Experienced Professional Coding Specialist to independently code complex professional encounters across office, hospital outpatient, ED, ASC, and telehealth settings. You will apply ICD-10-CM, CPT, HCPCS coding rules, payer policies, and documentation standards to support accurate reimbursement and audit defensibility.

Responsibilities include resolving denials, guiding peers, and contributing to quality review initiatives.