Coding Quality Specialist 3

If you are an experienced Inpatient Professional Fee (Profee) coder who thrives in a complex academic medicine environment, this is an opportunity to make a meaningful impact behind the scenes of world-class patient care. Your expertise will support accurate reimbursement, documentation integrity, regulatory compliance, and the financial health of one of the nation's leading academic health systems.

As a Coding Quality Specialist 3, you will work with highly specialized inpatient physician services across multiple medical and surgical specialties while collaborating with providers and operational teams to ensure coding excellence. This remote opportunity is ideal for coding professionals who enjoy challenging cases, continuous learning, and working at the top of their profession.

The Role

In this highly specialized coding role, you will perform professional fee coding and quality review functions for complex inpatient services provided within an academic teaching hospital environment. You will leverage your deep knowledge of CPT, ICD coding, documentation standards, and compliance requirements to help ensure accurate code assignment and optimal revenue cycle performance.

A typical day may include:

• Reviewing and coding inpatient physician services including admissions, consultations, critical care services, and bedside procedures.

• Applying accurate CPT and ICD code selection while maintaining compliance with current coding guidelines and payer requirements.

• Identifying documentation opportunities and collaborating with providers to support coding accuracy and specificity.

• Supporting quality initiatives through coding audits, education, and coding compliance activities.

• Interpreting and applying guidelines related to:

• Modifiers

• NCCI edits

• Split/shared services

• Resident billing

• APP billing

• Diagnostic specificity requirements

• Maintaining consistent productivity and accuracy standards while managing complex inpatient encounters.

• Working with multidisciplinary physician groups across specialties such as Internal Medicine, Hospital Medicine, Cardiology, Gastroenterology, Endocrinology, Pulmonology, Neurology, Hematology & Oncology, Infectious Disease, Rheumatology, and Pediatrics.

• Coding highly specialized inpatient encounters involving critical care and advanced academic medicine services.

Ideal candidates bring significant experience in a teaching hospital setting and may have exposure to specialty units such as:

• Cardiothoracic ICU

• Trauma ICU

• Surgical ICU

• Neurosurgical ICU

• Medical ICU

• Neonatal & Pediatric ICU

• Oncology and Transplant Programs

CPC certification and at least five years of inpatient Profee coding experience are strongly desired for success in this role.

Why UVA Health

UVA Health is an integrated academic health system recognized for advancing patient care, research, education, and innovation. As a Coding Quality Specialist 3, your work directly supports providers caring for some of the most complex patient populations in the region.

What makes this opportunity stand out:

• Remote work opportunity, allowing experienced coding professionals greater flexibility while remaining connected to a nationally recognized academic health system.

• Work alongside physicians and clinical teams practicing in a world-class academic medical center.

• Support coding for high-acuity and highly specialized inpatient services that challenge and expand your expertise.

• Be part of a health system that includes a Level I Trauma Center, Level IV NICU, nationally recognized pediatric services, and a comprehensive network of specialty care programs.

• Collaborate within an environment known for innovation, education, continuous improvement, and clinical excellence.

• Gain exposure to complex teaching physician documentation, resident involvement, advanced specialty services, and evolving coding regulations.

• Join an organization committed to advancing healthcare while investing in professional growth and lifelong learning.

This role is particularly appealing for coders who enjoy navigating complex documentation, staying current with regulatory changes, and serving as a trusted resource for coding quality and compliance.

Why People Love Living in Charlottesville

Nestled in the foothills of the Blue Ridge Mountains, Charlottesville offers an exceptional quality of life with a blend of outdoor adventure, cultural vibrancy, and small-city charm. Residents enjoy award-winning wineries, a thriving food scene, historic attractions, live music, and abundant hiking and recreation opportunities. The area is known for its welcoming community, excellent schools, and balance between career growth and personal well-being. While this position can be performed remotely, Charlottesville remains one of the most desirable places in the country for healthcare professionals seeking both professional fulfillment and an outstanding lifestyle.