[Hiring] Experienced Professional Coding Specialist @OU Health

Role Description

New to OU Health? Ask your recruiter about our competitive wages and total rewards package.

Remote Eligibility: Candidates must reside and work full-time in AR, KS, MO, OK, or TX before their first day of employment. Please do not apply if you reside outside these 5 states and will not relocate to one of the approved states listed.

Looking for a coding team to love at OU Health? This is it! We cover multiple specialties, so there's opportunities to learn and grow. 100% remote. Flexible shifts once training is complete. Opportunity to work four 9 hour days, and one 4 hour day. So if you're work-from-home ready, work well independently, and have strong coding skills we just may be the right fit for you!

Ideal candidates will have professional fee coding experience in at least 2-3 of the clinical specialties supported by our team. These specialties include:

• 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
• Urology

Experience coding complex surgical and procedural services within an academic or multi-specialty healthcare setting is strongly preferred.

Independently performs complex professional coding across multiple specialties and settings, including office/clinic, hospital outpatient, ED/urgent care, ASC, SNF/nursing home, and telehealth. Applies advanced coding judgment, payer policy interpretation, and documentation standards to support compliant reimbursement, wRVU integrity, and audit defensibility in an academic and research enterprise.

Qualifications

• High School diploma or GED required.
• At least 3 years of experience physician/provider coding required.
• CPC or CCS-P certification required.

Requirements

• Code complex professional encounters and procedures; ensure correct sequencing, modifiers, E/M level selection, and documentation alignment.
• Advanced expertise in ICD‑10‑CM, CPT®, HCPCS, and modifiers; strong E/M coding proficiency and payer policy interpretation.
• 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.

Benefits

• Comprehensive benefits package, including PTO.
• 401(k).
• Medical and dental plans.
• Many more benefits designed to meet your specific needs both inside and outside of the work environment.