Senior Vascular Surgery Professional Coder (CPC, CCS-P, CIRCC)

The Cardiovascular Care Group; Clifton (NJ); On-site; USD 70,000 - 90,000; Full time

Job summary

The Cardiovascular Care Group, the largest vascular surgery organization in New Jersey, seeks a Senior Vascular Surgery Professional Coder. This expert will manage complex coding for both open and endovascular procedures while ensuring compliance with regulations and payer requirements.

The ideal candidate will have 3–5 years of experience in vascular surgery coding, possess strong analytical skills, and maintain coding accuracy in a high-volume setting. This role offers the opportunity to work in a well-regarded practice dedicated to patient care.

Qualifications

• Minimum 3–5 years of dedicated vascular surgery coding experience.
• Experience coding open vascular surgery, endovascular, and interventional procedures.
• Strong understanding of CPT, ICD-10-CM, HCPCS, and global surgery rules.

Responsibilities

• Review and accurately code complex vascular surgery operative reports.
• Obtain and manage prior authorizations for vascular surgery procedures.
• Support denial management and payer audit responses.

Skills

Vascular surgery coding

Endovascular intervention coding

Interventional Radiology coding

Strong analytical and critical thinking skills

Excellent written and verbal communication skills

Education

CPC, CCS-P, CIRCC, or equivalent coding certification

Tools

Aprima EHR

Epic

Microsoft Excel

Job description

Overview

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

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
  • 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

Required Qualifications

• Minimum 3–5 years of dedicated vascular surgery coding experience
• Extensive experience coding:
  • open vascular surgery
  • endovascular and interventional vascular procedures
  • angiography
  • 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
  • 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

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

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
  • endovascular coding guidelines
• Maintain timely authorization turnaround and documentation accuracy
• Participate in ongoing education and specialty coding updates

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.