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.

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.