Certified Coder

Job Details: Level: Experienced, Job Location: Main Lab Houston - Houston, TX, Position Type: Experienced, Education Level: High School, Salary Range: $23.00 - $25.00Hourly, Travel Percentage: None, Job Shift: Day, 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. 

We are seeking a detail-oriented and experienced Certified Professional Coder (CPC) to join our team. Onsite in Houston, TX 77092.

The CPC will be responsible for reviewing medical documentation, assigning accurate diagnosis and procedure codes, ensuring compliance with payer regulations, and supporting revenue cycle management processes. The ideal candidate will have strong knowledge of ICD-10-CM, CPT, HCPCS, and medical billing regulations.

 
Qualifications:
Minimum 3–5 years of pathology coding experience (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

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

 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

Experience in Dermatology, Pathology, Laboratory, or Specialty Physician Coding.
Additional certifications such as CPC-A, CPC-I, COC, CCS, or CRC.
Experience with auditing, denial management, and appeals.

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.

At Sagis, we offer:

Medical, Dental, and Vision Insurance
Company-Paid Short-term and Long-term Disability, Basic Life, EAP
Voluntary Accident/Critical Illness/Life insurance
Fair Wages
401(k) Contribution
Vacation
Paid Parental Leave
Floating Holidays
Scheduled Holidays
Comfortable work environment
Wellness Initiatives
Tuition Assistance
Job Training/Career Development
Great Team Leaders

Job Type: Full-time

Work Location: In person

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.