Job Description

Job Description

Job Description

Description:

  Position Overview

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  

• Support leading healthcare organizations nationwide
• Collaborative and quality-driven culture
• Opportunity to contribute to audit accuracy and coding excellence without unrealistic productivity expectations

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