Physician Coder – Plastic Surgery

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⚜️ Louisiana – Remote

⚜️ Louisiana – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥 Medical Billing and Coding

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MedKoder, LLC

WebsiteLinkedInAll Job Openings

51 - 200 employees

⚕️ Healthcare Insurance

☁️ SaaS

🤖 Artificial Intelligence

Healthcare Insurance • SaaS • Artificial Intelligence

MedKoder, LLC is a full-service medical coding management company specializing in providing expert medical coding services across all physician service lines, including inpatient and outpatient facility coding. The company also focuses on medical risk adjustment management and offers services for clinical documentation improvement, revenue integrity, and revenue cycle consulting. MedKoder utilizes proprietary technology, including Artificial Intelligence, Automated Business Intelligence, and Natural Language Processing, to automate coding processes and improve efficiency. Their customized tools and workflows are built in-house, providing clients with reduced costs and superior results in medical risk adjustment and clinical documentation improvement for Medicare Advantage, ACA, and Medicaid programs.

📋 Description

• 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)