Job Description
Title: Professional Billing (PB) Coder - Cardiothoracic / Special Surgical REMOTE
Location: United States
Job Description:
Sage Clinical RCM, LLC supports leading healthcare organizations nationwide, is collaborative with a quality-driven culture, and an excellent opportunity to contribute to audit accuracy and coding excellence without unrealistic productivity expectations.
Position Summary
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.
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 experience of professional billing and 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, detailed-oriented work with collaboration across teams
- Healthcare client-focused environment with established quality standards
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