Certified Coder

Sagis; Houston (TX); On-site; USD 32,000 - 34,000; Full time

Benefits offered by this job

Medical Insurance

401(k) Contribution

Paid Vacation

Job summary

Sagis Diagnostics in Houston, TX is seeking an experienced pathology coder to join our physician-led, CAP-accredited histology lab. This in-person role focuses on accurate CPT/HCPCS/ICD-10-CM coding for surgical pathology, hematology, and toxicology cases, with emphasis on payer guidelines and medical necessity.

You will review reports, support denials and appeals, and collaborate with billing and compliance teams to ensure correct charges.

Qualifications

• Minimum 3-5 years of pathology coding experience (required).
• Strong understanding of Medicare and Commercial Payer Rules, NCCI edits and modifier usage.
• Experience supporting or preparing appeals (required).
• Ability to work independently and as part of a billing team.

Responsibilities

• Assign accurate CPT, HCPCS, and ICD-10-CM codes for Surgical pathology, Podiatry pathology, Hematology and bone marrow, Toxicology and molecular testing.
• Apply pathology-specific coding rules, including add-on codes, bundling and NCCI edits, and payer guidelines.
• Review pathology reports to ensure coding accuracy and medical necessity.
• Assist with denials, appeals, and reconsiderations, including drafting appeal narratives.
• Collaborate with billing, compliance, and clinical teams; identify underpayments and regulatory risks.
• Stay current on pathology coding updates and payer policies.

Skills

Pathology coding

Attention to detail

Written communication

Independent worker

Education

High School

Job description

Job Details

Level: Experienced

Job Location: Houston, TX 77092

Position Type: Experienced

Education Level: High School

Salary Range: $23.00 - $25.00

Hourly 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.

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

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