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Job Description
Position Title:
Pediatric Professional Coding Specialist III Department:
Revenue Integrity Job Description:
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. This position will be responsible for overseeing pediatric areas for coding assistance, including follow-up, as well as fielding staff questions around pediatric billing in general. General Description Senior subject matter expert responsible for the most complex pro fee coding portfolios and serving as a functional team lead through mentoring, training, and escalation support. Ensures compliant coding, high audit defensibility, and stable production across multi‑setting pro fee services in an academic, multi‑specialty and research enterprise. Essential Job Duties Responsibilities listed in this section are core to the position. Inability to perform these responsibilities, with or without an accommodation, may result in disqualification from the position. Code and resolve the most complex, high‑risk professional encounters including specialty‑specific procedures, high‑dollar services, complex modifier scenarios, and telehealth exceptions. Serve as an escalation resource for coding disputes, payer policy conflicts, and documentation challenges; provide definitive guidance consistent with coding standards. Support training and mentoring of Coding Specialists I-II; assist with onboarding, competency development, job aid creation, and informal in‑service education. Ability to teach and coach peers; translate guidelines into practical, consistent coding decisions and training artifacts. Contribute to coding quality management through audits and trend analysis; recommend process improvements and targeted education based on findings. High autonomy, prioritization skills, and risk ownership for audit‑sensitive services and complex claims. Partner with clinical leadership and compliance to support documentation improvement and mitigate coding/audit risk; support consistent query practices. Expert coding knowledge across assigned specialties and settings; advanced modifier and payer policy interpretation; strong documentation standard expertise. Strong analytical and communication skills to influence documentation improvement and reduce downstream denials. General Job Duties Performs other duties as assigned
Minimum Requirements Education:
High School diploma or GED required.
Experience:
At least 5 years of experience of physician/provider coding required.
Certification/License/Registration:
CPC or CCS-P required - Additional specialty credential required such as CPMA, CEMC, CRC or other specialty credentials (e.g. COPC, CEDC, CGIC, CIRCC or other) #cb Current OU Health Employees - Please click HERE to login. OU Health is an equal opportunity employer. We offer a comprehensive benefits package, including
PTO, 401
(k), medical and dental plans, and many more. We know that a total benefits and compensation package, designed to meet your specific needs both inside and outside of the work environment, create peace of mind for you and your family. OU Health is the state's only comprehensive academic health system of hospitals, clinics and centers of excellence. With 11,000 employees and more than 1,300 physicians and advanced practice providers, OU Health is home to Oklahoma's largest doctor network with a complete range of specialty care. OU Health serves Oklahoma and the region with the state's only freestanding children's hospital, the only National Cancer Institute-Designated OU Health Stephenson Cancer Center, Oklahoma's flagship hospital, which serves as the state's only Level 1 trauma center and Edmond Medical Center in the heart of the Edmond Community. Becker's Hospital Review named University of Oklahoma Medical Center one of the 100 Great Hospitals in America for 2020. OU Health's oncology program at OU Health Stephenson Cancer Center was named Oklahoma's top facility for cancer care by U.S. News & World Report in its 2020-21 rankings. OU Health also was ranked by U.S. News & World Report as high performing in these specialties: Colon Surgery, COPD and Congestive Heart Failure. OU Health's mission is to lead healthcare in patient care, education and research. Experts in prevention, treatment and cures, our team works to improve lives through innovation in medical care, education and research, while investing in the people, technologies and facilities that will enable us to achieve our goals. We are seeking individuals who have a passion and talent for caring for others. By joining our team, you will provide quality health care to our community through the work you do every day. We provide clinical and non-clinical opportunities to further your career and we invite you to explore our available positions. Equal employment opportunities are provided to all employees and applicants for employment without regard to race, color, religion, gender, national origin, age, disability, sexual orientation, gender identity, genetic information or protected veteran status in accordance with applicable federal laws. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, placement, promotion, termination, layoff, transfer, leaves of absence, compensation, and training. Reasonable accommodations are made to the known physical and mental limitations of qualified individuals with disabilities.
