Pathology Medical Coder

Level: Experienced

Job Location:

Houston, TX 77092

Position Type:
Experienced

Travel Percentage:
None

Job Shift: Day

Sagis Diagnostics is an entirely physician-led sub-specialty pathology group supported by a CAP-accredited histology lab located in the heart of Houston, Texas. Led by a team of board-certified pathologists, our lab is at the forefront of diagnostic science. We offer the highest quality services to physicians, physician groups, ambulatory surgery centers, and hospitals.

One of our many strengths is we develop strong collaborative relationships with each of our referring physicians by offering accurate, prompt, and clear diagnoses in a personal and customized manner.

Position Title:

Pathology Medical Coder

Department:
Medical Billing & Revenue Cycle

Employment Type:

Full-Time

Work Location:

On-Site

We are seeking an experienced Pathology Medical Coder with strong knowledge across podiatry, surgical pathology, hematology, and toxicology. This role will be responsible for accurate CPT/HCPCS/ICD-10 coding, claim review, and appeals support, working closely with our billing and revenue cycle teams to ensure compliance and timely reimbursement.

• Assign accurate CPT, HCPCS, and ICD-10-CM codes for:
  • Surgical pathology
  • Podiatry-related pathology
  • Hematology and bone marrow cases
  • Toxicology and molecular testing
• Apply pathology-specific coding rules, including:
  • Add-on codes (e.g., 88341/88342, 88360)
  • Bundling and NCCI edits
  • Medicare and commercial payer guidelines
• Review pathology reports to ensure coding accuracy and medical necessity
• Assist with denials, appeals, and reconsiderations, including:
  • Drafting appeal narratives
  • Reviewing payer policies and LCD/NCD requirements
• Collaborate with the billing, compliance, and clinical teams
• Identify underpayments, missed charges, and compliance risks
• Stay current on pathology coding updates, payer policies, and regulatory changes

• Minimum 3–5 years of pathology coding experience
• Hands‑on experience coding surgical pathology (88300–88399), IHC and special stains, hematology/bone marrow cases, toxicology testing
• Strong understanding of Medicare and commercial payer rules, NCCI edits and modifier usage, medical necessity and diagnosis‑driven coding
• Experience supporting or preparing appeals (required)
• Ability to work independently and as part of a billing team

• AAPC or AHIMA certification (CPC, CCS, or equivalent)
• Experience with Encoder Pro or similar coding software, molecular pathology and G‑codes, pathology billing workflows
• Prior experience in a laboratory or pathology practice

• Strong attention to detail and accuracy
• Excellent written communication (especially for appeals)
• Ability to interpret pathology reports and clinical documentation
• Organized, deadline‑driven, and compliance‑focused

• The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
• While performing the duties of this job, the employee is regularly required to type, file, sit for extended periods of time and lift office supplies up to 20 pounds. The employee is frequently required to stand, talk and hear.

Note:

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Unfortunately, because of the volume of applications we receive, we aren't able to give status updates, but if you are invited for an interview, you will generally be contacted within 2 weeks of submitting your application.