Professional Coding Specialist - Tulsa Pediatric Cardiology Clinic
OU Health
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- Location
- Tulsa, United States
- Work style
- On-site
- Job type
- Full time
- Posted
- Nov 6
- 1 day ago
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Career path
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About the company
OU Health
Hospital & health care · 10,001+ employees
What you'll do
- Review provider documentation and assign diagnosis and procedure codes for professional fee claims
- Apply official coding guidelines and payer rules
- Ensure accurate modifier and place-of-service selection
- Use Epic professional coding tools and/or encoder resources to complete work queue assignments
- Escalate non-standard scenarios to senior coding resources per protocol
- Participate in quality review feedback and targeted education
- Regularly communicate with providers and other healthcare professionals
What you need
- High School diploma or GED
- At least 1 year of experience in physician/provider coding
- CPC or CCS-P required within 1 year of hire
- Attention to detail and confidentiality (HIPAA)
- Ability to follow standardized processes in a high-volume environment
- Understanding professional fee coding across care settings
Key skills
ICD-10-CMCPT®/HCPCSphysician/provider codingofficial coding guidelinespayer rulesmodifierplace-of-service selectionEpic professional coding toolsencoder resourcesHIPAAprovider query practicesCPCCCS-P
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Perks
- PTO
- 401(k)
- medical and dental plans
See full description on company page, apply now
Read the full posting here
Position Title:
Professional Coding Specialist - Tulsa Pediatric Cardiology Clinic
Department:
Tulsa Pediatric Cardiology Clinic
Job Description:
General Description
Under general supervision, performs professional (physician) coding by reviewing clinical documentation and assigning accurate ICD‑10‑CM, CPT®, and HCPCS codes for professional claims across multiple care settings including clinic/office, hospital outpatient, ED/urgent care, ASC, SNF/nursing home, and telehealth. Focuses on foundational coding accuracy, compliant abstraction, and timely completion of assigned work queues in an academic multi‑specialty 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.
Review provider documentation and assign ICD‑10‑CM diagnosis codes and CPT®/HCPCS procedure codes for professional fee claims in assigned specialties and settings.
Apply official coding guidelines and payer rules; ensure accurate modifier and place‑of‑service selection based on documentation and encounter context.
Use Epic professional coding tools and/or encoder resources to abstract required data elements and complete work queue assignments in a timely manner.
Escalate non‑standard scenarios (e.g., complex modifiers, documentation gaps, unusual procedures) to senior coding resources per protocol.
Participate in quality review feedback and targeted education to improve accuracy and consistency.
Regularly communicate with providers and other healthcare professionals.
Understanding professional fee coding across care settings (office, outpatient, ED, ASC, SNF/nursing home, telehealth) and the impact of place of service/modifiers on reimbursement.
Attention to detail, confidentiality (HIPAA), and ability to follow standardized processes in a high‑volume environment.
Developing proficiency in Epic professional coding workflows and compliant provider query practices.
General Job Duties
Performs other duties as assigned
Minimum Qualifications:
Education: High School diploma or GED required.
Certification/License/Registration : CPC or CCS-P required within 1 year of hire.
Experience: At least 1 year of experience in physician/provider coding required.
Knowledge, Skills & Abilities
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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.