Senior MFM Professional Coder — Complex Claims Expert

OU Health; United States; On-site; USD 70,000 - 95,000; Full time

Job summary

OU Health seeks a Maternal Fetal Medicine (MFM) Professional Coder to perform complex professional coding across office, hospital outpatient, ED/urgent care, ASC, SNF, and telehealth. You will apply advanced ICD-10-CM, CPT, HCPCS, and E/M expertise to ensure compliant reimbursement and audit defensibility.

Required CPC or CCS-P certification, a high school diploma, and at least 3 years of physician coding experience. Familiarity with Encoder tools and payer policies is valued.

Qualifications

• Proficient in ICD-10-CM, CPT, HCPCS and E/M coding.
• Strong payer policy interpretation and reimbursement knowledge.
• Experience coding across multiple settings (office, hospital outpatient, ED/urgent care, ASC, SNF, telehealth).
• Epic encoder tools proficiency preferred.

Responsibilities

• Code complex professional encounters and procedures with correct sequencing and E/M level.
• Resolve coding edits/denials and support rebilling actions.
• Apply payer policies, NCCI concepts, and telehealth rules to professional fee claims.
• Provide real-time guidance and promote best practices among peers.
• Participate in internal quality reviews and education initiatives.

Skills

ICD-10-CM

CPT

HCPCS

E/M coding

payer policy interpretation

Education

High School diploma or GED

CPC or CCS-P

Tools

Encoder tools

Epic

Job description

OU Health seeks a Maternal Fetal Medicine (MFM) Professional Coder to perform complex professional coding across office, hospital outpatient, ED/urgent care, ASC, SNF, and telehealth. You will apply advanced ICD-10-CM, CPT, HCPCS, and E/M expertise to ensure compliant reimbursement and audit defensibility.

Required CPC or CCS-P certification, a high school diploma, and at least 3 years of physician coding experience. Familiarity with Encoder tools and payer policies is valued.