Senior MFM Pro Coder: Complex Encounters & Denials

OU Health; Town of Texas (WI); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

PTO

401(k) with company match

Medical and dental plans

Job summary

OU Health is seeking a Maternal Fetal Medicine Professional Coder to perform complex professional coding across office, hospital outpatient, ED/urgent care, ASC, SNF, and telehealth settings.

The role requires CPC or CCS-P certification and at least 3 years of physician coding experience, with expertise in ICD-10-CM, CPT, HCPCS, and E/M coding. Proficiency in Epic and encoder tools is essential.

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 and procedures with correct sequencing, modifiers, and E/M level.
• Ensure documentation alignment and accurate payer policy interpretation.
• Resolve coding edits and denials by identifying root causes and supporting rebilling as needed.
• Apply payer policies, NCCI concepts, global service considerations, and telehealth rules.
• Provide real-time guidance to peers on standard coding scenarios.
• Participate in internal quality review programs and implement corrective actions.
• Proficient use of Epic professional coding work queues and encoder tools.
• Review documentation across settings to support compliant coding and denial prevention.
• Identify documentation improvement opportunities and support query workflows.
• Work knowledge of risk adjustment concepts and HCC validation where applicable.

Skills

ICD-10-CM

CPT coding

HCPCS

E/M coding

Payer policy interpretation

Education

High School Diploma or GED

Tools

Epic

Encoder tools

Job description

OU Health is seeking a Maternal Fetal Medicine Professional Coder to perform complex professional coding across office, hospital outpatient, ED/urgent care, ASC, SNF, and telehealth settings.

The role requires CPC or CCS-P certification and at least 3 years of physician coding experience, with expertise in ICD-10-CM, CPT, HCPCS, and E/M coding. Proficiency in Epic and encoder tools is essential.