Experienced Professional Coding Specialist

OU Health•Tulsa, MO

5d•Remote

About The Position

This is a 100% remote position for an Experienced Professional Coding Specialist within the Revenue Integrity department at OU Health. The role involves complex professional coding across multiple specialties and settings, including office/clinic, hospital outpatient, ED/urgent care, ASC, SNF/nursing home, and telehealth. The specialist will apply advanced coding judgment, payer policy interpretation, and documentation standards to ensure compliant reimbursement, wRVU integrity, and audit defensibility. The team covers various specialties, offering opportunities for learning and growth. The position offers flexible shifts, including the possibility of working four 9-hour days and one 4-hour day. Candidates must reside and work full-time in AR, KS, MO, OK, or TX.

Requirements

High School diploma or GED required.
At least 3 years of experience physician/provider coding required.
CPC or CCS-P required.
Professional fee coding experience in at least 2-3 of the clinical specialties supported by the team.
Proficiency in Epic professional coding work queues and encoder tools; ability to efficiently review documentation in the EHR across settings.
Working knowledge of risk adjustment concepts and HCC validation where applicable to supported populations.

Nice To Haves

Experience coding complex surgical and procedural services within an academic or multi-specialty healthcare setting is strongly preferred.
Advanced expertise in ICD‑10‑CM, CPT®, HCPCS, and modifiers; strong E/M coding proficiency and payer policy interpretation.

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.
Analytical problem solving for denial/edits prevention; ability to identify documentation improvement opportunities and support compliant query workflows.
Performs other duties as assigned.