Certified Coder
SAGIS PLLC•Houston, TX
•$23 - $25•Onsite
About The Position
Sagis Diagnostics is seeking a detail-oriented and experienced Certified Professional Coder (CPC) to join their team. This role is onsite in Houston, TX. The CPC will be responsible for reviewing medical documentation, assigning accurate diagnosis and procedure codes, ensuring compliance with payer regulations, and supporting revenue cycle management processes. The ideal candidate will have strong knowledge of ICD-10-CM, CPT, HCPCS, and medical billing regulations.
Requirements
- Minimum 3–5 years of pathology coding experience (required)
- Hands-on experience coding: Surgical pathology (88300–88399), IHC and special stains, Hematology / bone marrow cases, Toxicology testing
- Strong understanding of: Medicare and Commercial Payer Rules, NCCI edits and modifier usage, Medical necessity and diagnosis-driven coding
- Experience supporting or preparing appeals (required)
- Ability to work independently and as part of a billing team
- Strong attention to detail and accuracy
- Excellent written communication (especially for appeals)
- Ability to interpret pathology reports and clinical documentation
- Organized, deadline-driven, and compliance-focused
Nice To Haves
- Experience in Dermatology, Pathology, Laboratory, or Specialty Physician Coding.
- Additional certifications such as CPC-A, CPC-I, COC, CCS, or CRC.
- Experience with auditing, denial management, and appeals.
Responsibilities
- Assign accurate CPT, HCPCS, and ICD-10-CM codes for: Surgical pathology, Podiatry-related pathology, Hematology and bone marrow cases, Toxicology and molecular testing
- Apply pathology-specific coding rules, including: Add-on codes (e.g., 88341/88342, 88360), Bundling and NCCI edits, Medicare and commercial payer guidelines
- Review pathology reports to ensure coding accuracy and medical necessity
- Assist with denials, appeals, and reconsiderations, including: Drafting appeal narratives, Reviewing payer policies and LCD/NCD requirements
- Collaborate with the billing, compliance, and clinical teams
- Identify underpayments, missed charges, and compliance risks
- Stay current on pathology coding updates, payer policies, and regulatory changes
Benefits
- Medical, Dental, and Vision Insurance
- Company-Paid Short-term and Long-term Disability, Basic Life, EAP
- Voluntary Accident/Critical Illness/Life insurance
- Fair Wages
- 401(k) Contribution
- Vacation
- Paid Parental Leave
- Floating Holidays
- Scheduled Holidays
- Comfortable work environment
- Wellness Initiatives
- Tuition Assistance
- Job Training/Career Development
- Great Team Leaders
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
