Coding Quality Specialist 2

Go VCE; Charlottesville, Northern (VA, KY); Hybrid; USD 3,168,000 - 101,207,000; Full time

Benefits offered by this job

Comprehensive Benefits Package

Paid Time Off

Remote work flexibility

Professional development support

Retirement savings

Job summary

UVA Health is seeking a Coding Quality Specialist 2 to ensure behavioral health documentation integrity and accurate professional fee coding. This fully remote role supports psychiatrists across inpatient, outpatient, consultative, and telehealth encounters.

You will review complex documentation, apply DSM-5 reporting, and research codes using Epic and EncoderPro, while staying current on telehealth and payer rules. Collaboration with providers and teams is key to reimbursement accuracy.

Qualifications

• Two or more years of relevant coding experience.
• Certified Professional Coder (CPC) required.
• Remote work opportunity with hybrid or fully remote options.
• Experience with Psychiatry/Behavioral Health coding preferred.

Responsibilities

• Review, code, validate, and audit psychiatric professional fee encounters for accuracy and compliance.
• Interpret clinical documentation to support CPT, ICD-10-CM, and modifier assignment.
• Evaluate E/M services, diagnostic evaluations, psychotherapy, crisis interventions, and medication management.
• Assess medical necessity, diagnosis specificity, time-based coding requirements, and behavioral health documentation standards.
• Identify coding trends, documentation deficiencies, compliance concerns, and reimbursement risks.
• Apply DSM-5 reporting, NCCI edits, LCD/NCD policies, and payer-specific requirements.
• Support coding quality initiatives through charge review, queue management, and validation.
• Research complex coding questions using Epic, EncoderPro, and other resources.
• Maintain current knowledge of telehealth requirements and reimbursement guidelines.

Skills

Coding quality

Documentation integrity

Compliance awareness

DSM-5 reporting

Epic/EncoderPro research

Education

High School Diploma or GED

CPC certification

Tools

Epic

EncoderPro

Job description

Accurate coding is foundational to quality patient care, regulatory compliance, and the financial health of a leading academic medical center. As a Coding Quality Specialist 2, you will play an essential role in ensuring the integrity of behavioral health documentation and coding practices while supporting providers who deliver critical psychiatric and mental health services across the continuum of care.

This fully remote opportunity is ideal for an experienced professional fee coder with a passion for Psychiatry and Behavioral Health. You'll leverage your expertise to review complex clinical documentation, promote coding accuracy, identify compliance risks, and help ensure appropriate reimbursement for services that directly support patient access to mental healthcare.

The Role

In this highly specialized coding position, you will serve as a trusted resource for coding quality, compliance, and documentation integrity within Psychiatry and Behavioral Health services. Working independently, you will review and validate professional fee coding while collaborating with providers and operational partners to maintain coding excellence across a diverse behavioral health practice.

On a typical day, you may:

• Review, code, validate , and audit psychiatric professional fee encounters for accuracy and compliance.
• Interpret complex clinical documentation to support accurate CPT, ICD-10-CM, and modifier assignment.
• Evaluate psychiatric Evaluation & Management (E/M) services, psychiatric diagnostic evaluations, psychotherapy services, crisis interventions, medication management encounters, and collaborative behavioral health services.
• Assess medical necessity, diagnosis specificity, time-based coding requirements, and behavioral health documentation standards.
• Identify coding trends, documentation deficiencies, compliance concerns, and reimbursement risks.
• Determine when provider education or compliant clarification is warranted .
• Apply expertise related to DSM-5 diagnosis reporting, behavioral health treatment documentation, NCCI edits, LCD/NCD policies, and payer-specific billing requirements.
• Support coding quality initiatives through charge review processes, work queue management, and ongoing coding validation activities.
• Utilize Epic, EncoderPro , and other coding resources to research and resolve complex coding questions.
• Maintain current knowledge of evolving behavioral health coding regulations, telehealth requirements, and reimbursement guidelines.

This role offers the opportunity to work with a broad range of Psychiatry and Behavioral Health services, including outpatient, inpatient, consultative, and telehealth encounters , making it an excellent fit for professionals who enjoy complexity, continuous learning, and meaningful impact.

Why UVA Health

UVA Health is one of the nation's leading academic health systems, bringing together exceptional patient care, research, education, and innovation. As part of this mission, coding professionals play a critical role in supporting clinical excellence, regulatory integrity, and operational success across the organization.

At UVA Health, you'll benefit from:

• A fully remote opportunity that allows you to contribute to a nationally recognized health system from your home office.
• Academic medicine at its best , supporting providers delivering advanced psychiatric and behavioral health care.
• The ability to work alongside highly specialized clinicians and multidisciplinary teams within a complex healthcare environment.
• Challenging and rewarding work that requires critical thinking, independent judgment, and advanced coding expertise .
• Ongoing professional growth through exposure to evolving regulatory guidance, payer requirements, and behavioral health coding practices.
• A culture dedicated to innovation, collaboration, continuous improvement, and exceptional patient outcomes.
• The opportunity to make a measurable impact on documentation integrity, reimbursement accuracy, compliance, and quality initiatives across a growing behavioral health service line.

For experienced behavioral health coders seeking a role that combines autonomy, complexity, and purpose, UVA Health offers the chance to contribute to a health system committed to transforming care and improving lives.

Why People Love Living in Charlottesville

Charlottesville offers an exceptional quality of life, blending the energy of a vibrant university community with the charm of a historic mountain town. Residents enjoy award-winning restaurants, renowned wineries and breweries, live music, arts and cultural events, and easy access to the Blue Ridge Mountains and Shenandoah National Park. With excellent schools, family-friendly neighborhoods, and abundant outdoor recreation, Charlottesville provides an outstanding balance of professional opportunity and personal well-being. As this position is fully remote , you'll have the flexibility to enjoy the benefits of your own community while remaining connected to a nationally respected academic health system.

MINIMUM REQUIREMENTS

• Education: High School Diploma or GED required.
• Experience: 2+ 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 $23.00 - $35.32 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
• Paid Time Off, Long-term and Short-term Disability, Retirement Savings
• Health Saving Plans, and Flexible Spending Accounts
• Certification and education support
• Generous Paid Time Off

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 .