Professional Coding Specialist - Tulsa Pediatric Cardiology Clinic

General Description

Under general supervision, performs professional (physician) coding by reviewing clinical documentation and assigningaccurateICD10CM, CPT, and HCPCS codes for professional claims across multiple care settings including clinic/office, hospital outpatient, ED/urgent care, ASC, SNF/nursing home, and telehealth. Focuses on foundational coding accuracy, compliant abstraction, andtimelycompletion of assignedwork queuesin an academic multispecialty enterprise.

Essential Job Duties

Responsibilities listed in this section are core to the position. Inability to perform these responsibilities, with or without an accommodation, may result in disqualification from the position.

• Review provider documentation and assign ICD10CM diagnosis codes and CPT/HCPCS procedure codes for professional fee claims in assigned specialties and settings.
• Apply official coding guidelines and payer rules; ensureaccuratemodifier and placeofserviceselectionbased on documentation and encounter context.
• Use Epic professional coding tools and/or encoder resources to abstract required data elements and completework queueassignmentsin a timely manner.
• Escalate nonstandard scenarios (e.g., complex modifiers, documentation gaps, unusual procedures) to senior coding resources per protocol.
• Participate in quality review feedback and targeted education to improve accuracy and consistency.
• Regularly communicate with providersand other healthcare professionals.
• Understandingprofessional fee coding across care settings (office, outpatient, ED, ASC, SNF/nursing home, telehealth) and the impact of place of service/modifiers on reimbursement.
• Attention to detail, confidentiality (HIPAA), and ability to follow standardized processes in a highvolume environment.
• Developingproficiencyin Epic professional coding workflows and compliant provider query practices.

General Job Duties

• Performs other duties as assigned

Minimum Qualifications:

Education: High School diploma or GED required.

Certification/License/Registration: CPC or CCS-P required within 1 year of hire.

Experience:At least 1 year of experience in physician/provider coding required.

Knowledge, Skills & Abilities