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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