Remote Coding Quality Specialist: Orthopedic/Musculoskeletal

UVA Health; Virginia (IL); On-site; USD 32,000 - 49,000; Full time

Benefits offered by this job

100% Remote

Professional growth

Certification support

Health insurance

Paid time off

Job summary

UVA Health is seeking a remote Coding Quality Specialist 2 for Orthopedic Surgery Musculoskeletal services. This role focuses on Podiatry, Wound Care, and Rheumatology, coding complex specialty encounters and supporting accurate reimbursement across a national academic health system.

You will review E/M visits, apply CPT/ICD-10-CM guidelines, identify documentation gaps, and collaborate with providers to improve coding quality and compliance.

Qualifications

• Education: High School Diploma or GED required.
• Experience: 2+ years of relevant coding experience required.
• Licensure: Certified Professional Coder (CPC) required.

Responsibilities

• Independently code E/M visits and minor procedure encounters for musculoskeletal specialties.
• Apply advanced CPT, ICD-10-CM, modifiers, NCCI edits, and global surgery rules for compliant coding.
• Review documentation for foot and ankle disorders, wound care, musculoskeletal conditions, arthritis, rheumatologic diseases, injections, and other specialty procedures.
• Evaluate diagnosis specificity, laterality, anatomical detail, medical necessity, and payer requirements.
• Identify documentation gaps and determine when provider clarification or queries are appropriate.
• Distinguish between planned and performed services to ensure coding accuracy.
• Conduct charge review and work queue management within Epic and EncoderPro environments.
• Research and apply CPT, ICD-10-CM, LCD/NCD, and payer-specific policies.

Skills

CPT coding

ICD-10-CM

NCCI edits

Documentation quality

Charge capture

Epic/EncoderPro experience

Education

High School Diploma or GED

Tools

Epic

EncoderPro

CPT guidelines

Job description

UVA Health is seeking a remote Coding Quality Specialist 2 for Orthopedic Surgery Musculoskeletal services. This role focuses on Podiatry, Wound Care, and Rheumatology, coding complex specialty encounters and supporting accurate reimbursement across a national academic health system.

You will review E/M visits, apply CPT/ICD-10-CM guidelines, identify documentation gaps, and collaborate with providers to improve coding quality and compliance.