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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
Catheterization hierarchies
Radiology supervision & interpretation (S&I)
Global surgery rules
NCCI edits
Modifier usage
Payer authorization requirements
Medicare/commercial payer policies

This 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:

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,
- and 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

Senior Vascular Surgery Professional Coder Required Qualifications:

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

Senior Vascular Surgery Professional Coder 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

Senior Vascular Surgery Professional Coder 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,
- and endovascular coding guidelines
Maintain timely authorization turnaround and documentation accuracy
Participate in ongoing education and specialty coding updates

Senior 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 balance
Medical (100% paid by the group for Employee Only coverage with the Cigna Bronze plan).
Dental – three plans to choose from Delta Dental and Cigna.
Vision – two plans to choose from Delta VSP.
Health Savings Account and Flexible Spending Accounts (Healthcare, Dependent Care, Transit and Parking) through Upswing.
Life Insurance – $25,000 Paid by the group with the option to enroll in additional Voluntary Life Insurance coverage.
Short-Term Disability and Long-Term Disability through New York Life with the option to enroll in additional voluntary coverage.
Ancillary optional benefits – Accident, Critical Illness and Hospital Indemnity through New York Life.
Paid Time Off
Holiday Pay
Paid Jury Duty – 1 day of full pay.
Employee Assistance Programs through RWJBH and Cigna.
401k Employer Contributions – upon eligibility, group contributes 3%
Working Advantage and Life Mart Employee Discounts.
Holiday Party, Employee Appreciation Days, Ice Cream Socials, various Fundraisers and Contests (receive prizes!) – Lots of employee engagement.

The Cardiovascular Care Group

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