Coding Specialist

🔥 12 hours ago

🌪️ Kansas, Oklahoma, +2 more states – Remote

🌪️ Kansas – Remote 🌪️ Oklahoma – Remote 🏰 Missouri – Remote 🤠 Texas – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥 Medical Billing and Coding

🦅 H1B Visa Sponsor

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OU Health

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • Healthcare Insurance

OU Health is a comprehensive healthcare provider offering a wide range of medical services including pediatric care, cancer care, diabetes care, emergency care, and specialized services for adults and children. Located in Oklahoma, OU Health operates multiple facilities such as the Oklahoma Children's Hospital and the Stephenson Cancer Center. Known for its advanced scientific research and quality care, the organization prides itself on being recognized for excellence in areas like pediatric cardiology and heart surgery. As part of its commitment to medical excellence, OU Health also focuses on medical education and research, helping to train the next generation of healthcare professionals.

📋 Description

• Independently perform complex professional coding across multiple specialties and settings, including office/clinic, hospital outpatient, ED/urgent care, ASC, SNF/nursing home, and telehealth • Code complex professional encounters and procedures, ensuring correct sequencing, modifiers, E/M level selection, and documentation alignment • Resolve coding-related edits and denials by identifying root causes, coordinating documentation clarification, and supporting rebilling actions as applicable • Apply payer medical policies, NCCI concepts, global service considerations, and telehealth coding rules to professional-fee claims • Provide real-time guidance to peers on standard coding scenarios and promote consistency through best-practice sharing • Participate in internal quality review programs and implement education/corrective actions based on findings • Review documentation in EHR systems across settings using Epic professional coding work queues and encoder tools • Identify documentation improvement opportunities and support compliant query workflows • Apply risk adjustment concepts and HCC validation where applicable • Perform other duties as assigned

🎯 Requirements

• Candidates must reside and work full-time in Arkansas, Kansas, Missouri, Oklahoma, or Texas before their first day of employment, or relocate to one of these approved states • 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 • 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 • Ability to perform essential job responsibilities, with or without an accommodation

🏖️ Benefits

• Flexible remote / hybrid options • Continuous career development • Competitive compensation • Paid time off (PTO) • 401(k) • Medical and dental plans • Comprehensive benefits package