About this role
## Position Title:
Professional Coding Specialist - Tulsa Pediatric Cardiology Clinic
## Department:
Tulsa Pediatric Cardiology Clinic
Job Description:
General Description
Under general supervision, performs professional (physician) coding by reviewing clinical documentation and assigning accurate ICD‑10‑CM, 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, and timely completion of assigned work queues in an academic multi‑specialty 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 ICD‑10‑CM diagnosis codes and CPT®/HCPCS procedure codes for professional fee claims in assigned specialties and settings.
- Apply official coding guidelines and payer rules; ensure accurate modifier and place‑of‑service selection based on documentation and encounter context.
- Use Epic professional coding tools and/or encoder resources to abstract required data elements and complete work queue assignments in a timely manner.
- Escalate non‑standard 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 providers and other healthcare professionals.
- Understanding professional 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 high‑volume environment.
- Developing proficiency in 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