Specialist - Professional Coding (Surgery)

Ensemble Global; Hyderabad; On-site; INR 400,000 - 800,000; Full time

Job summary

Ensemble Health Partners India is seeking a Specialist - Professional Coding (Surgery) with 1-3 years of experience to review medical records and assign ICD-10-CM, CPT codes and modifiers for cardiothoracic and related procedures, ensuring compliance with payer guidelines.

You will work in a high-accuracy coding team, focusing on advanced outpatient coding for CT surgery, interventional radiology, and cardiology coding across procedures like CABG, valve repairs, TAVR, PCI, and device coding,

Qualifications

• Advanced outpatient coding position reviewing medical record documentation and assigning ICD-10-CM, CPT codes and modifiers.
• Solid understanding of coding compliance, DRG/APC grouping, and insurance rules.
• Experience with EHR/EMR systems (Epic, Cerner, Athena).

Responsibilities

• Customer Obsession - ensure exceptionally accurate coding and adherence to client expectations.
• Embracing New Ideas - apply emerging technology and coding best practices to improve outcomes.
• Striving for Excellence - maintain high accuracy and consistency across coding tasks.
• Code cardiothoracic, interventional cardiology, and vascular procedures per guidelines.

Job description

Position Name: Specialist - Professional Coding (Surgery)

Experience: 1-3 Years

About Us

Ensemble Health Partners is the single solution for a frictionless revenue cycle. Founded in 2014, we set out to redefine what is possible in healthcare by empowering people to be the difference.

Today, Ensemble supports revenue cycle excellence for hundreds of hospitals across the United States. From talent to technology, we provide a comprehensive healthcare revenue cycle management solution that enables industry leaders to achieve sustained performance and measurable outcomes.

Ensemble Health Partners India, the company's Global Capability Center with its flagship facility in Hyderabad, serves as a hub for certified professionals supporting critical revenue cycle functions across the organization.

Position Summary

By embodying our core purpose of customer obsession, new ideas, and driving innovation, and delivering excellence, you will help ensure that every touchpoint is meaningful and contributes to our mission of redefining the possible in healthcare.

Advanced outpatient coding position that reviews medical record documentation and accurately assigns ICD-10-CM, CPT codes and modifiers based on the specific record type for each case in compliance with insurance specific guidelines.

Job Responsibilities

Customer Obsession - Consistently provide exceptional experience for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.

Embracing New Ideas - Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.

Striving for Excellence - Execute at a high level by demonstrating our “Best in KLAS” Ensemble

Cardiothoracic surgeries and Interventional Radiology procedures to include at least 3 of the following:

Cardiothoracic (CT Surgery) Coders

Cardiothoracic coders handle open surgical procedures of the heart, chest, and great vessels.

Common Procedure Categories

• Open Heart Surgery: CABG (single/multiple vessels, arterial/venous grafts), Valve repair and replacement (aortic, mitral, tricuspid), Atrial appendage ligation
• Structural Heart Surgery: TAVR / SAVR, Open structural repairs
• Thoracic Surgery: Sternotomy and thoracotomy procedures, Pericardial procedures, Mediastinal procedures
• Great Vessel Surgery: Aortic aneurysm repair (open), Arch repairs, Dissections
• Harvest & Add‑On Procedures: Saphenous vein harvest, Internal mammary artery harvest, Assistant surgeon modifiers (80/81/82/AS)

Cardiology Coders: Diagnostic, interventional, and device‑related cardiac procedures (non‑open heart surgery)

Common Procedure Categories

• Diagnostic & Testing: EKGs, stress tests, Holter/event monitors, Echocardiograms (TTE, TEE), Nuclear cardiology studies, Cardiac CT / CTA
• Cardiac Catheterization: Left/right heart caths, Coronary angiography, Hemodynamic studies, Cath add‑on codes
• Interventional Cardiology (PCI): Coronary angioplasty, Coronary stent placement (single, multiple, bifurcation), Chronic total occlusion (CTO) interventions, Atherectomy
• Electrophysiology: EP diagnostic studies, Ablations, Cardioversions, Device interrogation
• Cardiac Devices: Pacemaker and ICD insertion, replacement, removal, Loop recorders, Device checks and programming

Vascular Coders (IVR) :

Arterial and venous procedures outside the heart, including both open and endovascular work.

Common Procedure Categories

• Endovascular Interventions: Peripheral angioplasty, Peripheral stent placement, Atherectomy, Thrombectomy, Chronic limb ischemia interventions
• Diagnostic Vascular Imaging: Peripheral angiography, Venography, Selective and non‑selective catheter placements
• Dialysis Access: AV fistula and graft creation, Revisions, Thrombectomy of access
• Venous Procedures: IVC filter placement/removal, Venous ablation, Varicose vein procedures

Education, Certifications & Experience

• Desired Expertise: Should be an expert in coding Cariology, Cardiothoracic surgeries and Interventional Cardiology (IVR) procedures.
• Graduate in any discipline (B.Sc./M.Sc. Nursing, B. Pharm, M. Pharm, or Life Sciences education is preferred).
• Certified Professional Coder (CPC) from the American Academy of Professional Coders (AAPC), Certified Coding Specialist (CCS) from the American Health Information Management Association (AHIMA).
• Solid understanding of coding compliance, DRG/APC grouping, and insurance rules.
• Experience with EHR/EMR systems (Epic, Cerner, Athena).