OU Health

• 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 • Resolve coding-related edits and denials by identifying root cause, coordinating documentation clarification, and supporting rebilling actions as applicable • 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 • Analytical problem solving for denial/edits prevention; ability to identify documentation improvement opportunities and support compliant query workflows

• Provide day-to-day technical support to end-users, including troubleshooting issues and resolving system errors • Perform routine maintenance tasks, such as software updates, patches, and upgrades • Participate in testing and validation activities for system changes, enhancements, and upgrades • Assist in configuring and customizing the EHR system to meet the specific needs of healthcare providers • Collaborate with cross-functional teams to support EHR initiatives and projects • Maintain accurate documentation of system configurations and support issues

• Provide day-to-day technical support to end-users, including troubleshooting issues, answering questions, and resolving system errors to ensure uninterrupted use of the EHR system. • Perform routine maintenance tasks, such as software updates, patches, and upgrades, to ensure the stability and security of the EHR system. • Participate in testing and validation activities for system changes, enhancements, and upgrades, following pre-defined change management processes. • Assist in configuring and customizing the EHR system to meet the specific needs and workflows of healthcare providers and organizations implementing operationally approved optimizations. • Collaborate with cross-functional teams, including IT professionals, clinicians, administrators, and vendors, to support EHR initiatives and projects, and facilitate communication and coordination. • Maintain accurate documentation of system configurations, user procedures, and support issues.

• Perform day-to-day administration of service requests to the ServiceNow team • Implement, test, and deploy business rules, technical solutions, such as client scripts • Work with system architect to fully understand business functionality • Proactively keep ServiceNow skills current to drive platform expansion • Maintain the integrity of the ServiceNow tool across production and non-production environments • Participate in the upgrade cycle for ServiceNow

• 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

• 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. • Resolve coding-related edits and denials by identifying root cause. • Apply payer medical policies, NCCI concepts, and telehealth coding rules as relevant to pro fee claims. • Provide real-time guidance to peers on standard coding scenarios. • Participate in internal quality review programs and implement education/corrective actions based on findings. • Analytical problem solving for denial/edits prevention.

Role Description The Financial Counselor II provides financial guidance and support to patients by reviewing insurance coverage, estimating patient financial responsibility, and assisting with payment arrangements and financial aid applications. In addition to core responsibilities, this role serves as a resource and role model for staff, supports training and onboarding, monitors team performance, and facilitates communication between staff and leadership to ensure operational excellence. Essential Responsibilities - Review EMR and visit in-house patients to collect estimated patient portion amounts. - Obtain and verify patient insurance information and update medical records accordingly. - Provide financial counseling to patients - explaining insurance benefits, payment options, and financial responsibilities. - Assist patients with payment arrangements, charity applications, and Medicaid/state aid applications. - Monitor and maintain patient financial status to ensure accounts are within acceptable limits. - Post Emergency Room and Patient Access deposits into the system. - Enter insurance information into EMR and update system notes. - Provide estimates to patients and physicians as requested. - Coordinate with case management and insurance verification departments for concurrent certification. - Receive and receipt payments in accordance with internal cash control procedures. - Assist patients with obtaining financial resources for prescriptions through pharmaceutical grants and aid programs. - Act as a patient advocate when communicating with insurance carriers or financial institutions. - Review outstanding insurance claims and coordinate follow-up with billing staff. - Prepare medical necessity letters and process related documentation. - Maintain insurance files and stay updated on changes. - Diffuse minor issues and escalate major concerns to senior leadership. - Maintain professional image and deliver excellent customer service. - Attend mandatory training and demonstrate knowledge of safety and compliance protocols. - Handle complex insurance verifications and pre-authorizations. - Maintain effectiveness of patient flow and ensure compliance with safety and regulatory standards. - Educate staff on procedural changes and updates. - Relieve staff during absences and ensure coverage. - Assume charge responsibility in the absence of management. - Precept new employees and act as a mentor to others. - Ensure compliance with departmental policies and procedures. - Support management with special projects and reporting as needed. Qualifications - High School Diploma or GED required. - 3 or more years of experience in Patient Access, healthcare, or billing required. - Certified Revenue Cycle Representative (CRCR) issued by the Healthcare Financial Management Association (HFMA) or Certified Healthcare Financial Professional (CHFP) issued by HFMA required within 180 days of hire. - Advanced verbal and written communication skills. - Advanced interpersonal skills and ability to handle sensitive situations tactfully. - Advanced ability to work collaboratively across departments. - High level of confidentiality and professionalism. - Proficiency in finance, mathematical computations, and PC applications (Word, Excel, etc.). - Advanced organizational and time management skills. - Detail-oriented with the ability to work under pressure. - Advanced knowledge of HIPAA regulations. - Ability to interpret business and policy documents. - Understanding and sensitivity to patient needs. Benefits - Comprehensive benefits package, including PTO. - 401(k) plan. - Medical and dental plans. - Additional benefits designed to meet specific needs both inside and outside of the work environment.

• 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 • Resolve coding-related edits and denials by identifying root cause • Apply payer medical policies, NCCI concepts, global service considerations • Provide real-time guidance to peers on standard coding scenarios • Participate in internal quality review programs

• Overseeing pediatric areas for coding assistance • Fielding staff questions around pediatric billing • Ensuring compliant coding • High audit defensibility in complex pro fee coding portfolios • Serve as an escalation resource for coding disputes • Support training and mentoring of Coding Specialists I–II • Contribute to coding quality management through audits and trend analysis • Partner with clinical leadership and compliance for documentation improvement

Role 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.*** 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. Qualifications - High School diploma or GED required. - At least 3 years of experience physician/provider coding required. - CPC or CCS-P certification required. Requirements - 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. Benefits - Comprehensive benefits package, including PTO. - 401(k) plan. - Medical and dental plans. - Many more benefits designed to meet your specific needs both inside and outside of the work environment.