Professional Coding Specialist III OU Medicine, Inc.Professional Coding Specialist IIIVirtual, OKFull timeWe are looking for a detail-oriented Professional Medical Coder to help streamline our charge review coding workflow for Adult and Pediatric Evaluation and Management services and Minor Procedures, resolve denials and work with leadership to put processes in place to reduce denials. Code and resolve the most complex, high‑risk professional encounters including specialty‑specific procedures, high‑dollar services, complex modifier scenarios, and telehealth exceptions.
Professional Coding Specialist II OU Medicine, Inc.Professional Coding Specialist IIVirtual, OKFull timeWe are looking for a detail-oriented Professional Medical Coder to help streamline our charge review coding workflow for Adult and Pediatric Evaluation and Management services and Minor Procedures, resolve denials and work with leadership to put processes in place to reduce denials. Independently performs complex professional coding across multiple specialties and settings, including office/clinic, hospital outpatient, ED/urgent care, ASC, SNF/nursing home, and telehealth.
Inpatient Coding Auditor OU Medicine, Inc.Inpatient Coding AuditorVirtual, OKFull timeEnsures accurate, quality, and compliant Inpatient facility coding through prebill and retrospective audits of coder work and providing targeted education to improve consistency and documentation quality. · Performs all functions of coding quality reviews (routine monthly, focus pre-bill, CDI Reconciliations, second-level review work queues) for inpatient coding across OUH.
Neuro Interventional Radiology Professional Coding Specialist II OU Medicine, Inc.Neuro Interventional Radiology Professional Coding Specialist IIVirtual, OKRemoteFull timeIndependently performs complex professional coding across multiple specialties and settings, including office/clinic, hospital outpatient, ED/urgent care, ASC, SNF/nursing home, and telehealth. Resolve coding-related edits and denials by identifying root cause, coordinating documentation clarification, and supporting rebilling actions as applicable.
NewMedical Billing Coder I (69479) Variety Care LLCMedical Billing Coder I (69479)Oklahoma City, OKMinimum two (2) years of experience in medical billing, coding, accounts receivable, denial resolution, or related healthcare revenue cycle functions; OR One (1) year of experience AND a Coding Certification (CPB - Certified Professional Biller, CPC-A - Certified Professional Coder-Apprentice, CBCS - Certified Billing and Coding Specialist, RHIT - Registered Health Information Technician). This role collaborates with providers, claim resolution specialists, insurance representatives, and clinic staff to resolve coding issues, improve documentation quality, and support timely reimbursement.
Medical Billing Coder Oklahoma Arthritis CenterMedical Billing CoderEdmond, OKEssential Functions: Review and analyze patient records and physician documentation for completeness and accuracy, focusing on areas such as radiology reports, neurological procedures, office visit notes, and laboratory results. Assign precise CPT, ICD-10, HCPCS (and when applicable, APC/DRG) codes to all services performed, including radiology imaging, neuro procedures, office consultations, and lab tests.
Medical Records Technician (Coder) US Department of Health and Human ServicesMedical Records Technician (Coder)OK$50,460–$72,644 / yearRequired as applicable for the purposes of specific eligibility and appointment claim(s), and position requirements: Indian Preference Applicants: If claiming Indian preference, applicants must provide a completed copy of the Form BIA-4432, "Verification of Indian Preference for Employment in the BIA and IHS Only." Refer to BIA-4432 link: Verification of Indian Preference for Employment in the BIA and IHS When an Indian Preference candidate possesses Veterans preference the rules regarding Veterans preference apply under ESEP and the applicant must provide documentation in order to receive preference.
Coder Specialist III Saint Francis Health SystemCoder Specialist IIIOKDecision Making: Independent judgment in planning sequence of operations and making minor decisions in a complex technical or professional field. Work Experience: Minimum of 3 years related experience and a score of 80% or above on the outpatient and inpatient coding exam.
NewAmbulance Coder Remote Pafford EMSAmbulance Coder RemoteOklahoma City, OKRemoteEssential Duties and Responsibilities: Researches all information to complete accurate billing processes including assignment of billing charge codes and ICD-10 diagnosis codes. Work may require sitting, lifting, stooping, bending, stretching, walking, standing, pushing, pulling, reaching, and other physical exertion.
Coder Specialist III Saint Francis HospitalCoder Specialist IIIOklahomaDecision Making: Independent judgment in planning sequence of operations and making minor decisions in a complex technical or professional field. Work Experience: Minimum of 3 years related experience and a score of 80% or above on the outpatient and inpatient coding exam.
Inpatient Coder Specialist - Community Facility Advocate Health and Hospitals CorporationInpatient Coder Specialist - Community FacilityOklahomaRemoteThis role will have all responsibilities of coder I, II and III in addition to: reviews complex inpatient documentation at a highly skilled and proficient level to assign diagnosis and procedure codes utilizing ICD-10 CM/PCS, CPT, and HCPCS. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise.
NewAmbulance Coder Remote Pafford Emergency Medical ServicesAmbulance Coder RemoteOklahoma City, OKRemoteEssential Duties and Responsibilities:Researches all information to complete accurate billing processes including assignment of billing charge codes and ICD-10 diagnosis codesPrioritize workflow to ensure timely claim submissionKnowledge of state and federal insurance regulationsAbility to analyze and problem solve complex issuesKnowledge of billing requirements, coverage and benefitsUphold Medicare, Medicaid and HIPAA guidelinesIdentifies and communicates documentation issue trendsUtilize various resources to locate insurance payers for ambulance transportationContact the hospital, patient's family, and/or patient to obtain insurance informationFax partner hospitals requests for informationValidate and update patient demographics in the practice management systemResponsible for the accurate entry of data into the practice management systemThis position requires specialist to spend extended periods of time on the phone with insurance companiesReports quality and documentation issues to the department headQualifications:Knowledge of procedure and diagnostic codes (HCPCS and ICD-10 codes)Knowledge of medical terminologyResearches all information to complete accurate billing processes including assignment of billing charge codes and ICD-10 diagnosis codesPrioritize workflow to ensure timely claim submissionKnowledge of state and federal insurance regulationsAbility to analyze and problem solve complex issuesKnowledge of billing requirements, coverage and benefitsUphold Medicare, Medicaid and HIPAA guidelinesIdentifies and communicates documentation issue trendsReports quality and documentation issues to the department headKnowledge of Medical BillingAbility to work independently and with a groupWorking knowledge of MS Word, ExcelAbility to maintain effective working relationships. The employee may occasionally be required to lift and/or move up to 20 poundsSpecific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.
NewInvestigator, Special Investigations Unit (Meritain Health) CVS Health CorpInvestigator, Special Investigations Unit (Meritain Health)OK$46,988–$122,400 / yearDemonstrated proficiency in Microsoft Office Suite (including Excel, specifically with pivot tables), database search tools, and use of the Intranet/Internet to research information. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Medical Coding - Team Lead New Ultimate Billing, LLCMedical Coding - Team LeadOklahoma City, OKRemoteFull timeAn Emergency Medicine Coding Team Lead manages a team of medical coders, ensuring accurate, compliant coding (ICD-10, CPT) of medical records, acting as a liaison for complex issues, conducting audits, providing training/mentorship, monitoring performance, and collaborating with providers for documentation clarity, driving quality and efficiency while staying updated on regulations. Process Improvement: Identify trends in denials or errors, implement process improvements, and stay current with coding changes.
Medical Coding - Team Lead Harris Computer SystemsMedical Coding - Team LeadOKRemoteAn Emergency Medicine Coding Team Lead manages a team of medical coders, ensuring accurate, compliant coding (ICD-10, CPT) of medical records, acting as a liaison for complex issues, conducting audits, providing training/mentorship, monitoring performance, and collaborating with providers for documentation clarity, driving quality and efficiency while staying updated on regulations. Process Improvement: Identify trends in denials or errors, implement process improvements, and stay current with coding changes.
NewSenior Medical Audit Specialist Oklahoma WatchSenior Medical Audit SpecialistOklahoma City, OKThis role demands strategic problem-solving and organizational skills to manage multiple tasks and resolve complex issues.**\*\*To be considered for this position your application must include a resume/CV with complete work and education history.\*\*****Education and/or Experience:*** Current professional license as a Registered Nurse (RN), Dental Hygienist (RDH), Behavioral Health practitioner and 5 years of professional experience AND* General understanding of coding principles (CPT, HCPCS, ICD-10 and /or DRG)* There is no substitution for licensure.**Preference If a reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact the Civil Rights Coordinator at 405-522-7335.**Notice to applicants:**Please add OHCAHR@okhca.org to the address book or "safe-senders" list in your email.
Professional Coding Specialist II OU HealthProfessional Coding Specialist IIOklahomaWe are looking for a detail-oriented Professional Medical Coder to help streamline our charge review coding workflow for Adult and Pediatric Evaluation and Management services and Minor Procedures, resolve denials and work with leadership to put processes in place to reduce denials. Independently performs complex professional coding across multiple specialties and settings, including office/clinic, hospital outpatient, ED/urgent care, ASC, SNF/nursing home, and telehealth.
Certified Coding Specialist Integris Health IncCertified Coding SpecialistOklahoma City, OKThe Certified Coding Specialist responsibilities include, but are not limited to, the following: Completes analysis of documentation, abstracting and code assignment by body system, organ, etiology and morphology according to the American Hospital Association Official ICD-10 Coding Guidelines (Coding Clinic), ICD-10-CM, CPT4/HCPCS Coding Guidelines, ASC groups, UHDDS Guidelines, HCFA methodology guidelines for coding, state and federal guidelines and hospital abstracting guidelines. LICENSE/CERTIFICATIONS: CCA (Certified Coding Associate) OR CDIP (Certified Documentation Improvement Specialist) OR RHIA (Registered Health Information Administrator) OR RHIT (Registered Health Information Technician) OR CCS (Certified Coding Specialist) OR CPC (Certified Professional Coder) OR CPC-A (Certified Professional Coder Apprentice).
Inpatient Coding Auditor OU HealthInpatient Coding AuditorOklahomaEnsures accurate, quality, and compliant Inpatient facility coding through prebill and retrospective audits of coder work and providing targeted education to improve consistency and documentation quality. · Performs all functions of coding quality reviews (routine monthly, focus pre-bill, CDI Reconciliations, second-level review work queues) for inpatient coding across OUH.
Sr Inpatient Coding Specialist (Full Time) Days MercySr Inpatient Coding Specialist (Full Time) DaysOklahoma City, OKPosition Details: Education: High school diploma Licensure: Experience: Prior coding experience in ICD-10-CM diagnoses/procedure coding and HCPCS/CPT procedure coding in the acute care inpatient, outpatient hospital or professional services setting. Certifications: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Professional Coder (CPC) or Certified Interventional Radiology Cardiovascular Coder (CIRCC) to be completed within 6 months of employment.
Certified Coding Specialist Sr - Surgical Coding Integris Health IncCertified Coding Specialist Sr - Surgical CodingOklahoma City, OKCompletes analysis of documentation, abstracting and code assignment by body system, organ, etiology and morphology according to the American Hospital Association Official ICD-10 Coding Guidelines (Coding Clinic), CPT4/HCPCS Coding Guidelines, ASC groups, UHDDS Guidelines, HCFA methodology guidelines for coding, state and federal guidelines and hospital abstracting guidelines. The Certified Coding Specialist Sr analyzes relevant clinical and demographic information from the Health Information record, assigns appropriate ICD-10 and CPT codes following appropriate guidelines and ascertains that the above are compliant with CMS, state and other regulatory agencies.
HB Coding Denials Integrity Specialist Advocate Health and Hospitals CorporationHB Coding Denials Integrity SpecialistOklahomaRemoteWorks collaboratively with coding leadership per their direction in reviewing records with focused diagnosis and procedure codes, including specific APCs, DRGs and OIG work plan targets to assure compliance in all areas of coding, which may give visibility into documentation that is driving codes. Expert knowledge and experience in ICD-10-CM/PCS and CPT coding systems, G-codes, HCPCS codes, Current Procedural Terminology (CPT), modifiers, and Ambulatory Patient Categories (APC), MS-DRGs (Diagnosis related groups).
NewClinical Documentation Specialist Integris Health IncClinical Documentation SpecialistOklahoma City, OKThe Clinical Documentation Specialist responsibilities include, but are not limited to, the following: Performs concurrent review process for all selected admissions to facilitate comprehensive complete medical record documentation to accurately reflect the diagnoses, clinical treatment, and severity of illness of the patient. Works in partnership with physicians, coders, and other healthcare professionals to ensure medical records accurately reflect patient acuity for quality reporting and Medicare Severity- Diagnosis Related Group (MS-DRG) assignment.
Program Integrity Clinical Specialist (RN or PA Req'd) TriWest Healthcare AllianceProgram Integrity Clinical Specialist (RN or PA Req'd)Oklahoma City, OKRemoteFull timeTechnical Skills: Knowledge of TRICARE policies and procedures, knowledge of Case Management, Utilization Management, and Quality Management practices and principles, and knowledge of Managed Care concepts, alternative care treatments, and community resources. • Research and investigate medical issues as they relate to potential fraud and abuse cases, to include perform anti-fraud and abuse pre-payment reviews or post-payment reviews.
Investigator, Special Investigations Unit (Aetna SIU) - Must reside in Oklahoma CVS Health CorpInvestigator, Special Investigations Unit (Aetna SIU) - Must reside in OklahomaOK$43,888–$76,500 / yearThe Special Investigations Unit (SIU) Investigator is responsible for thoroughly investigating any allegations of Medicaid healthcare fraud, waste, or abuse in accordance with federal and state regulation. Experience with using fraud, waste, and abuse (FWA) detection tools and enterprise databases to support data mining, analysis, and information gathering.
Coding Support Specialist - Healthcare Partners Investments United Surgical Partners International Inc (USPI)Coding Support Specialist - Healthcare Partners InvestmentsOklahoma City, OKFull timeDuties include, but not limited to, maintaining and coordinating physician coding logs, inputting charges from coded charge tickets, data entry as needed, coordinates retrieval of dictation reports on outstanding accounts, ensures all records completed for month end and tracks all outstanding accounts pending completion of the coding process. * Contacts physician offices if need procedures dictated, entry of insurance information, cases built, authorizations noted, encounter numbers created or other information necessary to complete charge entry.
Senior Investigator, Special Investigations Unit (Aetna SIU) CVS Health CorpSenior Investigator, Special Investigations Unit (Aetna SIU)OK$46,988–$122,400 / yearAnticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $46,988.00 - $122,400.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. Exercises independent judgement and uses available resources and technology in developing evidence, supporting allegations of fraud and abuse Required Qualifications 3 years working on health care fraud, waste, and abuse investigatory and audits required.
NewInvestigator, Special Investigations Unit (Aetna SIU) CVS Health CorpInvestigator, Special Investigations Unit (Aetna SIU)OK$43,888–$93,574 / yearExperience with Microsoft Word, Excel, and Outlook products, open source database search tools, social media and internet research. Bachelor's Degree in Criminal Justice, Healthcare Management, Public Health, Biological Sciences, Data Analytics, or other related field preferred or equivalent experience.