Coding Quality Specialist 3- Anatomical Pathology

About the role

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.

Responsibilities

• Review and validate Anatomical Pathology professional fee coding
• Collaborate with providers and operational partners to maintain coding excellence
• Resolve 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

Requirements

• Education: High School Diploma or GED required
• Experience: 5+ years of relevant Anatomical Pathology coding experience required
• Licensure: Certified Professional Coder (CPC) required

Qualifications

• Strong understanding of pathology documentation requirements, medical necessity, and payer-specific billing guidelines
• Proficiency in coding and reviewing:CPT 88302-88309, Gross and microscopic examinations, CPT 88321-88323, Intraoperative consultations/frozen sections (88331-88332), Special stains and immunohistochemistry (88312, 88313, 88341, 88342, G0461-G0462), Molecular pathology and pathology consultation services, as is applicable

Skills

• Independent problem-solving skills
• Attention to detail
• Effective communication and collaboration

Benefits

• Comprehensive Benefits Package: Medical, Dental, and Vision Insurance
• Generous Paid Time Off
• Retail Savings
• Long-term and Short-term Disability
• Health Saving Plans, and Flexible Spending Accounts

Pay

The pay range for this role is $26.00 - $45.68 hourly.

Schedule

This is a fully remote opportunity.