Professional Billing Coder – Cardiothoracic, Special Surgical

🔥 15 minutes ago

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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 accurate and compliant coding of physician professional services for complex surgical procedures • Supports timely claim submission, regulatory compliance, and revenue integrity within a hospital-based professional billing environment • 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

🎯 Requirements

• 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

🏖️ Benefits

• Collaborative and quality-driven culture • Opportunity to contribute to audit accuracy and coding excellence without unrealistic productivity expectations