Professional Coding Specialist II

OU Health•WFH State of Oklahoma, OK

2d•Remote

About The Position

This role is for an experienced coder within the Revenue Integrity department at OU Health. It is a 100% remote position with flexible shifts available after training, including the option to work four 9-hour days and one 4-hour day. Candidates must reside and work full-time in AR, KS, MO, OK, or TX. The ideal candidate will have experience in a teaching hospital or trauma center, with coding knowledge in multiple specialties being a significant advantage. Experience with Epic and Encoder Pro is preferred. The position involves independently performing complex professional coding across various settings such as office/clinic, hospital outpatient, ED/urgent care, ASC, SNF/nursing home, and telehealth. This role requires advanced coding judgment, interpretation of payer policies, and adherence to documentation standards to ensure compliant reimbursement, wRVU integrity, and audit defensibility within an academic and research enterprise.

Requirements

At least 3 years of experience in physician/provider coding required.
CPC or CCS-P required.
Candidates must reside and work full-time in AR, KS, MO, OK, or TX before their first day of employment.
Strong coding skills.
Work well independently.
Work-from-home ready.

Nice To Haves

Teaching hospital or trauma center coding experience.
Coding knowledge in multiple specialties.
Epic and Encoder Pro experience.

Responsibilities

Code complex professional encounters and procedures; ensure correct sequencing, modifiers, E/M level selection, and documentation alignment.
Resolve coding-related edits and denials by identifying root cause, coordinating documentation clarification, and supporting rebilling actions as applicable.
Apply payer medical policies, NCCI concepts, global service considerations, and telehealth coding rules as relevant to pro fee claims.
Provide real‑time guidance to peers on standard coding scenarios; promote consistency through best‑practice sharing.
Participate in internal quality review programs and implement education/corrective actions based on findings.
Proficiency in Epic professional coding work queues and encoder tools; ability to efficiently review documentation in the EHR across settings.
Analytical problem solving for denial/edits prevention; ability to identify documentation improvement opportunities and support compliant query workflows.
Working knowledge of risk adjustment concepts and HCC validation where applicable to supported populations.