Coding Validation Specialist 3

Inova Health System; Virginia (MN); Remote; USD 60,000 - 85,000; Full time

Job summary

Inova Center for Personalized Health seeks a dedicated Coding Validation Specialist 3 for a full-time remote position. In this role, you'll ensure the accuracy of coding for complex surgeries and maintain high standards under defined productivity levels. With robust benefits like tuition assistance and mental health support, this is an opportunity to grow in a leading healthcare organization that values its employees.

Benefits

Medical, dental and vision coverage

Tuition and Student Loan Assistance

Mental Health Support

Work/Life Balance benefits

Qualifications

• Three years of coding experience required.
• Certifications: RHIT, CCS or CPC, COC or CCS-P.

Responsibilities

• Codes and reviews assigned records to ensure accuracy.
• Participates in coding audits and education sessions.
• Maintains quality standards for coding accuracy at 95% or higher.

Skills

CPT coding

ICD-10-CM

HCPC coding

Code auditing

Education

High School diploma or GED

Job description

Inova Center for Personalized Health is looking for a dedicatedCoding Validation Specialist 3to join the team. Full-time Day Shift: Monday–Friday, general office hours, working remotely.

This position is eligible for remote work for candidates residing in the following states – VA, MD, DC, DE, FL, GA, NC, OH, PA, SC, TN, TX, WV.

Inova is consistently ranked a national healthcare leader in safety, quality and patient experience.We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation.

Featured Benefits:

• Committed to Team Member Health:offering medical, dental and vision coverage, and a robust team member wellness program.
• Retirement:Inova matches the first 5% of eligible contributions – starting on your first day.
• Tuition and Student Loan Assistance:offeringup to $5,250 per year in education assistance and up to $10,000 for student loans.
• Mental Health Support:offering all Inova team members, their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost.
• Work/Life Balance:offeringpaid time off, paid parental leave, flexible work schedules, and remote and hybrid career opportunities.

Coding Validation Specialist 3 Job Responsibilities:

• Codes and reviews assigned records with defined productivity standards of four charts per hour for complex/intermediate surgeries and five charts per hour for simple surgeries.
• Actively participates in internal pre-bill coding audits, independent coding audits, and coding education sessions.
• Enhances professional growth and development by participating in other relevant continuing education activities.
• Maintains or surpasses Inova Health System-defined quality standards for accurate assignment and validation of the Evaluation and Management (E/M) assignment of 95 percent.
• Ensures correct CPT code for the level of service billed (i.e. Place of Service, Observation codes for Observation Status; Inpatient Codes for Inpatient Status).
• Changes consult codes based on Payer requirements to the appropriate E/M code and appropriate units and/or modifiers maintaining an accuracy of 95 percent or greater.
• Verifies the accuracy, completeness, and quality of ICD-10-CM, CPT-4, and HCPC coding including modifiers, units, and other variables impacting workload accountability and billing.
• Communicates with the responsible physician or mid-level provider accordingly to obtain additional supporting documentation, or clarification required for code assignments and processes, including following an escalation or secondary review as necessary.
• Education:High School diploma or GED
• Experience: Three years of coding experience required.
• Certifications:One of the following: RHIT, CCS or CPC, COC or CCS-P.

About Us

We are Inova, Northern Virginia’s leading nonprofit healthcare provider. Every day, our 25,000+ team members provide world-class healthcare to the communities we serve. Our people are the reason we're a national leader in healthcare safety, quality and patient experience. And from best-in-class facilities to professional development opportunities, we support them at every step. At Inova, we're constantly striving to be ever better — to shape a more compassionate future for healthcare.

Inova Health System is an Equal Opportunity employer. All qualified applicants will receiveconsideration for employment without regard to age, color, disability, gender identity orexpression, marital status, national or ethnic origin, political affiliation, pregnancy (includingchildbirth, pregnancy-related conditions and lactation), race, religion, sex, sexual orientation,veteran status, genetic information, or any other characteristics protected by law.

Job Info

• Job Identification 670169
• Job Category Finance
• Posting Date 06/10/2025, 05:38 PM