Professional Billing (PB) Coder – Cardiothoracic / Special Surgical jobs in United States
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YES HIM Consulting, Inc. · 3 weeks ago

Professional Billing (PB) Coder – Cardiothoracic / Special Surgical

YES HIM Consulting, Inc. is seeking a Professional Billing Coder – Cardiothoracic / Special Surgical 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.

ConsultingHealth CareManagement Consulting

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

Qualification

CPT codingICD-10-CM codingHCPCS codingCPC certificationCardiothoracic codingAttention to detailIndependent work

Required

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
Experience in hospital-based physician billing environments
Ability to work independently with strong attention to detail

Preferred

CPC or equivalent coding certification preferred

Company

YES HIM Consulting, Inc.

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YES HIM Consulting is now Sage Clinical RCM - a unified, tech-enabled partner advancing the future of the clinical revenue cycle.

Funding

Current Stage
Growth Stage

Leadership Team

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Karen Youmans
Owner/President/CEO
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Nicholas Youmans
CFO
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Company data provided by crunchbase