Certified Medical Coder

Senior Vascular Surgery Professional CoderNew 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 codingEndovascular intervention codingInterventional Radiology codingCatheterization hierarchiesRadiology supervision & interpretation (S&I)Global surgery rulesNCCI editsModifier usagePayer authorization requirementsMedicare/commercial payer policiesThis 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:Review and accurately code complex vascular surgery operative reports, procedure notes, and E&M encountersAssign CPT, HCPCS, ICD-10-CM, and modifiers in accordance with AMA, CMS, NCCI, and payer-specific guidelinesInterpret and code: open vascular procedures, endovascular interventions, angiography, catheter placements, thrombectomy, bypass grafting, dialysis access procedures, embolization, stent placement, EVAR/TEVAR, and hybrid vascular proceduresApply correct selective catheterization hierarchies and vascular family rulesCode radiology S&I services appropriatelyReview operative documentation for completeness and complianceQuery providers for clarification when documentation is insufficientIdentify coding opportunities, missed charges, and undercoding trendsResolve coding edits and claim rejections related to vascular proceduresSupport denial management and payer audit responsesMaintain productivity and accuracy standards for high-complexity vascular codingCollaborate with physicians, billers, auditors, and revenue cycle leadershipStay current on annual CPT, CMS, and payer policy updates impacting vascular surgeryPrior Authorization & Medical Necessity Responsibilities:Obtain and manage prior authorizations for vascular surgery, endovascular, imaging, and interventional proceduresVerify medical necessity requirements based on payer policies and LCD/NCD guidelinesSubmit supporting clinical documentation for authorization requestsTrack authorization status and ensure approvals are obtained prior to scheduled proceduresCommunicate authorization requirements and updates to providers, schedulers, and clinical staffAssist with peer-to-peer coordination and payer follow-up when necessaryReview denials related to authorization or medical necessity and support appeal preparationMaintain accurate authorization documentation within the EHR and billing systemsSenior Vascular Surgery Professional Coder Required Qualifications:Minimum 3–5 years of dedicated vascular surgery coding experienceExtensive experience coding: open vascular surgery, interventional vascular procedures, angiography, and radiology S&I servicesPrior authorization experience within surgical or interventional specialtiesStrong understanding of CPT, ICD-10-CM, HCPCS, NCCI edits, modifier usage, global surgery rules, medical necessity criteria, and payer reimbursement methodologiesAbility to independently interpret highly complex operative reportsExperience with EMR/EHR and encoder softwareStrong analytical and critical thinking skillsExcellent written and verbal communication skillsSenior Vascular Surgery Professional Coder Preferred Qualifications:CPC, CCS-P, CIRCC, or equivalent coding certificationCCS & CIRCC strongly preferredExperience in vascular surgery, interventional radiology, or cardiovascular surgery specialty coding. General Surgery a plus.Experience with Medicare and commercial payer auditsExperience in academic or high-volume multispecialty vascular practicesPreferred Experience:Experience with: Aprima EHR, Epic, Microsoft ExcelFamiliarity with reporting, reconciliation, and spreadsheet analysisSenior Vascular Surgery Professional Coder Productivity & Performance Expectations:Maintain high coding accuracy in a complex vascular surgery environmentMeet established coding turnaround and lag-day expectationsDemonstrate proficiency with modifier assignment, procedural bundling logic, selective catheterization hierarchy, and endovascular coding guidelinesMaintain timely authorization turnaround and documentation accuracyParticipate in ongoing education and specialty coding updatesSenior 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.Benefits:Excellent work/life balanceMedical (100% paid by the group for Employee Only coverage with the Cigna Bronze plan)Dental – three plans to choose from Delta Dental and CignaVision – two plans to choose from Delta VSPHealth Savings Account and Flexible Spending Accounts (Healthcare, Dependent Care, Transit and Parking) through UpswingLife Insurance – $25,000 Paid by the group with the option to enroll in additional Voluntary Life Insurance coverageShort-Term Disability and Long-Term Disability through New York Life with the option to enroll in additional voluntary coverageAncillary optional benefits – Accident, Critical Illness and Hospital Indemnity through New York LifePaid Time OffHoliday PayPaid Jury Duty – 1 day of full payEmployee Assistance Programs through RWJBH and Cigna401k Employer Contributions – upon eligibility, group contributes 3%Working Advantage and Life Mart Employee DiscountsHoliday Party, Employee Appreciation Days, Ice Cream Socials, various Fundraisers and Contests (receive prizes!) – Lots of employee engagement