Professional Fee Coder, ProFee

🕒 August 7

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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

• Review provider documentation and assign accurate CPT, HCPCS, and ICD-10-CM codes for physician services • Ensure documentation supports coded services and identify discrepancies • Apply appropriate modifiers, NCCI edits, and payer-specific coding rules • Maintain compliance with CMS, AMA, and payer guidelines • Maintain ≥95% coding accuracy and meet established productivity standards • Identify documentation gaps and escalate for clarification • Participate in quality reviews, audits, and ongoing coding education • Code independently within assigned specialty or specialties • Adapt to varying client workflows, systems, and documentation practices • Communicate effectively with internal teams and client stakeholders

🎯 Requirements

• Active and good-standing CPC, CCS-P, RHIA, or RHIT credential • Minimum 2–3+ years of professional fee coding experience • Experience in hospital-based or physician practice environments preferred • Strong knowledge of CPT, HCPCS, ICD-10-CM, modifiers, and NCCI edits • Familiarity with payer policies and coding guidelines • Ability to work independently in a remote environment • High attention to detail with consistent quality performance • Ability to code independently within assigned specialty or specialties • Consistent delivery of ≥95% coding quality and aligned productivity standards • Adaptability to varying client workflows, systems, and documentation practices • Effective communication with internal teams and client stakeholders • One or more listed specialties may be required based on engagement placement • Surgical coders: strong operative-report and procedural-documentation review, advanced modifier application, deep NCCI and bundling knowledge, and ability to code complex surgical cases independently • Medical/E&M coders: strong E&M leveling knowledge, documentation requirements, chronic-condition capture, medical-necessity validation, and provider-documentation completeness review • Diagnostic/ancillary coders: specialty-specific coding structures, professional-service modifiers such as component billing, and consistent coding conventions in high-volume workflows

🏖️ Benefits

• Flexible work options (FT, PT, and PRN) • Exposure to diverse specialties and complex health system environments • Quality-driven culture with realistic expectations • Opportunity to expand into QA, audit, education, and advisory services