Senior Vascular Surgery Coder & Authorization Specialist

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

Job summary

The Cardiovascular Care Group in Springfield, NJ is seeking a Senior Vascular Surgery Professional Coder. The role focuses on accurate CPT, ICD-10-CM, and modifier assignment for a high-volume vascular surgery practice, including complex procedures and prior authorization processes.

Ideal candidates have 3–5 years of dedicated vascular surgery coding, experience with open and endovascular procedures, and strong knowledge of CPT, ICD-10-CM, HCPCS, and NCCI rules.

Qualifications

• 3–5 years of dedicated vascular surgery coding experience.
• Experience coding open vascular, endovascular, angiography, and radiology S&I services.
• Strong knowledge of CPT, ICD-10-CM, HCPCS, NCCI edits, and payer rules.
• Ability to review complex operative reports independently.
• Experience with prior authorization and medical necessity reviews.

Responsibilities

• Review and accurately code complex vascular surgery operative reports, procedure notes, and E/M encounters.
• Assign CPT, HCPCS, ICD-10-CM, and modifiers per guidelines.
• Interpret and code open vascular procedures, endovascular interventions, angiography, catheter placements, thrombectomy, bypass grafting, dialysis access, embolization, stent placement, EVAR/TEVAR, and hybrid 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.
• 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 CPT, CMS, payer policy updates.
• 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.

Skills

Vascular surgery coding

Endovascular coding

Interventional radiology coding

NCCI edits

Global surgery rules

Medical necessity criteria

Education

CPC, CCS-P, CIRCC certification

Tools

EMR/EHR systems

Encoder software

Aprima EHR

Epic

Job description

The Cardiovascular Care Group in Springfield, NJ is seeking a Senior Vascular Surgery Professional Coder. The role focuses on accurate CPT, ICD-10-CM, and modifier assignment for a high-volume vascular surgery practice, including complex procedures and prior authorization processes.

Ideal candidates have 3–5 years of dedicated vascular surgery coding, experience with open and endovascular procedures, and strong knowledge of CPT, ICD-10-CM, HCPCS, and NCCI rules.