Sage Clinical RCM, LLC

Job Description Job Description Description: Professional Billing (PB) Coder – Cardiothoracic / Special Surgical Employment Type: Full-Time Experience Required: 2+ years PB coding 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...

Job Description Job Description Description: Outpatient Coding Auditor – Surgical Specialty Location: Remote Employment Type: Full-Time / Contract (as applicable) Position Summary Sage Clinical RCM, LLC is seeking an experienced Outpatient Coding Auditor with a strong background in surgical coding . This role is responsible for auditing outpatient surgical encounters to ensure accurate code assignment, compliance with regulatory guidelines, and adherence to payer and client requirements. The ideal candidate has hands-on experience auditing complex outpatient surgical cases and providing clear, constructive feedback to coding staff. Key Responsibilities Perform audits of outpatient surgical encounters, including operative reports and related documentation Validate accurate assignment of CPT, ICD-10-CM, modifiers, and applicable APCs Ensure compliance with CMS, payer, and official coding guidelines Identify trends, risks, and educational opportunities based on audit...

Job Description Job Description Description: Professional Billing (PB) Coder – Vascular Surgery Employment Type: Full-Time Experience Required: 2+ years PB coding Position Overview The Professional Billing Coder – Vascular Surgery is responsible for accurate coding of professional services related to vascular procedures. This role supports compliant billing practices and contributes to revenue integrity and audit readiness. Key Responsibilities • Assign accurate CPT, HCPCS, and ICD-10-CM codes for vascular surgery procedures • Review operative and procedural documentation for coding accuracy and completeness • Apply appropriate modifiers and NCCI edits • Ensure adherence to CMS, AMA, and payer guidelines • Maintain accuracy and productivity standards in a high-volume environment • Support internal audits and quality improvement initiatives Required Qualifications • Minimum 2+ years of professional billing coding experience • Proven experience with...

Job Description Job Description Description: Position Summary: The purpose of the Inpatient Coder position is to review documentation and code records to determine the appropriate designation of diagnosis, procedure, and codes while maintaining compliance with coding guidelines and client guidelines. Essential Functions: Analyze, evaluate and review client medical records to ensure accuracy of code assignment Prepare daily coding logs Demonstrate proficiency in coding including ICD-10 and maintain 95% MS-DRG / APR-DRG accuracy Follow and adhere to AHIMA’s Standards of Ethical Coding, all applicable regulations and guidelines, and all client-specific policies Maintain productivity and quality based on national standards and/or applicable standards Maintain professional monthly educational standards to adhere to coding guidelines & regulatory standards Other duties as assigned based on company needs and client projects Requirements: Education / Experience...