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TYPE OF WORK
Part Time
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SALARY
10
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HOURS PER WEEK
15
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DATE UPDATED
Aug 31, 2026
About us
MedCode Pro is a medical-coding and revenue-integrity company. We audit operative notes against what was billed and paid, find coding errors in both directions (undercoded revenue and compliance risk), and help specialty practices bill cleanly and defend their claims. We're expanding into interventional radiology — specifically lower-extremity peripheral vascular intervention (angioplasty, stent, atherectomy, IVL) — and we need an experienced IR coder/auditor to be our subject-matter expert for this specialty.
Please note this will be Part-time contract to start (10–20 hrs/week), with room to grow into full-time
What you'll do
• Review de-identified IR operative/procedure notes and determine the correct CPT code set — this is the "answer key" our whole quality process is built on.
• Audit claims for both missed revenue and compliance exposure (over-coding, unbundling, medical-necessity gaps).
• Apply the current lower-extremity endovascular revascularization coding rules correctly — territory-based coding (iliac, femoral/popliteal, tibial/peroneal, inframalleolar), the highest-service-wins bundling within a vessel, initial + additional-vessel add-ons, IVL add-ons, and NCCI edits.
• Check interventions against Medicare LCD / medical-necessity criteria for PAD/critical limb ischemia (rest pain, tissue loss, ABI, failed conservative therapy).
• Review codes proposed by our software (we use an AI-assisted coding engine — you are the human expert who accepts, rejects, or corrects each suggestion) and give feedback that improves the system.
You must have
• Active certification: CIRCC strongly preferred (Certified Interventional Radiology Cardiovascular Coder). CPC, CCS, or RCC also considered if paired with real IR/vascular experience.
• Hands-on experience coding or auditing lower-extremity endovascular revascularization — you can explain, without looking it up, why angioplasty + stent in the same vessel is one code, not two.
• Working knowledge of NCCI edits, RS&I/catheterization bundling, and modifier use (RT/LT, -59/-XU).
• Familiarity with peripheral-vascular medical-necessity / LCD requirements.
• Comfort reading full operative notes and handling de-identified data professionally (HIPAA awareness).
• Reliable internet, clear written English, and attention to detail.
Nice to have
• Experience in an office-based lab (OBL) or ASC setting, and with the technical-component / device (HCPCS C-code) side.
• Prior work as an auditor (not just a production coder).
• Experience with the newer restructured LE revascularization code family.
How to apply — please follow these steps or we won't review your application:
1. Start your message with the word "VASCULAR" so we know you read the full post.
2. List your certifications (with numbers/expiry) and briefly, your IR/peripheral-vascular coding experience.
3. Answer this short coding test (2–4 sentences, show your reasoning):
Right lower extremity. In the right external iliac artery, balloon angioplasty was performed and then a stent was placed (straightforward lesion). In the right common femoral artery, balloon angioplasty alone was performed (straightforward). Access was via a right common femoral puncture; no tibial or below-ankle work was done. Which CPT codes would you report for the professional claim, and briefly why?
We read the reasoning more than the exact numbers. Strong applicants will hear back within a few days.
