Coder III – Plastics Specialty

This is a fully remote position, open to applicants in Alabama, +31 more states.

📋 Description

• Precisely assign all codes (ICD-10-CM/PCS, CPT, HCPCS) for highly intricate professional fee encounters (highest complexity level) or moderate to high complexity facility encounters.

• Act as the authoritative internal specialist for professional coding standards or a knowledgeable resource for facility guidelines.

• Offer expert advice, training, onboarding support, and mentorship to Coder I/II personnel to improve team efficiency and accuracy.

• Provide informal code review assistance as requested by leadership, concentrating solely on the precision of code assignment and documentation translation for complex cases.

• Assess accounts placed on pre-bill hold to resolve specific coding edits, intricate claim issues, and/or denial prevention strategies prior to final billing.

• Master and interpret complex regulatory updates and official coding guidelines (e.g., AHA Coding Clinic), converting changes into actionable processes for the team.

⛳️ Requirements

• Required certification: Academy of Coders (AAPC), OR American Health Information Management Association (AHIMA); dual certifications preferred.

• Associate’s Degree in Health Information Management or equivalent experience/advanced training beyond high school in Medical Coding is required.

• A minimum of 5+ years of extensive medical coding experience, with substantial experience in complex professional, inpatient, or outpatient facility coding.

• Experience with Epic or similar electronic health record systems is mandatory.

• Mastery of medical terminology, anatomy, physiology, and complex pathophysiology across various service lines/specialties/types.

• Expert knowledge of official coding guidelines, regulatory requirements, and comprehensive reimbursement models (DRG, RVU).

• Exceptional analytical abilities to manage the highest level of coding complexity in professional coding and moderate to high complexity in facility coding.

• Strong attention to detail and the capability to work independently to resolve complex coding issues and interpret nuanced regulations.

• Excellent communication and interpersonal skills to effectively mentor staff and collaborate with support teams.

• Ability to meet deadlines in a fast-paced environment and proactively contribute in a team-oriented setting.

🏝️ Benefits

• Paid Time Off programs.

• Health and welfare benefits including medical, dental, vision, life, and Short- and Long-Term Disability.

• Flexible Spending Accounts for qualifying healthcare and dependent care expenses.

• Family benefits such as adoption assistance and paid parental leave.

• Defined contribution retirement plans with employer matching and other financial wellness initiatives.

• Educational Assistance Program.