Sage Clinical RCM, LLC

Job Description Job Description Description: Role Summary Responsible for reviewing medical records and assigning accurate CPT, HCPCS, ICD-10-CM, and appropriate modifiers for outpatient services. This role supports compliant coding and consistent performance across a variety of outpatient encounter types. Requirements:   Core Responsibilities   Review medical records and assign accurate CPT/HCPCS, ICD-10-CM, and modifiers. Ensure documentation supports coded services and identify/escalate discrepancies or gaps. Ensure compliance with CMS, payer-specific rules, and official coding guidelines (including NCCI edits). Maintain established quality metrics (e.g., =95% coding accuracy) and meet productivity standards. Minimum Qualifications   Credentials:  CPC, CCS, RHIA, or RHIT (active).  Experience: Minimum 3+ years outpatient coding experience across multiple outpatient service types. Skills & Knowledge: Strong knowledge of?CPT, HCPCS, ICD-10-CM,...

Job Description Job Description Description:   Role Summary  Responsible for reviewing inpatient coding to validate accuracy, compliance, and documentation support. This role identifies risks, ensures consistency in DRG assignment, and provides actionable feedback to improve coding quality.  Core Responsibilities   Perform retrospective and/or concurrent audits of inpatient coding.  Validate ICD-10-CM/PCS code assignment and 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.   Identify trends, risks, and opportunities for coding improvement.  Provide clear, actionable audit feedback and education to client & internal coding staff.  Maintain established quality metrics (e.g., =95% coding accuracy) and meet productivity standards.  Requirements:   Minimum Qualifications   Credentials: CCS, RHIA, or RHIT (active).  Experience: Minimum 3+ years of...

Job Description Job Description Description: Role Summary   Responsible for reviewing provider documentation and assigning accurate CPT, HCPCS, and ICD-10-CM codes for physician services. This role supports compliant coding, accurate charge capture, and overall revenue integrity across a variety of specialties, supporting single-specialty or multi-specialty engagements.  Core Responsibilities   Review provider documentation to assign accurate CPT, HCPCS, and ICD-10-CM codes.  Ensure documentation supports coded services and identify/escalate discrepancies or gaps.  Ensure compliance with CMS, payer-specific rules, and official coding guidelines (including AMA and NCCI edits).  Maintain established quality metrics (e.g., =95% coding accuracy) and meet productivity standards.  Requirements: Minimum Qualifications   Credentials: CPC, CCS-P, RHIA, or RHIT (active and in good standing).  Experience: Minimum 2–3+ years professional fee coding experience....

Job Description Job Description Description:   The Outpatient Surgery & Pre-Authorization Coder is responsible for accurate coding of outpatient surgical encounters while also supporting pre-authorization coding through the assignment of appropriate CPT and related procedure codes. This position requires a strong outpatient surgical coding background, the ability to interpret clinical documentation across a variety of surgical specialties, and the flexibility to support both surgical coding and pre-authorization workflows based on operational needs. The role works collaboratively with client coding leadership and clinical teams to maintain timely, accurate coding and efficient queue progression. Primary Responsibilities Outpatient Surgery Coding Review clinical documentation and accurately assign CPT, ICD-10-CM, and other applicable codes for outpatient surgical encounters. Code a variety of outpatient surgical specialties, including:  Orthopedics  Fracture...

Job Description Job Description Description:  At Sage Clinical RCM, you'll code high-acuity inpatient encounters across a national portfolio of health systems, from academic medical centers to community hospitals. No two client environments are identical, and that's the point. You'll sharpen your skills across specialties, payers, and documentation styles instead of coding the same census for years.    What You'll Do   Review inpatient encounters and assign accurate ICD-10-CM/PCS codes and DRGs that hold up to audit.  Read documentation critically. When it doesn't support the coded services, flag it and escalate the gap.  Code in full compliance with CMS requirements, payer-specific rules, and official coding guidelines.  Move confidently between client workflows, systems, and audit expectations.  Hold the line on quality (95% accuracy or better) while meeting realistic productivity standards.  Requirements:   What You Bring   Active RHIA, RHIT, and/or CCS...

Job Description Job Description Description: About the Role  Sage Clinical RCM is hiring experienced outpatient facility coders to support a hospital client. You will code hospital-based clinic encounters on the facility side across a wide range of specialties. This is facility coding on the UB-04.  What You Will Do Review clinic encounters and assign ICD-10-CM diagnosis codes according to the Official Guidelines for Coding and Reporting, including outpatient sequencing rules. Assign facility E/M levels using established facility leveling criteria. Code minor procedures performed in the clinic and validate chargemaster-driven CPT and HCPCS charges, applying facility modifiers where needed. Apply NCCI edits, CMS outpatient rules, and payer-specific requirements. Identify documentation gaps and escalate them through the established process. Meet an accuracy standard of 95% or higher, along with productivity expectations. Specialties Infusion, Oncology,...