Oral and Maxillofacial Surgery Coding

This is a fully remote position, open to applicants in United States.

📋 Description

• Evaluate clinical documentation and assign diagnosis and procedure codes for professional services in accordance with official coding standards and payer requirements.

• Accurately code assigned tickets in a timely manner to facilitate clean claim submissions and ensure appropriate reimbursement.

• Investigate and resolve coding situations, payer-specific edits, and queries related to documentation.

• Achieve daily productivity goals while maintaining a consistent level of coding quality.

• Report coding and documentation challenges, trends, and risks to the Lead Medical Coder and/or Medical Coding Manager.

• Escalate complex cases or ambiguous documentation through established processes.

• Keep up-to-date with coding guidelines and payer policies, ensuring all required credentials remain in good standing.

• Engage in department meetings and participate in ongoing educational opportunities.

• Broaden coding expertise into additional specialties as business requirements change.

• Fulfill other duties as assigned by leadership.

• Complete assigned cases within 48 hours.

• Maintain an individual coding accuracy rate of 95% or greater.

• Ensure timely escalations, quality documentation, credential maintenance, and compliance with continuing education requirements.

⛳️ Requirements

• Successful completion of an AHIMA- or AAPC-accredited coding program and possession of an active credential in good standing, such as CPC or CCS.

• A minimum of 3 years of recent experience in hands-on physician/professional services coding across one or more specialties.

• Familiarity with anatomy and physiology, medical terminology, CPT, ICD-10-CM, modifiers, disease processes, and relevant Medicare/Medicaid policies.

• High school diploma or equivalent is required.

• Proficient in Microsoft Office applications, including Excel, Word, and Outlook.

• Ability to multitask, prioritize responsibilities, and meet deadlines in a fast-paced setting.

• Strong communication and interpersonal skills.

• Comprehensive understanding of HIPAA regulations and healthcare privacy laws.

• Exceptional attention to detail and strong organizational skills.

• Capability to work independently while also contributing to a collaborative team environment.

• Proven problem-solving abilities with a proactive, solution-oriented mindset.

• An Associate’s or Bachelor’s degree is preferred.

• Experience with reporting and data analysis tools is preferred.

• Background in coding professional services across multiple specialties and service lines is preferred.

• Familiarity with encoder tools and queue-based workflow systems is preferred.

• Prior involvement in coding audits, denial prevention efforts, or documentation improvement initiatives is preferred.

🏝️ Benefits

• Health insurance

• Dental insurance

• Vision insurance

• Employee assistance plan

• Paid family leave

• Short-term disability insurance

• Life insurance

• 401(k) plan with employer match

• Flexible spending accounts

• Employee discount program

• Employee referral program