Certified Coder

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

Benefits offered by this job

Medical, Dental, and Vision Insurance

Company‑Paid Disability

401(k) Contribution

Vacation

Paid Parental Leave

Floating Holidays

Scheduled Holidays

Tuition Assistance

Job Training/Career Development

Great Team Leaders

Job summary

Sagis Diagnostics in Houston, TX seeks an Experienced Pathology Coding Specialist to join our physician‑led pathology group. You will assign CPT, HCPCS, and ICD-10-CM codes for surgical pathology, hematology, and toxicology cases, while ensuring medical necessity and payer compliance.

Ideal candidates have 3–5 years of pathology coding experience, solid knowledge of Medicare and commercial payer rules, and experience with denials and appeals.

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, toxicology.
• 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.

Responsibilities

• Assign accurate CPT, HCPCS, and ICD-10-CM codes for surgical pathology, podiatry-related pathology, hematology and bone marrow cases, and toxicology/molecular testing.
• Apply pathology-specific coding rules, including add-on codes (88341/88342, 88360), bundling and NCCI edits.
• Review pathology reports to ensure coding accuracy and medical necessity.
• Assist with denials, appeals, and reconsiderations, including drafting appeal narratives and reviewing payer policies.
• 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

Pathology coding

Appeals support

Medical billing

Payer rules

NCCI edits

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