Professional Billing (PB) Coder - Cardiothoracic / Special Surgical

Job Description

Job DescriptionDescription:

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 appropriate
• Meet established productivity and quality standards
• Participate in internal quality reviews and audits as required

Required Qualifications

• Minimum 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
• CPC or equivalent coding certification preferred
• Experience in hospital-based physician billing environments
• Ability to work independently with strong attention to detail

Requirements: