• Review provider documentation from office visits, surgeries, and other wound care services. • Assign appropriate ICD-10-CM diagnosis codes and CPT/HCPCS procedure codes according to official coding guidelines and payer rules. • Verify coding accuracy and completeness to support correct claim submission and reduce denials. • Query providers when documentation is incomplete, unclear, or inconsistent with coding guidelines. • Keep current with wound care coding updates, payer policy changes, and compliance regulations. • Collaborate with the billing team to resolve claim rejections, denials, and coding-related issues. • Maintain confidentiality of patient information in compliance with HIPAA regulations. • Participate in coding audits and provide feedback to improve documentation and coding accuracy. • Assist in educating providers and staff on documentation improvement related to orthopedic coding.

• Perform ongoing analysis of medical record documentation and codes assigned per CMS, CPT, and Ventra Health documentation guidelines. • Assign appropriate ICD-10-CM and CPT codes and modifiers according to documentation. • Perform MIPS review as needed. • Perform Provider QA as needed. • Document coding errors. • Assist coding management. • Assist with client/provider audits as needed. • Assist with reviewing work product of new coders in training, as needed. • Provides feedback to coders on coding discrepancies/deficiencies, as needed. • Provides feedback to coding manager on documentation deficiencies in a timely manner. • Respond to questions from designated coders. • Maintain confidentiality for all personal, financial, and medical information found in medical records per HIPAA guidelines and Ventra Health policy.

• 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.