Orthopedic Coding Specialist II

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🌪️ Oklahoma, Missouri, +1 more states – Remote

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

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥 Medical Billing and Coding

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OU Health

WebsiteLinkedInAll Job Openings

10,000+ employees

⚕️ Healthcare Insurance

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 performs complex professional coding across multiple specialties and settings • 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

🎯 Requirements

• High School diploma or GED required • At least 3 years of experience physician/provider coding required • CPC or CCS-P required • Epic and Encoder Pro experience preferred • COSC Certification from AAPC would be the ultimate secondary certification to move your application to the top of the list.

🏖️ Benefits

• PTO • 401(k) • medical and dental plans • flexible shifts