24 jobs found in Tulsa

JOB SUMMARY: The Risk Adjustment Auditor is responsible for reviewing medical records and related documentation to ensure accurate capture of diagnoses in compliance with CMS risk adjustment guidelines and ICD-10-CM coding standards. This role plays a critical part in supporting accurate risk score calculation, regulatory compliance, and overall program integrity. KEY RESPONSIBILITIES: Perform bi-directional retrospective and prospective medical record reviews to validate, clarify, and accurately capture risk adjusted diagnoses (HCCs) in accordance with CMS guidelines and MEAT documentation requirements. Ensure documentation supports coded conditions in accordance with ICD-10-CM, CMS, and payer-specific guidelines. Identify unsupported diagnoses, over coding, under-coding, and documentation gaps. Provide detailed audit findings and recommendations to coding teams, providers, and leadership. Monitor compliance with CMS Risk Adjustment Data Validation (RADV) standards. Track...

Job ID: 6283Req ID: 1133Location: Tulsa, OK, USAPosted: 2026-09-26Job Family: CommercialPay Type: SalaryJOB SUMMARY:The Risk Adjustment Auditor is responsible for reviewing medical records and related documentation to ensure accurate capture of diagnoses in compliance with CMS risk adjustment guidelines and ICD-10-CM coding standards. This role plays a critical part in supporting accurate risk score calculation, regulatory compliance, and overall program integrity.KEY RESPONSIBILITIES:• Perform bi-directional retrospective and prospective medical record reviews to validate, clarify, and accurately capture risk adjusted diagnoses (HCCs) in accordance with CMS guidelines and MEAT documentation requirements.• Ensure documentation supports coded conditions in accordance with ICD-10-CM, CMS, and payer-specific guidelines.• Identify unsupported diagnoses, over coding, under-coding, and documentation gaps.• Provide detailed audit findings and recommendations to coding teams, providers,...

Job Description Job Description Job Title: Medical Biller Location: Tulsa, OK Type: Contract To Hire Compensation: $18-23/hr Work Model: Onsite Hours: 40.0 Responsibilities Prepare, review, and submit electronic and paper claims to insurance companies. Verify claim accuracy and ensure compliance with payer requirements and healthcare regulations. Review and post insurance and patient payments accurately. Investigate and resolve claim denials, rejections, and payment discrepancies. Follow up on outstanding claims to maximize reimbursement and reduce aging accounts receivable. Review Explanation of Benefits (EOBs) and remittance advice to ensure accurate payment processing. Communicate with insurance companies, patients, and healthcare staff regarding billing inquiries and account resolution. Maintain detailed documentation of billing activities and account follow-up efforts. Assist patients with questions regarding insurance coverage,...

OU Health seeks an Experienced Professional Coding Specialist to join Revenue Integrity. The role covers diverse specialties in a remote setting, with four 9-hour days option and training period. Ideal candidates are strong coders with hospital coding exposure and familiarity with payer policies. Responsibilities include complex professional coding across settings, resolving edits/denials, applying policies, and guiding peers. #J-18808-Ljbffr

Job PostingUnder the direction of the HIM Manager, the Coder will be responsible for chart review with experience in Inpatient and Outpatient coding within the hospital setting. Strong knowledge of ICD-10-CM, PCS, CPT/HCPCS coding, and CCI edits. Verify completeness of medical records to ensure documentation supports the assigned codes and modifiers. Knowledge of reimbursement systems and regulations pertaining to billing, documentation and compliance standards including federal and state regulations. Maintain coding knowledge of current coding updates, medical terminology, updated changes in healthcare regulations and maintain up to date coding certification. Attention to detail with excellent communication and interpersonal skills when working with healthcare providers, physicians, residents, and other departments within the hospital.QualificationsAssociate Degree requiredBachelors Degree preferredLicense/Certifications: CCS-Certified Coding Specialist, RHIT- Registered Health...

US Department of Veterans Affairs is seeking a Supervisory Medical Care Transportation Technician - Paramedic in Tulsa, OK. The role is located within the Eastern Oklahoma VA Health Care System and reports to the Ambulance Medical Director, collaborating closely with the Mobility Manager. Qualified applicants must hold or be eligible for a paramedic license, BLS, and ACLS certifications, plus a valid driver’s license. #J-18808-Ljbffr

Risk Adjustment Auditor The Risk Adjustment Auditor is responsible for reviewing medical records and related documentation to ensure accurate capture of diagnoses in compliance with CMS risk adjustment guidelines and ICD-10-CM coding standards. This role plays a critical part in supporting accurate risk score calculation, regulatory compliance, and overall program integrity. Key responsibilities include performing bi-directional retrospective and prospective medical record reviews to validate, clarify, and accurately capture risk adjusted diagnoses (HCCs) in accordance with CMS guidelines and MEAT documentation requirements. Ensuring documentation supports coded conditions in accordance with ICD-10-CM, CMS, and payer-specific guidelines. Identifying unsupported diagnoses, over coding, under-coding, and documentation gaps. Providing detailed audit findings and recommendations to coding teams, providers, and leadership. Monitoring compliance with CMS Risk Adjustment Data...

Job Posting Under the direction of the HIM Manager, the Coder will be responsible for chart review with experience in Inpatient and Outpatient coding within the hospital setting. Strong knowledge of ICD-10-CM, PCS, CPT/HCPCS coding, and CCI edits. Verify completeness of medical records to ensure documentation supports the assigned codes and modifiers. Knowledge of reimbursement systems and regulations pertaining to billing, documentation and compliance standards including federal and state regulations. Maintain coding knowledge of current coding updates, medical terminology, updated changes in healthcare regulations and maintain up to date coding certification. Attention to detail with excellent communication and interpersonal skills when working with healthcare providers, physicians, residents, and other departments within the hospital. Qualifications Associate Degree required Bachelors Degree preferred License/Certifications: CCS-Certified Coding Specialist, RHIT-...

Yale Campus - Hospital Part time JR21463 Current Saint Francis Employees - Please click HERE (https://wd115.myworkday.com/saintfrancis/d/task/2998$46522.htmld) to login and apply. This position is ECB status – requires a minimum number of worked hours per month as needed by the department; limited benefit offerings. Variable Job Summary: The Coder III Specialist codes ER, Outpatient, Outpatient Surgeries, Observations and Inpatient records. Minimum Education: High School Diploma or GED. Licensure, Registration and/or Certification: Certified Coding Specialist (CCS) by AHIMA. Work Experience: Minimum of 3 years related experience and a score of 80% or above on the outpatient and inpatient coding exam. Knowledge, Skills and Abilities: Demonstrated knowledge of Basic ICD 10 training and anatomy and physiology. Demonstrated PC and Software proficiency. Must be able to score 80% or above on the outpatient and inpatient coding exam. Essential Functions and...

Job Summary Responsible for supervising and coordinating daily workflow and leadership of staff. Activities include developing operating procedures and managing personnel and resources. Responsible for supervising and coordinating daily workflow and leadership of staff. Activities include developing operating procedures and managing personnel and resources. Key Responsibilities Serves as a resource to the department staff by providing technical direction and resolving workflow problems or improvement opportunities within the department. Assesses individual workload and staffing patterns. Selects, assigns, and evaluates personnel, and recommends or initiates associated personnel actions. Takes caseload as needed to assist with staffing needs. Ensure authorization timeframes and regulatory requirements are met. Interviews, hires, trains, and reviews all eligibility personnel in addition to problem-solving and disciplinary actions. Participates in analysis of current policies and...

Job TitleResponsible for supervising and coordinating daily workflow and leadership of staff. Activities include developing operating procedures and managing personnel and resources.Key ResponsibilitiesServes as a resource to the department staff by providing technical direction and resolving workflow problems or improvement opportunities within the department.Assesses individual workload and staffing patterns. Selects, assigns, and evaluates personnel, and recommends or initiates associated personnel actions. Takes caseload as needed to assist with staffing needs. Ensure authorization timeframes and regulatory requirements are met.Interviews, hires, trains, and reviews all eligibility personnel in addition to problem-solving and disciplinary actions. Participates in analysis of current policies and procedures and in the development of new or updated standard operating procedures and workflows.Attends departmental, interdepartmental, and facility meetings as needed.Performs other...

Medical Billing & Revenue Cycle Specialist | Tulsa, OKPay: $17.00–$22.00/hour DOESchedule: Monday–Friday | 8:00 AM–5:00 PMJob Type: Full-Time | In-Person Opportunities AvailableMedical Billing & Revenue Cycle Specialist – Must-Have RequirementsHigh school diploma or equivalent required1+ years of medical billing, collections, accounts receivable, reimbursement, or revenue cycle experienceKnowledge of insurance claims, EOBs, denials, appeals, and payment postingFamiliarity with CPT, ICD-10, and HCPCS coding preferredExperience working with EMR/EHR systems and Microsoft OfficeStrong attention to detail and organizational skillsExcellent communication and customer service abilitiesAbility to multitask and work independently in a fast-paced environmentMedical Billing & Revenue Cycle Specialist – Position SummaryWe are seeking experienced Medical Billing & Revenue Cycle Specialists for multiple healthcare organizations throughout the Tulsa area. These opportunities may...

Certified Professional Coder (CPC) | Tulsa, OK Pay: $23.00/hour DOE Schedule: Monday-Friday Job Type: Temp-to-Hire | In-Person Must-Have Requirements 5+ years of medical coding experience Current AAPC/CPC certification required Strong knowledge of ICD-10-CM, CPT, and HCPCS Understanding of LCDs and NCDs Experience reviewing documentation and assigning appropriate diagnosis and procedure codes E/M and surgical coding experience highly preferred Strong typing and 10-key accuracy Excellent attention to detail Position Summary We are seeking an experienced Certified Professional Coder (CPC) to review medical documentation and accurately assign diagnosis and procedure codes. This position will work closely with billing and healthcare teams to ensure coding is accurate, compliant, and properly supported by documentation. Essential Duties & Responsibilities Review medical records and assign accurate diagnosis and procedure codes Assign and sequence ICD-10-CM, CPT, and HCPCS codes...

Experienced Professional Coding Specialist Revenue Integrity New to OU Health? Ask your recruiter about our competitive wages and total rewards package. Remote Eligibility: Candidates must reside and work full-time in AR, KS, MO, OK, or TX before their first day of employment. Looking for a coding team to love at OU Health? This is it! We cover multiple specialties, so there's opportunities to learn and grow . 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! ***The ideal candidate would have teaching hospital or trauma center coding experience. While coding knowledge in multiple specialties is a big plus, the CIRCC certification moves you to the top of the list of candidates. Epic, Encoder Pro and Solventum/3M experience preferred.*** General Description Independently...

OU Health is seeking an Experienced Professional Coding Specialist to independently perform complex professional coding across multiple specialties in a fully remote setting. You will ensure correct coding with ICD-10-CM, CPT, and HCPCS, apply payer policies, and support compliant reimbursement and audit readiness. The role requires at least 3 years of physician/provider coding experience, CPC or CCS-P certification, and familiarity with Epic work queues and encoder tools. #J-18808-Ljbffr

Veterans Health Administration in Tulsa, Oklahoma seeks a Supervisory Medical Care Transportation Technician - Paramedic to lead the Ambulance Services Program and provide advanced life support in EMS operations. The role requires residing within commutable distance to be considered, with rotating shifts including holidays. This is a full-time federal position with a comprehensive benefits package and opportunities for professional growth. #J-18808-Ljbffr

Coder III SpecialistJob Summary: The Coder III Specialist codes ER, Outpatient, Outpatient Surgeries, Observations and Inpatient records.Minimum Education: High School Diploma or GED.Licensure, Registration and/or Certification: Certified Coding Specialist (CCS) by AHIMA.Work Experience: Minimum of 3 years related experience and a score of 80% or above on the outpatient and inpatient coding exam.Knowledge, Skills and Abilities: Demonstrated knowledge of Basic ICD 10 training and anatomy and physiology. Demonstrated PC and Software proficiency. Must be able to score 80% or above on the outpatient and inpatient coding exam.Essential Functions and Responsibilities: Codes ER's, outpatients, outpatients surgeries, observations and inpatients. Works CCI/medical necessity edits as needed. Monitors unbilled for all patient types coded on a day-to-day basis. Maintains quality equal to or greater than 95%. Maintains productivity equal to or greater than 95%. Completes continuing education as...

About HireRight HireRight is the premier global background screening and workforce solutions provider. We bring clarity and confidence to vetting and hiring decisions through integrated, tailored solutions, driving a higher standard of accuracy in everything we do. Combining in-house talent, personalized services, and proprietary technology, we ensure the best candidate experience possible. PBSA accredited and based in Nashville, TN, we offer expertise from our regional centers across 200 countries and territories in The Americas, Europe, Asia, and the Middle East. Our commitment to get it right every time, everywhere, makes us the trusted partner of businesses and organizations worldwide. Overview This role is to support the review of DOT and company policy for completeness and compliance to applicable DOT agency or company statement of work. To determine an individual's ability to work based upon those regulations under the guidance of the Director of Medical Services,...

Your future role at a glance Location: Tulsa, OK On-site Facility: Ascension Medical Group Department/Specialty: Revenue Cycle Schedule: Full-time days, Monday - Friday, 8a - 5p How you’ll make an impact in this role Transform patient records into accurate care stories by evaluating clinical charts and applying precise diagnostic and procedural codes, directly driving accurate reimbursement and flawless claims processing. Collaborate directly with physicians to clarify ambiguous documentation, fostering open communication that elevates health record quality and protects compliance standards. Champion coding accuracy and team growth through regular chart audits and continuous clinical education for both providers and peers. Uphold industry excellence by maintaining high productivity and quality standards while strictly adhering to AHIMA ethical coding guidelines and regulatory updates. What minimum...

Join Our Team We do more than treat cancer. Be a part of the most powerful team of cancer experts and advocates who invest in the health and well-being of our patients throughout treatment and beyond. As part of the team, you will be pursuing the most advanced, innovative and cost-effective treatment options, so that our patients receive personalized, custom care best suited to their situation. Under general supervision, this position will manage and execute coding clinical notes supporting a minimum of one specialty. The coder also functions as a partner to provide feedback and documentation advice to our physicians, practice management team, and their fellow coders. Supports and adheres to the Oklahoma Cancer Specialists and Research Institute Compliance Program, to include the Code of Ethics and Business Standards. Qualifications: High School diploma or equivalent required. Minimum of 7 years of experience collaborating with physicians to improve quality and completeness...