Senior Medical Coder: Remote/Hybrid, Denials Resolution Expert

OU Health; Town of Texas (WI); Hybrid; USD 75,000 - 95,000; Full time

Benefits offered by this job

PTO

401(k)

Medical plan

Dental plan

Job summary

OU Health seeks an Experienced Professional Coding Specialist to independently code complex professional encounters across multiple settings, ensuring accurate E/M levels and adherence to payer policies.

You will resolve denials, participate in quality reviews, and support education to reduce denials while enjoying flexible remote/hybrid options and a competitive compensation package.

Qualifications

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

Responsibilities

• Code complex professional encounters across multiple settings with correct sequencing and modifiers.
• Resolve coding-related edits and denials by identifying root cause and supporting rebilling actions.
• Apply payer policies, NCCI concepts, and telehealth rules as relevant to professional claims.
• Provide real-time guidance to peers on standard coding scenarios and promote consistency.
• Participate in internal quality reviews and implement corrective actions based on findings.
• Review documentation in the EHR and use Epic professional coding work queues efficiently.
• Identify documentation improvement opportunities to prevent denials and support compliant query workflows.
• Work knowledge of risk adjustment concepts and HCC validation where applicable.

Skills

ICD-10-CM coding

CPT coding

HCPCS coding

E/M coding

payer policy interpretation

Education

High School diploma or GED

Tools

Epic

Encoder tools

Job description

OU Health seeks an Experienced Professional Coding Specialist to independently code complex professional encounters across multiple settings, ensuring accurate E/M levels and adherence to payer policies.

You will resolve denials, participate in quality reviews, and support education to reduce denials while enjoying flexible remote/hybrid options and a competitive compensation package.