Professional Billing (PB) Coder - Cardiothoracic / Special Surgical

Description:

Position Overview

The Professional Billing Coder – Cardiothoracic / Special Surgical is responsible for accurate and compliant coding of physician professional services for complex surgical procedures. This role supports timely claim submission, regulatory compliance, and revenue integrity within a hospital-based professional billing environment.

Requirements:

Key Responsibilities

• Assign accurate CPT, HCPCS, and ICD-10-CM codes for cardiothoracic and other special surgical services
• Review operative reports, clinic notes, and supporting documentation to ensure complete and compliant coding
• Apply appropriate modifiers, bundling rules, and NCCI edits • Ensure compliance with CMS, AMA, and payer-specific billing guidelines
• Identify documentation gaps and communicate clarification needs as appropriate
• Meet established productivity and quality standards
• Participate in internal quality reviews and audits as required

Required Qualifications

• Minimum 2+ years of professional billing coding experience
• Demonstrated experience coding cardiothoracic and complex surgical services
• Strong working knowledge of CPT, ICD-10-CM, HCPCS, modifiers, and NCCI edits • CPC or equivalent coding certification preferred
• Experience in hospital-based physician billing environments
• Ability to work independently with strong attention to detail

Work Environment

• Remote position with standard business hours
• Independent, detail-oriented work with collaboration across teams
• Healthcare client-focused environment with established quality standards

Why Join Sage Clinical RCM

• Support leading healthcare organizations nationwide
• Collaborative and quality-driven culture
• Opportunity to contribute to audit accuracy and coding excellence without unrealistic productivity expectations