Physician Coder – Plastic Surgery

Role Overview

• Responsible for reviewing and accurately coding all professional services including evaluation and management, diagnostics, surgeries, and procedures in compliance with applicable Medicare, Medicaid, and third-party payer guidelines to ensure receipt of accurate reimbursement
• Expected to adhere to MedKoder’s internal coding policies and expectations set forth by department management
• Must prioritize daily duties, multitask, communicate effectively, and make the decisions necessary to complete all assigned tasks and accomplish their goals
• Review and accurately code profee Plastic Surgery cases to maximize reimbursement in a timely manner
• Review and accurately code E/M visits, office procedures, and surgeries
• Able to work independently and research coding scenarios
• Responsible for meeting our daily production goal and our quality goal of consistently averaging a 95% accuracy rate
• Attend conference calls as necessary to provide information and feedback
• Communicate with leadership on coding or documentation issues/trends
• Stay current on all coding guidelines (including specialty-specific guidelines) and maintain credentials as necessary
• Participate in coding department and education meetings
• Flexible to expand coding skill set into other Plastic Surgery subspecialties, or other specialties altogether
• Maintain confidentiality and protect sensitive information
• Other duties as assigned by leadership

Requirements

• High School diploma required
• Associate or Bachelor's degree preferred
• Successful completion of at least one AHIMA or AAPC-certified program with the achievement of the corresponding professional credential (e.g., CCS-P, CPC, or another applicable AAPC stand-alone credential), which must be active and in good standing
• Minimum of 5 years of physician coding experience (recent hands-on production) in the specialty of Plastic Surgery, specifically for breast reconstruction, Mohs, cosmetic procedures, skin grafts, flaps, tissue transfers, pediatric congenital malformations, and complex surgical cases that involve multiple provider specialties, including E/M leveling and office procedures
• Must have proficient knowledge of anatomy and physiology, medical terminology, disease processes, CPT coding and guidelines by the AMA, ICD-10-CM coding and guidelines, modifiers, surgical techniques, and Medicare (CMS/MAC) and Medicaid billing policies for professional services
• Experience coding Nerve transfers, Nerve pedicle transfer, Nerve grafts, Sutures of the nerves, Transections of nerves, and RPNI surgery (Regenerative Peripheral Nerve Interface) a PLUS
• Proficiency with Microsoft Word, Excel, PowerPoint, Windows, and electronic healthcare record information and billing systems
• Experience working with Google Workspace is preferred but not required
• Experience working remotely is preferred but not required
• Experience in Plastics/Neurosurgery co-surgeries is a PLUS (congenital malformations, skin grafts, complex repairs)
• Auditing experience is a PLUS
• Billing (denials) experience is a PLUS
• Epic experience is a PLUS

Benefits

• Up to 100% EMPLOYER PAID Medical, Dental, and Vision benefits for employees
• 401K and Profit Sharing
• STD, LTD, Life Insurance, and FSA Program
• Paid AAPC and AHIMA corporate memberships
• 30 Hours of CEU pay (continuance in education)