Senior MFM Professional Coder - Complex Claims Expert

OU Health; Kansas; On-site; USD 60,000 - 90,000; Full time

Job summary

OU Health is seeking a Maternal Fetal Medicine Professional Coder to perform complex professional coding across clinic, hospital outpatient, ED, ASC, SNF, and telehealth settings. The role emphasizes advanced coding judgment, payer policy interpretation, and documentation accuracy to support compliant reimbursement.

The ideal candidate has CPC or CCS-P, a minimum of 3 years of physician coding experience, and a high school diploma or GED.

Qualifications

• Minimum 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.
• Resolve coding-related edits and denials by identifying root causes and supporting rebilling when needed.
• Apply payer medical policies and global service considerations to professional fee claims.
• Provide real-time guidance to peers on standard coding scenarios.
• Participate in internal quality review programs and implement corrective actions.

Skills

MFM coding

ICD-10-CM

CPT coding

E/M coding

Payer policy

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 clinic, hospital outpatient, ED, ASC, SNF, and telehealth settings. The role emphasizes advanced coding judgment, payer policy interpretation, and documentation accuracy to support compliant reimbursement.

The ideal candidate has CPC or CCS-P, a minimum of 3 years of physician coding experience, and a high school diploma or GED.