Remote PM&R Coding Quality Specialist III – Rehab & Wound Care

The Rector & Visitors of the University of Virginia; Charlottesville (VA); Remote; USD 36,000 - 63,000; Full time

Benefits offered by this job

Remote work (fully remote)

Certification and education support

Comprehensive benefits package

Job summary

UVA Health is seeking a Coding Quality Specialist 3 to support PM&R Musculoskeletal and Encompass Hospital Rehabilitation coding from a fully remote position. The role emphasizes higher-level coding quality, documentation review, and collaboration with providers to ensure precise capture of complex services.

You will focus on PM&R and rehabilitation coding, with an additional emphasis on wound care, and serve as a resource for coding standards in a fast-paced academic medical center environment.

Qualifications

• 5+ years of PM&R coding experience required.
• Experience with Hospital Rehabilitation and Wound Care coding preferred.

Responsibilities

• Perform detailed coding quality reviews and audits for PM&R Musculoskeletal services and Encompass Hospital Rehabilitation and Wound Care coding.
• Apply CPT, ICD-10-CM, modifier usage, NCCI edits, medical necessity, 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 interventional pain management services.
• Identify documentation inconsistencies, omissions, and opportunities for provider clarification; determine when queries are warranted.
• Partner with coding, compliance, operational, and clinical teams to promote accuracy and quality.
• Serve as a subject matter resource for PM&R coding practices and documentation standards.

Skills

PM&R coding experience

Auditing

Clinical documentation review

Education

CPC Certification

Tools

CPT coding

ICD-10-CM

NCCI edits

EMR documentation

Job description

UVA Health is seeking a Coding Quality Specialist 3 to support PM&R Musculoskeletal and Encompass Hospital Rehabilitation coding from a fully remote position. The role emphasizes higher-level coding quality, documentation review, and collaboration with providers to ensure precise capture of complex services.

You will focus on PM&R and rehabilitation coding, with an additional emphasis on wound care, and serve as a resource for coding standards in a fast-paced academic medical center environment.