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Physician Coder – Plastic Surgery
MedKoder, LLCPhysician Coder specializing in Plastic Surgery at MedKoder, LLC. Responsible for accurate coding of professional services to ensure receipt of reimbursement.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in physician coding for Plastic Surgery, including E/M visits and complex surgical cases, while maintaining a high accuracy rate and compliance with Medicare and Medicaid guidelines. Proficient in medical terminology, anatomy, and coding guidelines, with a commitment to continuous education and skill expansion.
Highest-signal resume keywords
Physician Coding ExperienceCPT Coding and GuidelinesICD-10-CM Coding and GuidelinesAHIMA or AAPC CertificationPlastic Surgery Specialization
ATS Keywords
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Hard Skills
CPT CodingICD-10-CM CodingAnatomy KnowledgeMedical TerminologyE/M LevelingSurgical TechniquesBilling PoliciesCoding AuditingDenials ManagementPlastic Surgery Coding
Soft Skills
Effective CommunicationMultitaskingDecision MakingIndependenceConfidentiality
Tools & Technologies
Microsoft WordMicrosoft ExcelMicrosoft PowerPointWindowsElectronic Healthcare Record SystemsGoogle WorkspaceEpic
Certifications & Qualifications
AHIMA CertificationAAPC CertificationCCS-PCPC
Industry Keywords
Medicare GuidelinesMedicaid GuidelinesPlastic SurgerySurgical CasesComplex RepairsNerve TransfersSkin GraftsPediatric Congenital MalformationsCosmetic ProceduresOffice Procedures
About the role
Key responsibilities & impact- 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
What you’ll need- 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
Comp & perks- 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)