• 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.

Role Description MU Health Care is looking for a detail-oriented Medical Coding Specialist to join our team. As a crucial member of our healthcare family, the ideal candidate will possess a passion for precision and a commitment to maintaining the highest standards in medical coding. We value individuals who demonstrate a deep understanding of technical coding principles, coupled with a strong knowledge of ICD-10-CM, ICD-10-PCS, and CPT codes. Our ideal candidate advances their coding expertise through continuous education, ensuring accurate and compliant coding practices. We seek someone who thrives in a fast-paced environment, excels in problem-solving, and actively contributes to audits, troubleshooting, and training initiatives. If you're ready to make a meaningful impact on healthcare billing, reporting, and regulatory compliance, join MU Health Care and be a vital part of our commitment to excellence in patient care. Qualifications - Non-Certified: Completion of a coding certification program or equivalent training to obtain certification using ICD-10-CM, ICD-10-PCS, and the CPT-4 coding systems. (1) year of related medical records coding experience may be substituted. - One of the following certifications within one (1) year as a condition of continued employment in this job classification: - Certified Coding Associate (CCA) by the American Health Information Management Association (AHIMA) - Certified Coding Specialist (CCS) by AHIMA - Registered Health Information Technician (RHIT) by AHIMA - Registered Health Information Administrator (RHIA) by AHIMA - Certified Professional Coder (CPC/CPC-A) by the American Academy of Professional Coders (AAPC) - Certified Outpatient Coder (COC/COC-A) by AAPC - Certified Inpatient Coder (CIC/CIC-A) by AAPC - Certified: One of the following certifications: - Certified Coding Associate (CCA) by the American Health Information Management Association (AHIMA) - Certified Coding Specialist (CCS) by AHIMA - Registered Health Information Technician (RHIT) by AHIMA - Registered Health Information Administrator (RHIA) by AHIMA - Certified Professional Coder (CPC/CPC-A) by the American Academy of Professional Coders (AAPC) - Certified Outpatient Coder (COC/COC-A) by AAPC - Certified Inpatient Coder (CIC/CIC-A) by AAPC - Specialty certification per the department needs such as: Radiation Oncology Certified Coder (ROCC) by the American Medical Accounting and Consulting Inc (AMAC) - Preferred Qualifications: - Two (2) years of experience in coding for inpatient or outpatient hospital services. - Associate degree or bachelor’s degree in health information technology or health administration. - Additional license/certification requirements as determined by the hiring department. Requirements - Review appropriate provider documentation to determine appropriate principal diagnosis, co-morbidities and complications, secondary conditions, and surgical procedures; utilizes technical coding principles and MS-DRG or APC reimbursement expertise to assign appropriate ICD-10 codes and/or CPT-4 codes. - Reviews and when necessary, corrects the patient admission source, status, and disposition upon discharge. - Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to Official Coding Guidelines. - Advances coding knowledge and practice through continuing education. - Extract required information from clinical documentation and enters into the encoder and abstracting system, in accordance with the prescribed coding productivity standards. - Perform additional coding support activities including but not limited to audits for correct coding and billing, participates in testing and troubleshooting problems when implementing new applications or updates to existing systems, assists with training for new software applications. - Inpatient Coding Staff (in addition to the above): - Assign Present on Admission (POA) value for all inpatient diagnoses, and an External Cause code as appropriate. - Consult with the Clinical Documentation Specialist to resolve any unspecified or questionable diagnoses prior to final code assignment; determines whether a query must be sent to clarify ambiguous or unclear documentation. - Outpatient Coding Staff (in addition to the above): - Identify chargeable items for visits (i.e. IV infusions/hydration, GI procedures) and enter corresponding charges into the billing system appropriately. - Hold Bill & Denials Staff (in addition to the above): - Work inpatient and/or outpatient coding related bill alerts/edits/denials (i.e., MUE, Medical Necessity, etc.), in accordance with established procedures. - Enter detailed notes to update the financial system if the alert/edit cannot be resolved or must be rerouted to another responsible party for research/resolution. - Escalates alert/edit resolution issues as appropriate to minimize final billing delays. - May complete unit/department specific duties and expectations as outlined in department documents. Benefits - Health, vision and dental insurance coverage starting day one - Generous paid leave and paid time off, including ten holidays - Multiple retirement options, including 100% matching up to 8% and full vesting in three years - Tuition assistance for employees (75%) and immediate family members (50%) - Discounts on cell phone plans, rental cars, gyms, hotels and more - See a comprehensive list of benefits here. Company Description MU Health Care is proud to be named one of Forbes’ Best-in-State Employers seven years in a row, and that’s largely a result of the incredible culture and team we’ve built. At MU Health Care, we have an inspired, hard-working and collaborative environment driven by our mission to save and improve lives. Here, we believe anything is possible and rally around solutions. We celebrate innovation and offer opportunities to be a part of something bigger — to have a voice and role in the work that is serving our community and changing the field of medicine. Our academic health system — the only in mid-Missouri — is home to seven hospitals, including the region’s only Level 1 Trauma Center and region’s only Children’s Hospital, as well as over 90 specialty clinics. Here you can define your career among our many clinical and nonclinical positions — with growth, opportunity and support every step of the way.

• Provide various components of coding services to support our clients • Calculate ProFee and/or Facility E/M levels by using an algorithm created by our company • Recognize critical care cases by patient acuity • Code surgical procedures typical of an ER setting to capture additional revenue when appropriate • Apply ICD-10-CM diagnosis codes to the highest level of specificity available • Accurately apply diagnosis and procedure codes utilizing ICD-10-CM, ICD-10-PCS, CPT®, and HCPCS • Interpret coding guidelines for accurate code assignment • Identify the importance of documentation on code assignment and the subsequent reimbursement impact • Align conduct with AHIMA's Standards of Ethical Coding and the Company’s Code of Ethics and Business Conduct • Comply with all internal policies and procedures • Actively participate in Company provided training and education • Ensure individual compliance with all privacy and security rules and regulations