Professional Billing (PB) Coder - Cardiothoracic / Special Surgical

Job DescriptionJob DescriptionDescription:

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