Medical Coding Billing Jobs in Oregon (NOW HIRING)

Specialty Focus: General Surgery, Plastics, Dental, GI, and Trauma Coding

Join OHSU's Enterprise Coding Department and support excellence in clinical documentation, coding integrity, and patient care across multiple surgical specialties.

We are seeking a detail-driven, credentialed Level III Professional Fee Coder with strong multispecialty surgery experience, including General Surgery, Plastic Surgery, Dental, Gastroenterology, and Trauma. If you enjoy complex surgical coding, value accuracy and compliance, and thrive in a collaborative, mission-driven environment, this role may be a great fit.

The Team You'll Join

The Enterprise Coding Department is a highly skilled, mission-focused team supporting accurate clinical documentation and the financial health of OHSU.

As a Level III Professional Fee Coder – Multispecialty Surgery, you will ensure accurate, compliant coding for a diverse range of surgical services. You will collaborate with coding leadership, providers, and peers while contributing to operational efficiency and continuous improvement—all within a telecommuting work environment.

Core Coding Responsibilities

• Review clinical documentation in Epic and related systems for accuracy and compliance with CMS and payer guidelines.
• Assign accurate CPT, ICD-10-CM, and HCPCS codes for professional fee services, including E/M, diagnostic, and complex surgical procedures.
• Code across multiple surgical specialties including General Surgery, Plastic Surgery, Dental, GI, and Trauma.
• Maintain billing and coding workflows for assigned work queues.
• Ensure accuracy, completeness, and compliance of all coded data.
• Monitor coding activities for alignment with federal/state regulations and internal policies.
• Work closely with supervisors and team leads to resolve coding questions and prioritize workflow.
• Develop and maintain written procedures supporting coding quality and staff education.

Department & Team Support

• Serve as a subject-matter resource for surgical coding guidelines, billing policies, and documentation requirements.
• Actively participate in coding meetings, Enterprise Coding huddles, and educational sessions.
• Collaborate with leadership to identify documentation improvement opportunities and process enhancements.
• Review and apply updates from coding publishers and regulatory agencies.
• Maintain certifications and continuing education requirements.
• Perform additional duties as assigned.

• High school diploma or GED.
• Minimum 4 years of experience coding hospital or professional services using ICD-10-CM and CPT.
• Active coding certification through: AAPC (e.g., CPC), or AHIMA (e.g., RHIA, RHIT, CCS), or equivalent credential.
• Active membership in AAPC or AHIMA.
• Successful completion of an internal coding skills assessment.

• Professional fee coding experience in multispecialty surgery, including General Surgery, Plastics, Dental, GI, and Trauma.
• Completion of an accredited coding program (AAPC or AHIMA Coding Boot Camp).
• Knowledge of PFS, OPPS, CPT, ICD-10 guidelines, CCI edits, and NCD/LCD policies.
• Experience with Epic and 3M Encoder.
• Proficiency in Microsoft Word and Excel.
• Strong written and verbal communication skills.
• Ability to work independently and collaboratively in a complex, fast-paced environment.
• Coursework in anatomy & physiology, medical terminology, CPT, and ICD-10-CM coding.

• Telecommuting position.
• Variable schedule within core operating hours: Monday–Friday, 5:00 AM – 10:00 PM. Scheduled hours must fall within this range.

Outstanding Benefits

• 100% healthcare coverage for full-time employees; 88% for dependents.
• $50,000 life insurance at no cost.
• Two generous pension plans.
• Up to 200 hours of vacation annually (based on tenure).
• 96 hours of sick leave per year.
• 9 paid holidays.
• Transportation discounts (TriMet & C-Tran).
• Employee Assistance Program.
• Childcare service discounts.
• Tuition reimbursement.
• Employee discounts at local and national businesses.

Ready to Make an Impact?

If you're a highly skilled, credentialed multispecialty surgery coder seeking flexibility, professional growth, and the opportunity to support world-class healthcare, we would love to welcome you to our team.

We are Oregon's only public academic health center. In addition to caring for patients, we lead groundbreaking research. We also train the next generation of health care professionals. As Portland's largest employer, we give you opportunities to learn and advance in a system of hospitals and clinics across Oregon and Southwest Washington. All are welcome. OHSU welcomes people of all ages, ethnicities, genders, national origins, religions and sexual orientations. We are striving to build an anti-racist, multicultural institution and encourage people with diverse backgrounds to apply. To request reasonable accommodation, contact askhr@ohsu.edu