Professional Coding Specialist - Tulsa Pediatric Cardiology Clinic
About The Position
Under general supervision, the Professional Coding Specialist performs professional (physician) coding by reviewing clinical documentation and assigning accurate ICD-10-CM, CPT®, and HCPCS codes for professional claims. The work covers multiple care settings, including clinic or office, hospital outpatient, ED or urgent care, ASC, SNF or nursing home, and telehealth, within an academic multi-specialty enterprise. The role focuses on foundational coding accuracy, compliant abstraction, and timely completion of assigned work queues. The specialist applies official coding guidelines and payer rules, selects appropriate modifiers and place of service based on documentation and encounter context, and uses Epic professional coding tools and/or encoder resources. Non-standard scenarios are escalated to senior coding resources according to protocol. The role also includes participating in quality review and targeted education, communicating with providers and other healthcare professionals, and following standardized processes while maintaining attention to detail and HIPAA confidentiality.
Requirements
- High school diploma or GED.
- CPC or CCS-P certification required within 1 year of hire.
- At least 1 year of experience in physician/provider coding.
- Attention to detail, confidentiality (HIPAA), and ability to follow standardized processes in a high-volume environment.
Responsibilities
- Review provider documentation and assign ICD-10-CM diagnosis codes and CPT®/HCPCS procedure codes for professional fee claims in assigned specialties and settings.
- Apply official coding guidelines and payer rules, including accurate modifier and place-of-service selection based on documentation and encounter context.
- Use Epic professional coding tools and/or encoder resources to abstract required data elements and complete work queue assignments in a timely manner.
- Escalate non-standard scenarios, such as complex modifiers, documentation gaps, or unusual procedures, to senior coding resources per protocol.
- Participate in quality review feedback and targeted education to improve accuracy and consistency.
- Regularly communicate with providers and other healthcare professionals.
- Perform other duties as assigned.
Benefits
- PTO
- 401(k)
- Medical plans
- Dental plans
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What This Job Offers
Job Type
Full-time
Education Level
High school or GED
