Plastic Surgery Coder

At Alteva RCM, we're dedicated to helping healthcare providers thrive through expert revenue cycle management, strategic insight, and innovative solutions. We're always looking for passionate, driven professionals who want to make a meaningful impact, grow their careers, and be part of a collaborative team committed...

The Plastic Surgery Coder is responsible for accurately reviewing clinical documentation and assigning diagnosis codes, CPT codes, and other required codes for professional services in plastic surgery. This role applies official coding guidelines, regulatory requirements, and payer-specific rules to ensure accurate ...

Review clinical documentation and accurately assign diagnosis and procedure codes for professional services in accordance with official coding guidance and payer requirements  
Code assigned tickets accurately and in a timely manner to support clean claim submission and maximize appropriate reimbursement  
Independently research and resolve coding scenarios, including payer-specific edits and documentation questions, using available resources and tools  
Meet daily productivity targets and maintain consistent coding quality 
Communicate coding and documentation issues, trends, and potential risks to the Lead Medical Coder and/or Medical Coding Manager  
Escalate complex scenarios or unclear documentation through established workflows to support timely resolution  
Maintain current knowledge of coding guidelines and payer policies;  maintain required credentials in good standing  
Participate in department meetings and ongoing education; demonstrate flexibility to expand coding skills into additional specialties as business needs evolve  
Perform other duties as assigned by leadership  
Complete coding for all cases assigned within a 48 hour period 
Daily productivity output against established targets  
Individual coding accuracy rate (target: 95%+)  
Escalation timeliness and documentation quality  
Credential maintenance and continuing education compliance  

 

Successful completion of an AHIMA or AAPC-approved coding program with an active credential in good standing (e.g., CPC, CCS); CPC preferred   
Minimum of 5 years of recent hands-on physician/professional services coding experience in complex plastic surgery.
Minimum of 3 years of experience in ENT, Oral, and Maxillofacial surgery preferred
Proficient knowledge of anatomy and physiology, medical terminology, CPT, ICD-10-CM, modifiers, disease processes, and applicable Medicare/Medicaid policies for professional services  
High School Diploma or equivalent required; Associate’s or Bachelor’s degree preferred  
Proficiency in Microsoft Office applications (Excel, Word, Outlook); experience with reporting and data analysis tools preferred  
Proven ability to multi-task, prioritize workload, and meet deadlines in a fast-paced environment  
Strong communication and interpersonal skills  
Experience coding professional services across multiple specialties and service lines (e.g., surgical, anesthesia, E/M) preferred 
Experience using encoder tools and working within queue-based workflow systems to manage volume and turnaround time preferred 
Prior participation in coding audits, denial prevention initiatives, or documentation improvement efforts preferred 
In-depth knowledge of HIPAA regulations and healthcare privacy laws; maintains strict compliance at all times.  
Exceptional attention to detail and organizational skills.  
Ability to work independently while contributing to a team-oriented environment  
Demonstrated problem-solving skills with a proactive and solution-driven approach  

 
Pay Range
$60,000—$80,000 USD
 
Benefits
Alteva RCM offers our employees a comprehensive benefits package, including health, dental, vision, employee assistance plan, paid family leave, short-term disability and life insurance. We also provide a 401(k) plan with employer match, flexible spending accounts, employee discount program and an employee referral program.