Senior Medical Coder - Remote/Hybrid, Denials Resolution

OU Health; Texas; Hybride; USD 75 000 - 110 000; Plein temps

Avantages offerts par ce poste

Comprehensive benefits package

PTO and 401(k)

Medical and dental plans

Résumé du poste

OU Health in Texas is seeking an Experienced Professional Coding Specialist to independently perform advanced professional coding across multiple settings, including office, hospital outpatient, ED, ASC, SNF, and telehealth. You will apply coding judgment, payer policy interpretation, and documentation standards to support compliant reimbursement and audit defensibility.

You will resolve denials, support rebilling actions, and participate in internal quality reviews while mentoring peers and

Qualifications

• 3+ years of physician/provider coding experience.

Responsabilités

• Code complex professional encounters and procedures with correct sequencing, modifiers, and E/M levels.
• Resolve coding-related edits and denials by identifying root cause and coordinating documentation clarification.
• Apply payer medical policies, NCCI concepts, global service considerations, and telehealth coding rules.
• Provide real-time guidance to peers on standard coding scenarios to promote consistency.

Connaissances

ICD-10-CM coding

CPT coding

HCPCS coding

Modifier usage

E/M coding

Formation

High School diploma or GED

Outils

Epic professional coding

Encoder tools

Description du poste

OU Health in Texas is seeking an Experienced Professional Coding Specialist to independently perform advanced professional coding across multiple settings, including office, hospital outpatient, ED, ASC, SNF, and telehealth. You will apply coding judgment, payer policy interpretation, and documentation standards to support compliant reimbursement and audit defensibility.

You will resolve denials, support rebilling actions, and participate in internal quality reviews while mentoring peers and