Compare your current skills to what this opportunity needs—we'll show you what you already have and what could strengthen your application.
Job Description
Position Title:
Professional Coding Specialist II Department:
Revenue Integrity Job Description:
New to OU Health? Ask your recruiter about our competitive wages and total rewards package. Looking for a coding team to love at OU Health? This is it! While this role is specifically searching for an experienced coder. 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!
Remote Eligibility:
Candidates must reside and work full-time in AR, KS, MO, OK, or TX before their first day of employment . •The ideal candidate would have teaching hospital or trauma center coding experience (coding knowledge in multiple specialties is a big plus). Epic and Encoder Pro experience preferred.•General Description 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. 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 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. General Job Duties Performs other duties as assigned
Education:
High School diploma or GED required.
Experience:
At least 3 years of experience physician/provider coding required.
Certification/License/Registration:
CPC or CCS-P required #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.
