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UVA Health

Coding Quality Specialist 3 - GI Coder

Posted 2 days ago
$26 - $45.68 per hour
5-10 years experience
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AI Summary

The Coding Quality Specialist will independently review and code complex neurosurgery and gastrointestinal procedures while ensuring compliance with regulatory and payer requirements. They will collaborate with providers and revenue cycle teams to resolve documentation gaps and maintain high standards of coding accuracy.

Accurate coding is critical to the financial health, compliance, and operational success of a high-performing academic health system. This opportunity allows an experienced neurosurgery coding professional to contribute directly to revenue integrity, regulatory compliance, and the support of exceptional patient care through expert coding practices. 

As a fully remote Coding Specialist 3, you will serve as a subject matter expert in Gastrointestinal professional fee coding, independently reviewing complex clinical documentation and assigning accurate codes for surgical procedures, office-based services, and Evaluation & Management encounters. This role offers the opportunity to apply advanced coding expertise while partnering with providers and revenue cycle professionals to ensure coding accuracy, quality outcomes, and compliance. 


The Role 


In this highly specialized position, you will utilize your expertise in neurosurgery coding to accurately translate complex clinical services into compliant medical codes while supporting reimbursement, reporting, and revenue cycle performance. Working remotely, you will analyze provider documentation, resolve coding challenges, and help ensure the integrity of coded data across a variety of patient encounters. 


Key responsibilities include: 


  • Independently reviewing and coding complex neurosurgery surgical procedures, office-based procedures, and Evaluation & Management encounters. 
  • Applying advanced knowledge of CPT, ICD-10-CM, modifier assignment, NCCI edits, global surgical package rules, and payer-specific requirements. 
  • Interpreting provider documentation to accurately capture services rendered and ensure complete, compliant code assignment. 
  • Identifying documentation gaps, coding risks, and compliance concerns while determining when provider clarification is needed. 
  • Supporting coding quality through research and application of coding guidelines, LCDs, NCDs, payer policies, and regulatory requirements. 
  • Utilizing tools such as Epic, EncoderPro, charge review processes, and work queue management systems to maintain coding accuracy and productivity. 

Why UVA Health 


At UVA Health, you will join a nationally recognized academic health system committed to advancing patient care, innovation, education, and operational excellence. Your work will directly support one of healthcare's most complex specialties while contributing to the accuracy, compliance, and financial stewardship that help sustain outstanding patient outcomes. 


What makes this opportunity stand out: 


  • Fully remote work environment, providing flexibility while remaining connected to an exceptional healthcare organization. 
  • Opportunity to apply and expand advanced Gastrointestinal coding expertise in a highly specialized setting. 
  • Meaningful collaboration with providers, coding professionals, and revenue cycle teams to support compliance and reimbursement excellence. 
  • Exposure to complex operative services, diagnostic and therapeutic procedures, and sophisticated documentation review. 
  • A culture that values accuracy, continuous learning, professional growth, and excellence in patient-centered care.

 

This role is ideal for experienced coding professionals who enjoy analyzing complex clinical documentation, solving coding challenges, and serving as a trusted resource for neurosurgery coding expertise. 


Why People Love Living in Charlottesville 


Although this position is fully remote, UVA Health's home in Charlottesville offers an exceptional quality of life and a strong sense of community. Nestled near the Blue Ridge Mountains, the area is known for its scenic outdoor recreation, vibrant arts and culture scene, acclaimed restaurants, historic charm, and family-friendly atmosphere. Combined with access to a world-class academic medical center, Charlottesville provides an outstanding balance of professional opportunity and personal well-being. 

MINIMUM REQUIREMENTS:

Education: High School Diploma or GED required.

Experience: 5+ years of relevant coding experience required.

Licensure: Certified Professional Coder (CPC) required.

PHYSICAL DEMANDS:

This is primarily a sedentary job involving extensive use of desktop computers. The job does occasionally requires traveling some distance to attend meetings, and programs.

The pay range for this role is $26.00 - $45.68 hourly. Individual compensation will be determined by the selected candidate's qualifications, previous work experience, and/or education.

Benefits

  • Comprehensive Benefits Package: Medical, Dental, and Vision Insurance
  • Generous Paid Time Off
  • Retirement Savings
  • Long-term and Short-term Disability
  • Health Saving Plans, and Flexible Spending Accounts
  • Certification and Education Support

UVA Health is a world-class Magnet Recognized academic medical center and health system with a level 1 trauma center. 2023-2024 U.S. News & World Report “Best Hospitals” guide rates UVA Health University Medical Center as “High Performing” in 5 adult specialties and 14 conditions/procedures. We are one of 70 National Cancer Institute designated cancer centers. UVA Health Children’s is named by 2023-2024 U.S. News & World Report as the best children's hospital in Virginia with 9 specialties ranked among the best in the nation. Our footprint also encompasses 3 community hospitals and an integrated network of primary and specialty care clinics throughout Charlottesville, Culpeper, Northern Virginia, and beyond.

The University of Virginia is an equal opportunity employer. All interested persons are encouraged to apply, including veterans and individuals with disabilities. Learn more about UVA’s commitment to non-discrimination and equal opportunity employment.

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