OU Health

Auditor

• Lead complex revenue integrity initiatives
• Serve as an internal consultant
• Drive enterprise-wide performance improvement efforts
• Analyze professional billing workflows
• Monitor performance metrics
• Assist departments and providers with revenue cycle education and issue resolution
• Support departments, clinics, and providers with education on professional billing, charging, coding, registration, referral, and authorization workflows
• Identify and analyze charging, coding, documentation, and billing trends impacting professional revenue
• Provide targeted education and recommendations to providers and departments
• Develop and present performance metrics and trend analyses to operational leaders
• Run and review standard reports and dashboards to identify improvement opportunities
• Support development and delivery of revenue cycle education and training programs
• Perform other duties as assigned

Revenue Integrity Liaison, Auditor – Educator

Medical Billing and Coding

• Independently perform complex professional coding across multiple specialties and settings, including office/clinic, hospital outpatient, ED/urgent care, ASC, SNF/nursing home, and telehealth
• Apply advanced coding judgment, payer policy interpretation, and documentation standards to support compliant reimbursement, wRVU integrity, and audit defensibility
• Code complex professional encounters and procedures, ensuring correct sequencing, modifiers, E/M level selection, and documentation alignment
• Resolve coding-related edits and denials by identifying root causes, coordinating documentation clarification, and supporting rebilling actions as applicable
• Apply payer medical policies, NCCI concepts, global service considerations, and telehealth coding rules to professional-fee claims
• Provide real-time guidance to peers on standard coding scenarios and promote consistency through best-practice sharing
• Participate in internal quality review programs and implement education or corrective actions based on findings
• Review documentation in the EHR across settings using Epic professional coding work queues and encoder tools
• Identify documentation improvement opportunities and support compliant query workflows
• Perform other duties as assigned

Coding Specialist

Analyst

• Assist in developing, supporting, and rolling out functionality for an Electronic Health Record system
• Optimize organizational workflow processes through tailored application builds
• Learn EHR capabilities and functional use and apply healthcare business workflow knowledge
• Provide day-to-day technical support to end users, troubleshoot issues, answer questions, and resolve system errors
• Perform routine maintenance, including software updates, patches, and upgrades
• Participate in testing and validation for system changes, enhancements, and upgrades
• Assist with configuring and customizing the EHR system for healthcare providers and organizations
• Collaborate with IT professionals, clinicians, administrators, and vendors on EHR initiatives and projects
• Maintain documentation of system configurations, user procedures, and support issues
• Build relationships with nurses, physicians, revenue cycle, health information management, core team members, and facility leadership
• Perform other duties as assigned

Epic Analyst – Prelude, Grand Central, Referral, Cadence

General

• Lead complex revenue integrity initiatives
• Serve as an internal consultant
• Drive enterprise-wide performance improvement efforts
• Analyze professional billing workflows
• Monitor performance metrics
• Assist departments and providers with revenue cycle education and issue resolution
• Support departments, clinics, and providers with education on professional billing, charging, coding, registration, referral, and authorization workflows
• Identify and analyze charging, coding, documentation, and billing trends impacting professional revenue
• Provide targeted education and recommendations to providers and departments
• Develop and present performance metrics and trend analyses to operational leaders
• Run and review standard reports and dashboards to identify improvement opportunities
• Support the development and delivery of revenue cycle education and training programs
• Perform other duties as assigned

Revenue Integrity Liaison – Education, Auditing

Social Worker

• Assess assigned patients’ conditions using medical diagnoses, chart reviews, personal interviews, and care-team data
• Perform psychosocial assessments and communicate findings to clinical staff
• Provide or supervise care-plan interventions, including referrals, crisis intervention, prevention, education, advocacy, bereavement, therapy, and support
• Partner with healthcare teams and involve patients and families in care-plan development and implementation
• Educate patients and families about diseases, treatments, social or financial situations, emotional stress, and other problems
• Monitor care progress toward goals and implement interventions as needed
• Conduct high-risk screening and provide crisis counseling, education, and resources regarding abuse or neglect
• Document counseling and education sessions
• Act as liaison between patients or families, clinical staff, and other agencies
• Advocate for patient concerns and escalate ethical dilemmas through appropriate channels
• Complete reports based on mandated reporting requirements
• Precept newly hired Social Worker Level I employees and BSW/MSW students when eligible
• Perform other duties as assigned

Care Management Social Worker – Part Time

• Manage care for high-risk members with chronic behavioral and health conditions
• Collaborate with members, caregivers, physicians, and the healthcare team
• Ensure timely access to necessary care, continuity across settings, shared decision-making, and connections to supportive services and community resources
• Assess assigned patients using medical diagnoses, chart reviews, personal interviews, and care-team data
• Provide social services to patients and families for an assigned medical service
• Provide or supervise plan-of-care interventions, including resource and referral assistance, crisis intervention, prevention, education, patient advocacy, bereavement, therapy, and counseling
• Involve patients and families in developing and implementing care plans
• Educate patients and families about diseases, treatments, social or financial situations, emotional stress, and other problems
• Monitor care progress toward goals and implement interventions as needed
• Conduct high-risk screening and provide crisis counseling, education, and resources regarding abuse or neglect
• Document counseling and screening sessions
• Liaise between patients/families, clinical staff, and other agencies
• Advocate for patient concerns and escalate ethical dilemmas through appropriate channels
• Complete reports based on mandated reporting requirements
• Precept newly hired staff and provide field instructor services for social work interns
• Drive performance improvement initiatives, including data collection, research, development, and continuing education programs
• Lead Care Management team meetings and interdisciplinary rounds
• Assist with assigned projects and complete the Leadership Academy as assigned
• Perform other duties as assigned

Care Management Social Worker

Insurance

• Identify and review professional billing credit balances for accuracy and resolution
• Perform routine credit balance adjustments and refund requests according to established policies
• Research basic overpayments related to duplicate payments, posting errors, or payer processing
• Document actions taken and route complex issues for escalation according to guidelines
• Maintain productivity and quality standards
• Perform other duties as assigned