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
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