Plastic Surgery Coder

Alteva RCM; United States; On-site; USD 60,000 - 80,000; Full time

Job summary

Alteva RCM is seeking a Plastic Surgery Coder to accurately assign diagnosis and procedure codes for professional services in plastic surgery. You will apply CPT/ICD-10-CM guidelines and payer rules to ensure clean claim submission and timely reimbursement.

The role emphasizes coding accuracy, compliance, and minimizing audit risk, contributing to the firm’s financial health. Strong multitasking and communication skills are essential in a fast-paced environment.

Qualifications

• Active credential in good standing (CPC/CCS).
• Minimum 5 years of physician/professional services coding in plastic surgery.
• Familiar with CPT, ICD-10-CM, modifiers and payer policies.
• Ability to multi-task and meet deadlines in a fast-paced environment.

Responsibilities

• Review clinical documentation and assign diagnosis and procedure codes for professional services.
• Ensure coding accuracy and adhere to official guidelines and payer rules.
• Research coding scenarios and respond to documentation questions.
• Meet daily productivity targets while maintaining coding quality.
• Escalate issues to Lead Medical Coder or Coding Manager when needed.

Skills

Medical coding

Attention to detail

Strong communication

Multispecialty coding

Education

CPC/CCS credential

5+ years professional coding

AHIMA/AAPC approved program

Bachelor's or Associate degree preferred

Tools

Encoder tools

Queue-based workflow systems

Microsoft Excel

Job description

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.

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 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 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 servicesin accordance withofficial coding guidance and payer requirements
• Code assigned tickets accurately and in a timely mannerto support clean claim submission and maximizeappropriate reimbursement
• Independently research and resolve coding scenarios, including payer-specific edits and documentation questions, using available resources and tools
• Meet daily productivity targets andmaintainconsistent 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; maintainrequired credentials in good standing
• Participate in department meetings and ongoing education;demonstrateflexibility to expand coding skills intoadditionalspecialties 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 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’sdegree 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 timepreferred
• Prior participation in coding audits, denial prevention initiatives, or documentation improvement effortspreferred

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 USD - $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.