Medical Coder- Full Time Onsite

Description

Sagis Diagnostics is an entirely physician-led sub-specialty pathology group supported by a CAP-accredited histology lab located in the heart of Houston, Texas. Led by a team of board-certified pathologists, our lab is at the forefront of diagnostic science. We offer the highest quality services to physicians, physician groups, ambulatory surgery centers, and hospitals.

One of our many strengths is we develop strong collaborative relationships with each of our referring physicians by offering accurate, prompt, and clear diagnoses in a personal and customized manner.

Position Title: Certified Medical Coder- This is 100% onsite- NOT REMOTE

Department: Medical Billing & Revenue Cycle

Employment Type: Full-Time

Work Location: On-Site

Position Summary

We are seeking an experienced Medical Coder with strong knowledge across podiatry, surgical pathology, hematology, and toxicology. This role will be responsible for accurate CPT/HCPCS/ICD-10 coding, claim review, and appeals support, working closely with our billing and revenue cycle teams to ensure compliance and timely reimbursement.

Key Responsibilities

Assign accurate CPT, HCPCS, and ICD-10-CM codes for:

Surgical pathology

Podiatry-related pathology

Hematology and bone marrow cases

Toxicology and molecular testing

Apply pathology-specific coding rules, including:

Add-on codes (e.g., 88341/88342, 88360)

Bundling and NCCI edits

Medicare and commercial payer guidelines

Review pathology reports to ensure coding accuracy and medical necessity

Assist with denials, appeals, and reconsiderations, including:

Drafting appeal narratives

Reviewing payer policies and LCD/NCD requirements

Collaborate with the billing, compliance, and clinical teams

Identify underpayments, missed charges, and compliance risks

Stay current on pathology coding updates, payer policies, and regulatory changes

Qualifications

Required Qualifications

Minimum 3–5 years of pathology coding experience- Required

AAPC or AHIMA certification (CPC, CCS, or equivalent)- Required

Hands-on experience coding:

Surgical pathology (88300–88399)

IHC and special stains

Hematology / bone marrow cases

Toxicology testing

Strong understanding of:

Medicare and commercial payer rules

NCCI edits and modifier usage

Medical necessity and diagnosis-driven coding

Experience supporting or preparing appeals (required)

Ability to work independently and as part of a billing team

Note: Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Unfortunately, because of the volume of applications we receive, we aren't able to give status updates, but if you are invited for an interview, you will generally be contacted within 2 weeks of submitting your application.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to type, file, sit for extended periods of time and lift office supplies up to 20 pounds. The employee is frequently required to stand, talk and hear.

Skills & Attributes

Strong attention to detail and accuracy Excellent written communication (especially for appeals) Ability to interpret pathology reports and clinical documentation Organized, deadline-driven, and compliance-focused

Preferred Qualifications

AAPC or AHIMA certification (CPC, CCS, or equivalent) Experience with:

Encoder Pro or similar coding software

Molecular pathology and G-codes

Pathology billing workflows

Prior experience in a laboratory or pathology practice