Physician Coder: Plastic Surgery
Description:
Physician Coder III is 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. Physician Coder III is expected to adhere to MedKoder’s internal coding policies and expectations set forth by department management. Physician Coder III must prioritize daily duties, prioritize, communicate effectively, and make the decisions necessary to complete all assigned tasks and accomplish their goals.
We are currently looking for candidates with recent experience specializing in the following areas: Plastic Surgery
Responsibilities:
- Review and accurately code profee Plastic Surgery cases to maximize reimbursement in a timely manner.
- Review and accurately code E/M visits and office procedures.
- Able to work independently and research coding scenarios.
- Coder is 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.
Education/Experience 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 correlating professional credential (CCS, CPC, etc.); active and in good standing. A CPC or CCS-P certification is required. The CPC-A is not accepted.
- Minimum of 3 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.
- Additional skills required: Proficiency with Microsoft Word, Excel, PowerPoint, Windows, and electronic healthcare record information and billing systems.
- Experience working with Google Suite 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.
- CPMA certification is a PLUS.
- Billing (denials) experience is a PLUS.
- Epic experience is a PLUS.
About MedKoder, LLC:
• Privately held, growing company with strong values and ethics
• Professional development and education
• All positions are permanent – no contracts or sitting on a “coding bench”
• Generous paid time off, holiday pay, and flexible scheduling year-round
• Internal network of Medical Coding Industry Leaders – CEO is a Certified Coder with 20+ years of experience
• 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)
• MedKoder recognized by Modern Healthcare as Best Place to Work.
