Remote Senior Medical Coder — Complex Claims & Denials

OU Medicine; Northern (KY); Hybrid; USD 60,000 - 98,000; Full time

Job summary

OU Health in Oklahoma seeks an Experienced Professional Medical Coder to perform complex professional coding across multiple settings, ensuring accurate E/M levels and applying payer policies. You will help streamline denial prevention and support compliant coding practices.

The role emphasizes collaboration with leadership, education, and process improvement, with flexible remote/hybrid options and a comprehensive benefits package.

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 sequencing, modifiers, and E/M levels.
• Maintain advanced ICD-10-CM, CPT, HCPCS coding proficiency and payer policy interpretation.
• Resolve coding edits and denials; support rebilling and documentation clarification as needed.
• Apply payer policies, NCCI concepts, and telehealth rules for professional fee claims.
• Provide real-time guidance to peers and participate in quality review programs.
• Utilize Epic professional coding queues and encoder tools to review documentation across settings.
• Identify documentation improvement opportunities and support compliant query workflows.
• Work knowledge of risk adjustment concepts and HCC validation where applicable.

Job description

OU Health in Oklahoma seeks an Experienced Professional Medical Coder to perform complex professional coding across multiple settings, ensuring accurate E/M levels and applying payer policies. You will help streamline denial prevention and support compliant coding practices.

The role emphasizes collaboration with leadership, education, and process improvement, with flexible remote/hybrid options and a comprehensive benefits package.