Apply
Description
Position Overview
The Professional Billing Coder – Surgical Specialty 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
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