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Trajectory RCS, LLCTL

Coder-ASC CIRCC Certified Coder

Trajectory RCS is a healthcare revenue cycle management company that optimizes cash flow for providers by integrating business processes and clinical documentation. It was acquired by MedHQ in 2024.

Trajectory RCS, LLC

Employee count: 51-200

United States only

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Job Description
ASC–CIRCC Certified Coder (Cardiovascular / Interventional Radiology)
Department: Revenue Cycle / Business Office
Reports To: Revenue Cycle Manager
FLSA Status: Non-Exempt
Location: Remote
Position Summary
The ASC–CIRCC Certified Coder is responsible for accurately assigning CPT®, ICD-10-CM, and HCPCS codes for cardiovascular and interventional radiology procedures performed in an ambulatory surgery center (ASC) or hospital outpatient setting. This role ensures compliant coding, appropriate reimbursement, and adherence to federal, state, and payer regulations. The coder works closely with physicians, clinical staff, billing teams, and compliance personnel to support revenue integrity and audit readiness.
Key Responsibilities
  • Assign accurate CPT®, ICD-10-CM, and HCPCS Level II codes for cardiovascular and interventional radiology procedures
  • Apply correct modifiers in accordance with payer and regulatory guidelines
  • Review operative reports, procedure notes, and supporting documentation to ensure coding accuracy and completeness
  • Ensure compliance with CMS, NCCI, Medicare, Medicaid, and commercial payer rules specific to ASC and outpatient services
  • Identify documentation deficiencies and query providers when clarification is required
  • Support charge capture processes and resolve coding-related denials or rejections
  • Participate in internal and external audits, including responding to audit findings and implementing corrective actions
  • Stay current with coding updates, CPT changes, payer policies, and regulatory requirements related to cardiovascular and IR coding
  • Collaborate with billing, compliance, and revenue cycle teams to optimize reimbursement while maintaining compliance
  • Maintain productivity and accuracy standards as defined by the organization
Required Qualifications
  • ASC–CIRCC (Certified Interventional & Cardiovascular Coder – Ambulatory Surgery Center) certification required
  • High school diploma or equivalent (associate or bachelor’s degree preferred)
  • Minimum of 2–3 years of hands-on coding experience in cardiovascular and/or interventional radiology coding
  • Strong knowledge of CPT®, ICD-10-CM, HCPCS, and modifier usage
  • Familiarity with ASC billing and outpatient reimbursement methodologies
  • Understanding of NCCI edits, MUEs, and payer-specific coding guidelines
Preferred Qualifications
  • Additional coding credentials (CPC, CCS, or equivalent)
  • Experience with electronic health records (EHR) and coding/billing software
  • Prior experience in an ASC or hospital outpatient department
  • Audit or compliance experience related to cardiovascular or IR coding
Skills and Competencies
  • High attention to detail and accuracy
  • Strong analytical and problem-solving skills
  • Ability to interpret complex operative reports
  • Effective written and verbal communication skills
  • Ability to work independently and manage multiple priorities
  • Commitment to ethical coding and compliance standards
Work Environment
  • Remote Position
  • Standard business hours with potential deadlines tied to billing cycles
FULL TIME BENEFITS
  1. Employer sponsored Major Medical
  2. Employer sponsored Dental
  3. Employer sponsored Vision
  4. Accidental Death and Disability insurance
  5. Short term disability
  6. 4.5% 401K matching
  7. Flexible spending account
  8. Generous paid time off
This is a remote position.

**Applicants must be legally authorized to work in the United States. We are unable to sponsor or take over sponsorship of an employment visa at this time.

About the job

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Posted on

Job type

Full Time

Experience level

Senior

Location requirements

Hiring timezones

United States +/- 0 hours

About Trajectory RCS, LLC

Learn more about Trajectory RCS, LLC and their company culture.

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At the forefront of healthcare financial technology, Trajectory RCS is revolutionizing revenue cycle management (RCM) for medical providers across the United States. Through the innovative integration of sophisticated business office processes and meticulous clinical documentation, the company is engineering a new paradigm for optimizing healthcare cash flow. This pioneering approach has a proven track record of significantly reducing accounts receivable days and claim denials while simultaneously boosting self-pay collections and the overall percentage of charges collected. Trajectory RCS leverages repeatable best practices, continuous documentation improvement, and patient-centric collection strategies to navigate the complex and often convoluted healthcare reimbursement landscape. The company's core mission is to ensure that healthcare providers are compensated for every appropriate penny of the quality care they deliver, counteracting the industry's trend of increasing regulatory and administrative burdens that hinder profitability.

In a strategic move to amplify its impact and scale its innovative solutions, Trajectory RCS was acquired by MedHQ in August 2024. This acquisition marks a significant milestone, combining Trajectory's specialized RCM expertise with MedHQ's comprehensive suite of advisory and administrative services. The synergy between the two entities empowers a broader range of healthcare organizations—from small hospitals and physician groups to ambulatory surgery centers and outpatient clinics—to achieve unparalleled financial health and operational efficiency. By joining the MedHQ family, which includes over 150 dedicated team members, Trajectory RCS is better positioned than ever to drive value, foster client satisfaction, and continue its trajectory of innovation in the ever-evolving healthcare sector. This collaboration is built on a shared commitment to exceptional customer service and a culture that values respect, innovation, trust, and energy.

Employee benefits

Learn about the employee benefits and perks provided at Trajectory RCS, LLC.

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401K matching

4.5% 401K matching

Short term disability

Short term disability

Generous paid time off

Generous paid time off

Employer sponsored Dental

Employer sponsored Dental

View Trajectory RCS, LLC's employee benefits
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Trajectory RCS, LLC

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