Coding Quality Specialist 3- Anatomical Pathology

Accurate coding is foundational to quality patient care, regulatory compliance, and the financial health of a leading academic medical center. As a Coding Specialist 3, you will play an essential role in ensuring the integrity of Anatomic Pathology and coding practices while supporting providers who deliver critical Anatomical Pathology services across the continuum of care.

This fully remote opportunity is ideal for an experienced professional fee coder with a passion for Profee Anatomic Pathology. You'll leverage your expertise to review complex clinical documentation, promote coding accuracy, identify compliance risks, and help ensure appropriate reimbursement for services that directly support patient access to Anatomical Pathology.

The Role

In this highly specialized coding position, you will serve as a trusted resource for coding quality, compliance, and documentation integrity within Anatomical Pathology services. Working independently, you will review and validate Anatomical Pathology professional fee coding while collaborating with providers and operational partners to maintain coding excellence across a diverse health practice.

On a typical day, you may:

• Demonstrate prowess in coding pathology physician services using CPT, HCPCS, and ICD-10-CM guidelines.
• Display proficiency in coding and reviewing:

o Surgical pathology specimens (CPT 88302-88309)

o Gross and microscopic examinations

o Pathology consults on outside material (CPT 88321-88323)

o Intraoperative consultations/frozen sections (88331-88332)

o Special stains and immunohistochemistry (88312, 88313, 88341, 88342, G0461-G0462)

o Molecular pathology and pathology consultation services, as is applicable

• Exhibit a strong understanding of pathology documentation requirements, medical necessity, and payer-specific billing guidelines.
• Experience resolving coding edits, denials, charge review work queues, and physician documentation inquiries related to pathology services.
• Determine when provider education or compliant clarification is warranted.

• Apply expertise related to NCCI edits, LCD/NCD policies, and payer-specific billing requirements.

• Support coding quality initiatives through charge review processes, work queue management, and ongoing coding validation activities.

• Utilize Epic, Codify and other coding resources to research and resolve complex coding questions.

• Maintain current knowledge of evolving Anatomical Pathology health coding regulations and reimbursement guidelines.

This role offers the opportunity to work with a broad range of Pathology services, including outpatient, inpatient and consultative services, making it an excellent fit for professionals who enjoy complexity, continuous learning and meaningful impact.

Why UVA Health

UVA Health is one of the nation's leading academic health systems, bringing together exceptional patient care, research, education, and innovation. As part of this mission, coding professionals play a critical role in supporting clinical excellence, regulatory integrity, and operational success across the organization.

At UVA Health, you'll benefit from:

• A fully remote opportunity that allows you to contribute to a nationally recognized health system from your home office.

• Academic medicine at its best, supporting providers delivering advanced Anatomical Pathology care.

• The ability to work alongside highly specialized clinicians and multidisciplinary teams within a complex healthcare environment.

• Challenging and rewarding work that requires critical thinking, independent judgment, and advanced coding expertise.

• Ongoing professional growth through exposure to evolving regulatory guidance, payer requirements, and behavioral health coding practices.

• A culture dedicated to innovation, collaboration, continuous improvement, and exceptional patient outcomes.

• The opportunity to make a measurable impact on documentation integrity, reimbursement accuracy, compliance, and quality initiatives across a growing behavioral health service line.

For experienced Anatomical Pathology coders seeking a role that combines autonomy, complexity, and purpose, UVA Health offers the chance to contribute to a health system committed to transforming care and improving lives.

Why People Love Living in Charlottesville

Charlottesville offers an exceptional quality of life, blending the energy of a vibrant university community with the charm of a historic mountain town. Residents enjoy award-winning restaurants, renowned wineries and breweries, live music, arts and cultural events, and easy access to the Blue Ridge Mountains and Shenandoah National Park. With excellent schools, family-friendly neighborhoods, and abundant outdoor recreation, Charlottesville provides an outstanding balance of professional opportunity and personal well-being. As this position is fully remote, you'll have the flexibility to enjoy the benefits of your own community while remaining connected to a nationally respected academic health system.

MINIMUM REQUIREMENTS:

Education: High School Diploma or GED required.

Experience: 5+ years of relevant Anatomical Pathology coding experience required.

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.

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.