Full-Time
Inpatient Coding Quality Review/Educator
Posted on 11/23/2025
OU Health
1,001-5,000 employees
Academic health system delivering specialized care
No salary listed
Kansas, USA + 4 more
More locations: Texas, USA | Arkansas, USA | Oklahoma, USA | Missouri, USA
Remote
 Medical, Clinical & Veterinary (1) |
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- Education: High school diploma or GED required.
- Associate's or Bachelor's degree in Health Information Management or Health Information Technology preferred.
- Experience: Minimum of five (5) years acute care inpatient/outpatient coding experience required.
- Three (3) years coding auditing/monitoring experience strongly preferred.
- License(s)/Certification(s)/Registration(s) Required: RHIA, RHIT, CCS, or CPC required.
- Coding Technical/Professional Knowledge and Skills: extensive regulatory coding (ICD-10-CM, ICD-10-PCS, CPT-4, Modifiers, MS-DRGs, POA assignment and where applicable APR-DRGs and APCs) and associated reimbursement knowledge.
- Effective Decision Making: relating and comparing; securing relevant information and identifying key issues; committing to an action after developing alternative courses of action that take into consideration resources, constraints, and organizational values.
- Adaptability to major changes in work responsibilities or environment; adjusting effectively to work within new work structures, processes, requirements, or cultures.
- Initiative: independently takes prompt proactive steps toward problem resolution.
- Contributing to Team Success by actively participating as a member of the team to move the team toward the completion of goals.
- Work Standards: setting high standards of performance for self and others; assuming responsibility and accountability for successfully completing assignments or tasks; self-imposing standards of excellence rather than having standards imposed.
- Communication: communicates clearly and concisely, verbally and in writing.
- Customer Orientation: establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations.
- Interpersonal Skills: able to work effectively with other employees, patients and external parties.
- Data Analysis: able to analyze, interpret and share data in a presentation format.
- Knowledge of Healthcare Information: familiar with various types and sources of health care information, including financial and patient level data files.
- Work Independently, with experience working in a team environment.
- PC Skills: demonstrates proficiency in Microsoft Office applications and others as required.
- Policies & Procedures: demonstrates knowledge and understanding of organizational policies, procedures, systems and query handbook.
- Responds to coding-related questions from Health Information Management staff.
- Leads, coordinates and performs all functions of quality reviews (routine, pre-bill, policy driven and incentive plan driven) for inpatient and outpatient coding across OUMS.
- Provides Coding Integrity Specialist and Coding Quality Review education as needed.
- Initiates the rebilling process as required per policy on special projects.
- Researches coding opportunities and escalate as needed.
- Assists in the review, improvement of processes, education, troubleshooting and recommend prioritization of issues.
- Provides and creates education as needed.
- Monitors quality assurance results to assist Coding Leadership in root cause analysis and educational opportunities.
- Assists with curriculum development.
- Assists in ensuring coding staff adherence with coding guidelines and policy.
- Demonstrates and applies expert level knowledge of medical coding practices and concepts.
- Participates on special reviews or projects.
- Maintains or exceeds 95 percent productivity standards.
- Maintains or exceeds 95 percent accuracy.
- Meets all educational requirements as stated in current Company policy.
- Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical/medical resources to assure coding knowledge and skills remain current.
- Performs an annual education needs assessment as input to the strategic coding education program and provides this assessment to the Coding Leadership team.
- Communicates Coding topics and/or question trends to Coding Leadership for global education.
- Coaches and mentors coding staff as they develop and grow their coding skills.
- Provides skilled coding support through regularly scheduled coding meetings and as the need arises.
- Researches external sources for common coding trends and questions.
- Works on special projects as assigned.
- Applies adult learning concepts when developing, delivering or assisting others for educational programs.
- Provides high level of customer service.
- Practices and demonstrates adherence to the Company’s Code of Conduct and ethics philosophy and Company’s Mission and Values.
- Completes other duties as assigned
- Associate's or Bachelor's degree in Health Information Management or Health Information Technology preferred.
- Three (3) years coding auditing/monitoring experience strongly preferred.
OU Health is the flagship academic health system for Oklahoma, partnered with the University of Oklahoma, delivering advanced medical care for severe and life-threatening conditions. Its offerings come from a network of hospitals and specialists that use cutting-edge technology, clinical expertise, and research-driven practices to diagnose and treat patients, educate students, and train clinicians. OU Health differentiates itself through its status as Oklahoma’s academic health center, its collaboration with a major university, and a strong focus on inclusive culture, career development, and continuous improvement to provide compassionate, civil, and patient-centered care. The company aims to become Oklahoma’s destination of choice for healthcare, and to be Oklahoma’s Employer of Choice by attracting and retaining diverse talent who can contribute to innovative patient care and improved outcomes.
Company Size
1,001-5,000
Company Stage
Grant
Total Funding
$1.7M
Headquarters
Oklahoma City, Oklahoma
Founded
N/A
Simplify's Take
What believers are saying
- Dr. Isabella Grumbach's appointment strengthens Internal Medicine leadership and physician recruitment.
- $17.2 million NIH grant funds cancer research in underserved Native American communities.
- $10 million Stephenson Cancer Center gift accelerates Tulsa market expansion and growth.
What critics are saying
- Hybrid nursing model rollout risks care disruptions if virtual platform underperforms.
- Nexus Bedside partnership exposes OU Health to data breach and HIPAA liability.
- Oklahoma nursing shortage persists; hybrid model may fail to retain clinical staff.
What makes OU Health unique
- Hybrid nursing model pairs bedside nurses with virtual support for care coordination.
- NIH-funded research partnership with tribal nations improves Native American cancer outcomes.
- Stephenson Cancer Center expansion in Tulsa strengthens regional oncology capabilities.
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Benefits
Paid Vacation
401(k) Retirement Plan
401(k) Company Match
Health Insurance
Dental Insurance
Company News
New England Journal of Medicine heralds OU Health transformation as Oklahoma's flagship Academic Health System. NEJM Catalyst Innovations in Care Delivery, a publication of the New England Journal of Medicine, has published an in-depth account of OU Health's ongoing transformation as the state's flagship academic health system, validating a vision that began five years ago to fully align the University of Oklahoma's education, research and clinical care missions to create one of Oklahoma's most valued assets. That alignment established OU Health as the state's unparalleled resource for complex health care. Today, OU Health is a growing enterprise that sees nearly one million patients a year, providing Oklahoma's largest array of specialists and subspecialists for the most complex cases and providing access to cutting-edge clinical trials, novel therapies and the latest medical advances. "In a remarkably short time, OU Health has made transformational progress that is changing outcomes for Oklahomans and advancing our academic health system's ability to serve communities across the state," said University of Oklahoma President Joseph Harroz Jr. "This recognition by the New England Journal of Medicine affirms what is possible when mission, leadership and culture are fully aligned. OU Health's turnaround reflects a renewed commitment to excellence in patient care, education and discovery, and most importantly, to the people of Oklahoma we are called to serve." The article, "Turning Around an Academic Health System by Reshaping Culture and Improving Performance," highlights that these outcomes were only possible because of the foundational work that began with the 2021 merger, which unified OU Health under a single, academically driven structure and eliminated reliance on a for-profit system that sent profits out of state. This three-year effort addressed structural realities that had previously prevented success, creating the conditions necessary to recruit the exceptional leadership team who reshaped the organization's culture, priorities and operations. This structural transformation was the essential first step that enabled the measurable improvements in patient care, safety, financial performance and statewide impact now recognized by the New England Journal of Medicine. "This is about fulfilling the covenant the University of Oklahoma and OU Health made with this state: Oklahoma deserves a true academic health system," said Richard P. Lofgren, M.D., M.P.H., president and CEO of OU Health. "When education, research and clinical care work together, the result is better outcomes for patients, a stronger workforce and healthier communities. NEJM Catalyst confirms we are on the right path." In addition to the financial turnaround and increasing investment in health-related research funding, other metrics reflect meaningful progress: reductions in hospital-acquired infections and mortality, an improved safety culture and rising patient volumes. In addition, community hospitals statewide increasingly rely on OU Health for specialty consultations, complex transfers and telemedicine access to subspecialists that bring expert, advanced care to patients close to home. The OU College of Medicine trains most of Oklahoma's physicians, many of whom remain in the state to practice, directly strengthening the statewide health care workforce. With a strong leadership team in place and the health system's finances on a solid upward trajectory, Harroz said there are plans to tackle new, health-related goals on behalf of the state: reducing statewide cancer mortality by 10 percent in the next five years and decreasing diabetes-related complications by 30 percent. OU Health's presence continues to grow, with new facilities and expanded services at Stephenson Cancer Center in Norman and McAlester, and a new Tulsa location set to open in 2028. The University also is working toward doubling the number of patients enrolled in clinical trials to further improve the health outcomes across Oklahoma, and there is an increased commitment to expanding enrollment in health programs to help meet the state's workforce needs with a focus on addressing the urgent shortage of healthcare providers in rural communities.
Oklahoma Children's OU Health earns ELSO Gold Center of Excellence designation. * Category: News, Children * Posted On: Dec 30, 2025 When a child's heart or lungs fail, every second counts. Families across Oklahoma's 77 counties can trust they're receiving world-class care at Oklahoma Children's OU Health, which has earned the prestigious Gold Center of Excellence designation from the Extracorporeal Life Support Organization (ELSO). This national recognition affirms the hospital's expertise in delivering lifesaving extracorporeal membrane oxygenation (ECMO) treatment to critically ill children. ELSO recognizes programs worldwide that have systems processes and procedures in place that promote excellence and exceptional care. The Gold Center of Excellence designation, which is effective Jan. 1, 2026, places Oklahoma Children's among an elite group nationwide and confirms its ability to deliver the highest level of care when seconds matter. In 2024, Oklahoma Children's provided 39 seriously ill children with ECMO. This year, the hospital estimates it will provide 35 to 40 ECMO treatments. As part of the University of Oklahoma's academic health system - and the state's only comprehensive pediatric provider with a statewide network of experts and clinics - Oklahoma Children's offers the expertise, technology and outcomes needed to treat the most critically ill children without requiring families to leave Oklahoma. "This recognition from ELSO is a reflection of the incredible teamwork, training and dedication it takes to care for the sickest children. Families can feel confident knowing that their child is being treated at one of the top pediatric ECMO centers in the country," said pediatric cardiothoracic surgeon Dr. Harold Burkhart, M.D., pediatric cardiothoracic surgical program director at OU Health and professor of surgery and chief of the Division of Cardiac, Thoracic and Vascular Surgery at the University of Oklahoma College of Medicine. ECMO is a sophisticated technology that temporarily takes over the function of the heart and lungs when a child is too sick to survive without support. It can mean the difference between life and death - buying time for tiny hearts and lungs to heal or for a child to receive transplant. Earning Gold Center status requires more than advanced equipment. It means having a team of highly specialized doctors, nurses, surgeons, perfusionists and technicians available 24/7. Their coordinated efforts drive a program that continuously measures outcomes, improves care and follows best practices to give critically ill children the best chance at survival and recovery. Oklahoma Children's treats newborns with severe heart defects, children with life-threatening infections, teenagers in cardiac arrest and patients whose lungs are failing from pneumonia or other conditions. These are the patients who need more than any standard intensive care unit can provide. In addition to ELSO recognition, Oklahoma Children's heart program is ranked among the top 50 in the nation by U.S. News & World Report, reflecting its excellence in pediatric cardiac care and outcomes. Building on this, the recent announcement of the expansion of the pediatric heart program, supported by a historic $20 million gift from the Presbyterian Health Foundation and $200 million in state funding, will establish the Oklahoma Children's OU Health Presbyterian Health Foundation Heart Center. A new 200,500-square-foot facility will open in 2030 and centralize cardiac services, increase inpatient capacity and enhance surgical, diagnostic and transplant capabilities, ensuring more children can receive advanced heart care without leaving the state. As part of OU Health's academic mission, the center will also integrate research, education and clinical excellence in a child-focused environment designed to support healing, innovation and hope. "These types of recognitions reflect our unwavering commitment to providing the highest level of care," said Paul Paulisich, MSN, R.N., NE-BC, associate vice president of the Oklahoma Children's OU Health Presbyterian Health Foundation Heart Center. "We take this opportunity to celebrate our accomplishments with our teams. At the same time, we look to see how we can continue to innovate and provide even better care." When your child needs advanced care recognized among the nation's best, you can find it here in Oklahoma. As a part of the state's flagship academic health system, OU Health combines patient care with research and education, constantly advancing what is possible in healthcare while changing lives through discovery and healing. The ELSO Gold Center of Excellence designation reinforces that commitment and confirms Oklahoma Children's standing among the nation's leading pediatric hospitals. For more information about pediatric critical care services at Oklahoma Children's OU Health, visit OklahomaChildrens.org.
* Remembering Former State Representative Richard Morrissette * Oklahoma Tiger Trainer Killed At Big Cat Preserve He Operated * City of Piedmont Gets $2 Million State Grant To Improve Water Infrastructure * Presbyterian Health Foundation Donates $20 Million Toward New Oklahoma Children's OU Health Heart Center
OU Health launches groundbreaking hybrid nursing model to enhance care coordination.
After a nationwide search, Dr. Isabella Grumbach, M.D., Ph.D., was named Chair of the Department of Internal Medicine at the University of Oklahoma College of Medicine and Clinical Service Chief at OU Health.