Pathology Medical Coder

Insight Global; United States; On-site; USD 60,000 - 73,000; Full time

Job summary

Insight Global is seeking an experienced Pathology Coder III to review pathology documentation and assign ICD-10, CPT, and HCPCS codes for pathology and laboratory services. You will support professional and hospital billing functions, ensure coding accuracy, compliance, and proper charge capture.

The role supports GI clinics transitioning to Epic and collaborates with pathology teams and revenue cycle stakeholders to optimize coding workflows and reimbursement.

Qualifications

• 5+ years of medical coding experience.
• CPC certification required.
• Pathology coding experience.
• Experience processing PB and HB charges.
• Epic system experience.

Responsibilities

• Review pathology reports, lab records, and supporting documentation.
• Assign accurate ICD-10, CPT, and HCPCS codes for pathology services.
• Process and reconcile PB and HB charges.
• Ensure proper charge capture and accurate reimbursement.
• Identify and resolve coding edits, denials, and documentation discrepancies.
• Maintain compliance with payer requirements and coding regulations.
• Meet established productivity and quality standards.
• Collaborate with providers, pathology teams, auditors, and revenue cycle stakeholders.
• Utilize Epic and coding tools to support daily workflow and charge processing.

Skills

Pathology coding

CPT/ICD-10/HCPCS knowledge

PB/HB billing experience

Regulatory/compliance knowledge

Communication with providers

Tools

Epic

Job description

The Pathology Coder III is responsible for reviewing pathology documentation and assigning accurate ICD-10, CPT, and HCPCS codes for pathology and laboratory services. This individual will support both professional and hospital billing functions by ensuring coding accuracy, compliance, and appropriate charge capture. The ideal candidate has extensive pathology coding experience and a strong understanding of coding regulations, reimbursement methodologies, and documentation requirements.

Seeking an experienced Pathology Coder III to support newly acquired GI clinics that are currently operating within a manual coding workflow environment. This individual will work closely with pathology-related services while supporting both professional and hospital billing functions. The clinics are expected to transition fully to Epic within the next six months, making this a unique opportunity to participate in a system transformation initiative.

Key Responsibilities:

• Review pathology reports, laboratory records, and supporting clinical documentation
• Assign accurate ICD-10, CPT, and HCPCS codes for pathology services
• Process and reconcile both professional billing (PB) and hospital billing (HB) charges
• Ensure proper charge capture and accurate reimbursement
• Identify and resolve coding edits, denials, and documentation discrepancies
• Maintain compliance with payer requirements and coding regulations
• Meet established productivity and quality standards
• Collaborate with providers, pathology teams, auditors, and revenue cycle stakeholders
• Utilize Epic and coding tools to support daily workflow and charge processing

Required Skills and Experience

• 5+ years of medical coding experience
• Coder III level experience
• Pathology coding experience
• Experience processing both PB and HB charges
• Epic experience required
• Strong knowledge of CPT, ICD-10, HCPCS, and pathology coding guidelines
• Experience coding anatomic pathology specimens If their resume states "labs" that is not the same thing. Coding experience would include surgical specimens such as Bone Marrows, hysterectomies, organ resections
• CPC certification

Compensation

$30.00/hr to $35.00/hr.

Exact compensation may vary based on several factors, including skills, experience, and education.

Employees in this role will enjoy a comprehensive benefits package starting on day one of employment, including options for medical, dental, and vision insurance. Eligibility to enroll in the 401(k) retirement plan begins after 90 days of employment. Additionally, employees in this role will have access to paid sick leave and other paid time off benefits as required under the applicable law of the worksite location.