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Sage Clinical RCM, LLC

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2024

🏥 Healthcare

☁️ SaaS

🤝 B2B

Healthcare • SaaS • B2B

Sage Clinical RCM is a healthcare revenue cycle management company that combines proprietary technology with clinical and financial expertise to provide end-to-end RCM solutions—from patient access through financial close. The firm offers advisory services, revenue cycle management operations, technology adoption (including clinical documentation improvement and autonomous coding), workforce augmentation (coding, documentation, RCM, physician advisory), and analytics-driven platforms (Sage IQ: Validity and VERO) that use automation and AI to unify coding, documentation, vendor performance, compliance, and financial reporting for healthcare organizations.

📋 Description

• Responsible for reviewing provider documentation and assigning accurate CPT, HCPCS, and ICD-10-CM codes for physician services. • Supports compliant coding, accurate charge capture, and overall revenue integrity across a variety of specialties. • Review provider documentation to assign accurate CPT, HCPCS, and ICD-10-CM codes. • Ensure documentation supports coded services and identify/escalate discrepancies or gaps. • Ensure compliance with CMS, payer-specific rules, and official coding guidelines (including AMA and NCCI edits). • Maintain established quality metrics (e.g., =95% coding accuracy) and meet productivity standards.

🎯 Requirements

• Credentials: CPC, CCS-P, RHIA, or RHIT (active and in good standing). • Experience: Minimum 2–3+ years professional fee coding experience. • Experience in hospital-based or physician practice environments preferred. • Strong knowledge of CPT, HCPCS, ICD-10-CM, modifiers, NCCI edits, and payer policies. • Requires strong knowledge of E/M leveling guidelines, accurate capture of chronic conditions, and validation of medical inpatient encounters. • Requires the ability to independently review documentation and accurately assign CPT/HCPCS codes for both minor and major procedures, including appropriate modifier application and adherence to coding guidelines.

🏖️ Benefits

• National exposure to diverse, high-acuity health systems and specialties. • Quality-first culture with realistic expectations (not volume-only). • Flexible work options (FT). • Opportunity to expand into other audit, education, and advisory services.