Coding Quality Specialist 3 - Multi Surgery

The Rector & Visitors of the University of Virginia; Charlottesville (VA); Remote; USD 54,000 - 95,000; Full time

Benefits offered by this job

Medical, Dental, and Vision Insurance

Generous Paid Time Off

Retirement Savings

Disability Insurance

Health Savings Plans

Job summary

UVA Health is seeking a Coding Quality Specialist 3 to serve as a subject matter expert in professional fee coding for the Multi-Surgery service line. You will review complex Neurosurgery cases, ensure accurate CPT/ICD-10-CM coding, and uphold rigorous documentation standards.

You will work remotely within a nationally recognized health system, collaborating with providers and revenue cycle teams to improve reimbursement accuracy and compliance while maintaining high quality standards.

Qualifications

• 5+ years of relevant coding experience required.
• Multi-Surgical experience preferred.
• Certified Professional Coder (CPC) required.
• Education: High School Diploma or GED.

Responsibilities

• Independently review, code, validate, and audit complex Neurosurgery procedures, office-based and E/M services.
• Analyze provider documentation to ensure complete and compliant code assignment using CPT/ICD-10-CM and modifier usage.
• Apply advanced knowledge of Neurosurgery operative and diagnostic services and associated E/M services.
• Evaluate documentation specificity, medical necessity, and reporting accuracy.
• Review and resolve coding edits, charge review issues, and work queue assignments (Epic and EncoderPro).
• Interpret NCCI edits, global surgical package rules, LCD/NCD guidance, and payer requirements.
• Identify documentation gaps and compliance risks and determine when queries are needed.
• Support coding quality initiatives through research and education.

Skills

Advanced Multi-Surgery expertise

Coding quality

Problem solving

Education

Certified Professional Coder (CPC)

Tools

Epic

EncoderPro

Job description

Accurate coding is essential to quality patient care, regulatory compliance, and the financial health of a leading academic medical center. As a Coding Quality Specialist 3 supporting Multi-Surgery Professional Billing, you will play a critical role in ensuring the integrity of complex clinical documentation and coding for one of healthcare's most specialized service lines.

This fully remote opportunity is ideal for an experienced coding professional with advanced Multi-Surgery expertise who enjoys complex case review, problem-solving, and maintaining the highest standards of coding quality. You'll work independently while partnering with providers and colleagues to support compliant, accurate reimbursement and operational excellence across a nationally recognized health system.

The Role

As a Coding Quality Specialist 3, you will serve as a subject matter expert in professional fee coding for Multi-Surgery, applying advanced coding knowledge to highly complex surgical, procedural, and Evaluation & Management services. This role requires a strong understanding of clinical documentation, regulatory requirements, and payer expectations, with a focus on quality, accuracy, and compliance.

In a typical day, you will:

• Independently review, code, validate, and audit complex Neurosurgery surgical procedures, office-based procedures, inpatient encounters, and E/M services

• Analyze provider documentation to ensure complete and compliant code assignment utilizing CPT, ICD-10-CM, modifier usage, and payer-specific guidelines

• Apply advanced knowledge of Neurosurgery operative services, diagnostic procedures, therapeutic interventions, and associated E/M services

• Evaluate diagnosis specificity, laterality, anatomical detail, medical necessity requirements, and documentation sufficiency

• Review and resolve coding edits, charge review issues, and work queue assignments utilizing Epic and EncoderPro

• Interpret and apply National Correct Coding Initiative (NCCI) edits, global surgical package rules, LCD/NCD guidance, and payer billing requirements

• Identify documentation gaps, coding vulnerabilities, and compliance risks while determining when provider clarification or compliant queries are appropriate

• Support coding quality initiatives through research, education, and application of evolving coding and reimbursement guidance

• Collaborate with providers, revenue cycle professionals, and coding colleagues to promote accurate reimbursement and regulatory compliance

This position offers a rewarding balance of autonomy, technical complexity, and meaningful impact on the delivery of specialized neurosciences care.

Why UVA Health

At UVA Health, you'll contribute to a health system recognized for excellence in patient care, innovation, education, and research. Our coding professionals are essential partners in supporting accurate clinical representation and the success of one of the nation's leading academic health systems.

What makes this opportunity stand out:

• Fully remote work environment, allowing you to build a meaningful career while enjoying greater flexibility and work-life balance

• Opportunity to support a highly specialized Multi-Surgery practice, working with complex cases that will continuously expand your expertise

• Be part of an organization where academic medicine, clinical excellence, and innovation drive continual advancement in patient care

• Work alongside experienced providers and revenue cycle professionals dedicated to quality, compliance, and operational excellence

• Access to a culture that values professional growth, continuous learning, and collaboration

• Contribute to the integrity of healthcare data that supports patient care, research initiatives, quality outcomes, and organizational success

• Join a health system known for investing in both its people and the future of medicine

For experienced coders seeking a role where their expertise is recognized and their work directly influences quality and compliance, this position offers both challenge and long-term career value.

Why People Love Living in Charlottesville

While this position is fully remote, UVA Health is based in Charlottesville, Virginia, a community consistently recognized for its exceptional quality of life. Nestled between the Blue Ridge Mountains and Virginia wine country, Charlottesville offers a unique blend of outdoor recreation, cultural attractions, acclaimed restaurants, historic charm, and a welcoming community atmosphere. Healthcare professionals are drawn to the area for its balance of career opportunity and lifestyle, making it a place where both individuals and families can thrive while remaining connected to one of the nation's leading academic health systems.

MINIMUM REQUIREMENTS:

Education: High School Diploma or GED required.

Experience: 5+ years of relevant coding experience required. Multi-Surgical Experience preferred.

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.