Pathology Coding Specialist (CPT/ICD-10) – Appeals Expert

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

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.