塑料手术编码员
Plastic Surgery Coder
关于我们 在 Alteva RCM,我们致力于通过专家的收入周期管理，战略洞察和创新解决方案帮助医疗保健提供商勃发展。我们始终在寻找热情，驱动的专业人士，希望产生有意义的影响，扩大他们的职业生涯，并成为一支致力于卓越的工作团队的一部分。职位总结 专业编码师负责精确审查临床文档，分配诊断代码，CPT 代码和其他要求的专业服务代码。通过确保编码准确性和合规性，专业编码师在优化收入周期绩效，减少申诉拒绝和审计风险，支持监管合规性以及促进组织的整体财务健康和运营成功方面发挥着关键作用。主要责任编码生产与准确性 ·审查临床文档并根据官方编码指导和付款人要求精确分配诊断和程序代码为专业服务 · 准确及时编码分配的门票，以支持清洁申请提交和最大限度地获得适当回报。· 自主研究并解决编码场景，包括付款人特定的修改和文档问题，使用可用的资源和工具。·满足日常生产力目标并保持一致的编码质量。· 保持对编码指导方针和付款政策的最新知识；保持要求认证书的良好地位 · 参加部门会议和持续教育；随着业务需求的发展，展示灵活性扩大编码技能到额外专业 ·执行领导层分配的其他任务绩效测量 · 在48小时内分配的所有案件进行完整编码 · 日常生产力输出与既定目标相比 ·个体编码精度率 （目标）
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About Us
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 to excellence.
Position Summary
The Professional Coder is responsible for accurately reviewing clinical documentation and assigning diagnosis codes, CPT codes, and other required codes for professional services across assigned specialties. This role applies official coding guidelines, regulatory requirements, and payer-specific rules to ensure accurate code selection, clean claim submission, and timely reimbursement. By ensuring coding accuracy and compliance, the Professional Coder plays a critical role in optimizing revenue cycle performance, reducing claim denials and audit risk, supporting regulatory compliance, and contributing to the organization's overall financial health and operational success.
Key Responsibilities
Coding Production & Accuracy
- 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
Communication & Escalation Management
- 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
Compliance, Confidentiality & Continuous Learning
- 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
Performance Metrics
- 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
Qualifications
- 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 3 years of recent hands-on physician/professional services coding experience across one or more specialties
- 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
Additional Qualifications
- 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.
Originally posted on Himalayas