Experienced Professional Coding Specialist

OU Health•Tulsa, OK

4d•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 such as Anesthesia (including Pain Management), Cardiothoracic & Vascular Surgery, General Surgery and subspecialties, Interventional Radiology, Neurosurgery, OB/GYN and subspecialties, Ophthalmology Surgery, Otolaryngology, Orthopedic Surgery, Pathology, Pediatric Surgery, Plastic Surgery, Radiation Oncology, and Urology. Experience coding complex surgical and procedural services within an academic or multi-specialty healthcare setting is strongly preferred. 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.
Advanced expertise in ICD‑10‑CM, CPT®, HCPCS, and modifiers; strong E/M coding proficiency and payer policy interpretation.
Proficiency in Epic professional coding work queues and encoder tools.
Working knowledge of risk adjustment concepts and HCC validation where applicable to supported populations.
Candidates must reside and work full-time in AR, KS, MO, OK, or TX.

Nice To Haves

Experience coding complex surgical and procedural services within an academic or multi-specialty healthcare setting is strongly preferred.
Professional fee coding experience in at least 2-3 of the clinical specialties supported by our team.

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.
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.
Performs other duties as assigned.