Certified Medical Coder

The-Cardiovascular-Care-Group; Springfield (NJ); On-site; USD 50,000 - 67,000; Full time

Benefits offered by this job

Healthcare benefits

Dental and Vision plans

401k employer contributions

Paid time off

Job summary

The Cardiovascular Care Group in Springfield, NJ seeks a senior vascular surgery coder to manage complex open and endovascular cases, including CPT, ICD-10-CM, and modifiers, across hospital, ASC, and office settings.

You will support prior authorization workflows and payer denials, stay current with CPT/NCCI rules, and collaborate with physicians and billers to optimize revenue cycle for high-volume vascular services.

Qualifications

• Minimum 3–5 years of dedicated vascular surgery coding experience.
• Extensive experience coding open vascular surgery, interventional vascular procedures, angiography, and radiology S&I services.
• Prior authorization experience within surgical or interventional specialties.
• Strong understanding of CPT, ICD-10-CM, HCPCS, NCCI edits, modifier usage, global surgery rules.
• Medical necessity criteria and payer reimbursement methodologies.

Responsibilities

• Review and accurately code complex vascular surgery operative reports and E/M encounters.
• Assign CPT, HCPCS, ICD-10-CM, and modifiers per guidelines.
• Interpret and code open/endovascular procedures, angiography, catheter placements, and related work.
• Apply selective catheterization hierarchies and vascular family rules.
• Code radiology S&I services appropriately.
• Maintain productivity and accuracy for high-complexity vascular coding.
• Support denial management and payer audit responses.
• Collaborate with physicians, billers, auditors, and revenue cycle leadership.

Skills

Vascular surgery coding

Endovascular intervention coding

Interventional Radiology coding

Global surgery rules

NCCI edits

Tools

Aprima EHR

Epic

Microsoft Excel

Job description

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Certified Medical Coder

Full Time Springfield, NJ, US

3 days ago Requisition ID: 1103

Salary Range: $50,000.00 To $67,000.00 Annually

New Jersey’s largest Vascular Surgery group dedicated solely to the diagnosis and management of diseases of the arteries and veins. The Group has been delivering care throughout New Jersey since 1963 and is home to some of the best Vascular Surgeons in the country. Consistently recognized by their peers and patients as the top group in the region, The Cardiovascular Care Group provides the highest quality care using the newest technologies in the setting of years of experience with outstanding results.

Position Summary:

We are seeking an experienced Senior Vascular Surgery Professional Coder with strong expertise in complex open and endovascular procedure coding, payer authorization workflows, and revenue cycle support.

This role is responsible for accurate CPT, ICD-10-CM, and modifier assignment for a high-volume vascular surgery practice with extensive cardiovascular, endovascular, catheter-based, and imaging-guided procedural work. The position also supports prior authorization and medical necessity review processes for vascular and interventional procedures.

The ideal candidate possesses advanced knowledge of:

• Vascular surgery coding
• Endovascular intervention coding
• Interventional Radiology coding
• Global surgery rules
• NCCI edits

This position requires independent review and coding of highly complex operative reports and procedural documentation across hospital, ASC, office, and interventional settings.

Senior Vascular Surgery Professional Coder Core Responsibilities:

Professional Coding Responsibilities

• Review and accurately code complex vascular surgery operative reports, procedure notes, and E&M encounters
• Assign CPT, HCPCS, ICD-10-CM, and modifiers in accordance with AMA, CMS, NCCI, and payer-specific guidelines
• Interpret and code:
  • open vascular procedures,
  • endovascular interventions,
  • angiography,
  • catheter placements,
  • thrombectomy,
  • bypass grafting,
  • dialysis access procedures,
  • embolization,
  • stent placement,
  • EVAR/TEVAR,
  • and hybrid vascular procedures
• Apply correct selective catheterization hierarchies and vascular family rules
• Code radiology S&I services appropriately
• Review operative documentation for completeness and compliance
• Query providers for clarification when documentation is insufficient
• Identify coding opportunities, missed charges, and undercoding trends
• Resolve coding edits and claim rejections related to vascular procedures
• Support denial management and payer audit responses
• Maintain productivity and accuracy standards for high-complexity vascular coding
• Collaborate with physicians, billers, auditors, and revenue cycle leadership
• Stay current on annual CPT, CMS, and payer policy updates impacting vascular surgery

Prior Authorization & Medical Necessity Responsibilities:

• Obtain and manage prior authorizations for vascular surgery, endovascular, imaging, and interventional procedures
• Verify medical necessity requirements based on payer policies and LCD/NCD guidelines
• Submit supporting clinical documentation for authorization requests
• Track authorization status and ensure approvals are obtained prior to scheduled procedures
• Communicate authorization requirements and updates to providers, schedulers, and clinical staff
• Assist with peer-to-peer coordination and payer follow-up when necessary
• Review denials related to authorization or medical necessity and support appeal preparation
• Maintain accurate authorization documentation within the EHR and billing systems

Senior Vascular Surgery Professional Coder Required Qualifications:

• Minimum 3–5 years of dedicated vascular surgery coding experience
• Extensive experience coding:
  • open vascular surgery,
  • interventional vascular procedures,
  • angiography,
  • and radiology S&I services
• Prior authorization experience within surgical or interventional specialties
• Strong understanding of:
  • CPT,
  • ICD-10-CM,
  • HCPCS,
  • NCCI edits,
  • modifier usage,
  • global surgery rules,
  • medical necessity criteria,
  • and payer reimbursement methodologies
• Ability to independently interpret highly complex operative reports
• Experience with EMR/EHR and encoder software
• Strong analytical and critical thinking skills
• Excellent written and verbal communication skills

Senior Vascular Surgery Professional Coder Preferred Qualifications:

• CPC, CCS-P, CIRCC, or equivalent coding certification
• CCS & CIRCC strongly preferred
• Experience in vascular surgery, interventional radiology, or cardiovascular surgery specialty coding. General Surgery a plus.
• Experience with Medicare and commercial payer audits
• Experience in academic or high-volume multispecialty vascular practices

Preferred Experience:

• Experience with:
  • Aprima EHR
  • Epic
  • Microsoft Excel
• Familiarity with reporting, reconciliation, and spreadsheet analysis

Senior Vascular Surgery Professional Coder Productivity & Performance Expectations:

• Maintain high coding accuracy in a complex vascular surgery environment
• Meet established coding turnaround and lag-day expectations
• Demonstrate proficiency with:
  • modifier assignment,
  • procedural bundling logic,
  • selective catheterization hierarchy,
  • and endovascular coding guidelines
• Maintain timely authorization turnaround and documentation accuracy
• Participate in ongoing education and specialty coding updates

Senior Vascular Surgery Professional Coder Ideal Candidate Profile

The ideal candidate is a highly experienced vascular surgery coder capable of independently coding complex open and endovascular operative cases while also supporting prior authorization workflows, payer compliance, and revenue cycle optimization in a fast-paced specialty practice environment.

• Medical (100% paid by the group for Employee Only coverage with the Cigna Bronze plan).
• Dental – three plans to choose from Delta Dental and Cigna.
• Vision – two plans to choose from Delta VSP.
• Health Savings Account and Flexible Spending Accounts (Healthcare, Dependent Care, Transit and Parking) through Upswing.
• Life Insurance – $25,000 Paid by the group with the option to enroll in additional Voluntary Life Insurance coverage.
• Short-Term Disability and Long-Term Disability through New York Life with the option to enroll in additional voluntary coverage.
• Ancillary optional benefits – Accident, Critical Illness and Hospital Indemnity through New York Life.
• Paid Time Off
• Holiday Pay
• Paid Jury Duty – 1 day of full pay.
• Employee Assistance Programs through RWJBH and Cigna.
• 401k Employer Contributions – upon eligibility, group contributes 3%
• Working Advantage and Life Mart Employee Discounts.
• Holiday Party, Employee Appreciation Days, Ice Cream Socials, various Fundraisers and Contests (receive prizes!) – Lots of employee engagement.