Senior Medical Coder: Denials & Revenue Integrity (Remote)

OU Health; Oklahoma City (OK); Hybrid; USD 65,000 - 95,000; Full time

Benefits offered by this job

Remote/hybrid options

Career development

Competitive compensation

Benefits package

Job summary

OU Health is seeking an Experienced Professional Coding Specialist in Revenue Integrity to expertly code complex professional encounters across multiple settings, support accurate reimbursement, and reduce denials. You will apply ICD-10-CM, CPT, HCPCS, and E/M rules, provide real-time guidance, review documentation in the EHR, and participate in quality reviews.

Remote/hybrid options available; 3+ years of physician coding; CPC or CCS-P required; strong Epic experience preferred.

Qualifications

• High School diploma or GED required.
• At least 3 years of physician/provider coding experience.
• CPC or CCS-P certification required.
• Strong knowledge of ICD-10-CM, CPT, HCPCS and E/M coding.
• Experience with Epic professional coding workflows.

Responsibilities

• Code complex professional encounters with correct sequencing, modifiers, and E/M level selection.
• Resolve denials by root‑cause analysis and rebilling actions.
• Apply payer policies, NCCI concepts, and telehealth rules for pro fee claims.
• Provide real‑time guidance to peers and share best practices.
• Participate in internal quality reviews and implement corrective actions.
• Work with Epic queues and encoder tools; review documentation across settings.
• Analyze denials for prevention; suggest documentation improvements.
• Knowledge of risk adjustment concepts and HCC validation where applicable.

Skills

Complex coding

ICD-10-CM

CPT/HCPCS

E/M coding

Payer policy

Epic experience

Education

High School diploma or GED

Tools

Epic

Encoder tools

Job description

OU Health is seeking an Experienced Professional Coding Specialist in Revenue Integrity to expertly code complex professional encounters across multiple settings, support accurate reimbursement, and reduce denials. You will apply ICD-10-CM, CPT, HCPCS, and E/M rules, provide real-time guidance, review documentation in the EHR, and participate in quality reviews.

Remote/hybrid options available; 3+ years of physician coding; CPC or CCS-P required; strong Epic experience preferred.