Pathology Medical Coder
About The Position
Sagis Diagnostics is an entirely physician-led sub-specialty pathology group supported by a CAP-accredited histology lab located in the heart of Houston, Texas. Led by a team of board-certified pathologists, our lab is at the forefront of diagnostic science. We offer the highest quality services to physicians, physician groups, ambulatory surgery centers, and hospitals. One of our many strengths is we develop strong collaborative relationships with each of our referring physicians by offering accurate, prompt, and clear diagnoses in a personal and customized manner. Position Title: Pathology Medical Coder Department: Medical Billing & Revenue Cycle Employment Type: Full-Time Work Location: On-Site Position Summary We are seeking an experienced Pathology Medical Coder with strong knowledge across podiatry, surgical pathology, hematology, and toxicology. This role will be responsible for accurate CPT/HCPCS/ICD-10 coding, claim review, and appeals support, working closely with our billing and revenue cycle teams to ensure compliance and timely reimbursement.
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
- AAPC or AHIMA certification (CPC, CCS, or equivalent)
- Experience with: Encoder Pro or similar coding software
- Molecular pathology and G-codes
- Pathology billing workflows
- Prior experience in a laboratory or pathology practice
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
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
Number of Employees
101-250 employees
