Orthopedic Professional Coding Specialist II

Orthopedic Professional Coding Specialist II – Revenue Integrity Position Title: Orthopedic Professional Coding Specialist II Department: Revenue Integrity 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 Orthopedic coder, we also cover multiple specialties so there's opportunities to learn and grow. 100% remote. Flexible shifts once training is complete. Opportunity to work four 9‑hour days, and one 4‑hour day. If you are 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. Essential Job Duties & Responsibilities 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. Perform other duties as assigned. Education, Experience & Certification High School diploma or GED required. At least 3 years of physician/provider coding experience required. Certification: CPC or CCS‑P required. Preferred: Epic and Encoder Pro experience; COSC Certification from AAPC. Preferred: Knowledge of other specialties beyond orthopedics. Benefits We offer a comprehensive benefits package, including PTO, 401(k), medical and dental plans, and many more. Equal Employment Opportunity 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. #J-18808-Ljbffr OU Medicine