Senior MFM Professional Coder: Complex Coding & Denials

OU Health; Oklahoma; On-site; USD 65,000 - 90,000; Full time

Job summary

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

You will apply ICD-10-CM, CPT, HCPCS, and modifiers with advanced coding judgment, payer policy interpretation, and documentation standards to support compliant reimbursement and audit defensibility in an academic and research enterprise.

Qualifications

• High School diploma or GED required.
• CPC or CCS-P certification required.
• 3+ years of physician/provider coding experience.
• Proficiency in ICD-10-CM, CPT, HCPCS, and modifiers.
• Strong payer policy interpretation and audit defensibility.
• Experience with Epic or similar EHR systems.

Responsibilities

• Code complex professional encounters across office, hospital outpatient, ED/urgent care, ASC, SNF, and telehealth.
• Resolve coding edits/denials by identifying root cause and supporting rebilling actions.
• Apply payer policies, NCCI concepts, and telehealth coding rules for professional fees.
• Provide real-time guidance to peers on standard coding scenarios and promote consistency.
• Participate in internal quality reviews and implement corrective actions.
• Review documentation efficiently in the EHR and encoder tools to support compliant coding.

Skills

ICD-10-CM

CPT

HCPCS

E/M coding

Payer policy interpretation

Documentation standards

Education

High School diploma

CPC or CCS-P certification

Job description

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

You will apply ICD-10-CM, CPT, HCPCS, and modifiers with advanced coding judgment, payer policy interpretation, and documentation standards to support compliant reimbursement and audit defensibility in an academic and research enterprise.