Coding Quality Specialist 3 - PM&R Coder

Commonwealth of VA Careers; Charlottesville (VA); A distancia; USD 36.000 - 63.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Medical Insurance

Dental Insurance

Vision Insurance

Paid Time Off

Retirement Savings

Disability Insurance

Health Savings Plans

Flexible Spending Accounts

Education Support

Descripción de la vacante

UVA Health is seeking a Coding Quality Specialist 3 to support PM&R Musculoskeletal and Encompass Hospital Rehabilitation coding. This remote role emphasizes accurate documentation review, coding audits, and education for providers.

You will ensure coding accuracy for complex services, including wound care, with collaboration across coding, compliance, and clinical teams. CPC certification and 5+ years PM&R coding experience are required.

Formación

• At least 5 years of PM&R coding experience.
• Certified Professional Coder (CPC) required.
• Experience with hospital rehab and wound care coding preferred.
• Excellent documentation review and coding accuracy.

Responsabilidades

• Perform detailed coding quality reviews and audits for PM&R Musculoskeletal services and Encompass Hospital Rehabilitation and Wound Care.
• Apply CPT, ICD-10-CM and modifier guidelines to ensure accurate coding.
• Review E/M services and complex procedures for documentation accuracy.
• Link diagnoses to procedures and identify opportunities for provider clarification.
• Collaborate with coding, compliance, and clinical teams to improve quality and revenue integrity.

Conocimientos

PM&R coding

Auditing

Clinical documentation review

Provider collaboration

Educación

Certified Professional Coder (CPC)

Herramientas

CPT

ICD-10-CM

NCCI edits

Modifier usage

Descripción del empleo

focus on Encompass Hospital rehabilitation coding, which differs slightly from the typical PM&R coder. There will be wound care in addition to what you have below. They will be serving as a back up to all the items listed, so I think we could keep them, but a call out that the mainstay of the coding in Rehab Hospital coding.

Accurate documentation and coding are essential to delivering high-quality patient care, supporting compliance, and ensuring the financial health of a leading academic medical center. This role offers an opportunity to make a meaningful impact by serving as a trusted coding quality resource for a highly specialized Physical Medicine & Rehabilitation practice.

As a Coding Quality Specialist 3 supporting PM&R Musculoskeletal services, you will leverage your expertise in coding, auditing, and clinical documentation review to ensure accurate capture of complex services. This position will focus primarily on Encompass Hospital Rehabilitation coding. An additional focus will involve Wound Care coding. This fully remote position is ideal for an experienced professional who enjoys analytical work, collaboration with providers, and driving excellence in coding quality and compliance.

The Role

In this role, you will work independently to review complex clinical documentation, validate coding accuracy, identify opportunities for improvement, and support provider education within a fast-paced PM&R environment. Your expertise will directly influence documentation integrity, revenue cycle performance, compliance, and overall quality outcomes.

Key responsibilities include:

• Perform detailed coding quality reviews and audits for PM&R Musculoskeletal services (along with additional services to include Encompass Hospital Rehabilitation- and Wound Care coding.
• Apply expert knowledge of CPT, ICD-10-CM, modifier usage, NCCI edits, medical necessity requirements, and payer-specific guidelines.
• Review and validate Evaluation & Management (E/M) services and complex procedural documentation.
• Accurately assign and validate codes for:
• Musculoskeletal services
• Pain management procedures
• Injections and aspirations
• Trigger point injections
• Botulinum toxin procedures
• EMG/NCS services
• Epidural and facet procedures
• Other interventional pain management services
• Ensure appropriate linkage of diagnoses to procedures and support diagnosis specificity requirements.
• Identify documentation inconsistencies, omissions, and opportunities for provider clarification.
• Determine when provider queries are warranted and facilitate clear, compliant communication.
• Partner with coding, compliance, operational, and clinical teams to promote coding accuracy and quality improvement.
• Serve as a subject matter resource for PM&R coding practices and documentation standards.

This role is well suited for a coding professional with approximately three years of PM&R coding experience who enjoys solving complex coding scenarios and contributing to organizational excellence.

Why UVA Health

At UVA Health, your work supports one of the nation's premier academic health systems. As part of an organization dedicated to transforming health and advancing medicine, you will help ensure the integrity and accuracy of the clinical record while supporting exceptional patient care across Virginia and beyond.

What makes this opportunity stand out

• Fully remote position, providing flexibility while remaining connected to a nationally recognized health system.
• Academic medicine environment where innovation, education, research, and clinical excellence come together.
• Opportunity to work with highly specialized PM&R, Musculoskeletal, and pain management providers across a complex patient population.
• Meaningful impact on compliance, quality, and revenue integrity through specialized coding expertise.
• Part of a health system that includes a nationally recognized academic medical center, Level I Trauma Center, comprehensive specialty programs, and a strong commitment to advancing healthcare.
• Collaborative culture that values professional expertise, continuous improvement, and knowledge sharing.
• Stability and career growth within a respected organization committed to being a leading public academic health system and a best place to work.

Why People Love Living in Charlottesville

Nestled in the foothills of the Blue Ridge Mountains, Charlottesville offers a unique combination of natural beauty, cultural richness, and exceptional quality of life. Residents enjoy easy access to hiking, cycling, wineries, acclaimed restaurants, live music, and a vibrant arts scene, all within a welcoming community atmosphere. The area is known for its strong educational resources, family-friendly environment, and balance between professional opportunity and personal well-being. While this position is fully remote, Charlottesville reflects the innovative, collaborative, and people-focused culture that defines UVA Health.

Minimum Requirements

• Education: High School Diploma or GED required.
• Experience: 5+ years of relevant coding experience required. Experience with Hospital Rehabilitation and Wound Care coding 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.