Coding Quality Specialist 3

About the role

These positions manage the financial aspects of patient care, including billing, insurance claims, payment processing, financial counseling, utilization and revenue cycle analysis. They translate patient diagnoses, treatments, and procedures into standardized medical codes, ensuring accurate coding to support billing processes, comply with regulations, and maintain the integrity of patient health records for reimbursement and reporting purposes. The role is an individual contributor position that provides direct service, operational, technical, or administrative support, working primarily under supervision with opportunities for limited progression.

Responsibilities

• Manage billing and insurance claim processes.
• Process patient payments and conduct financial counseling.
• Perform utilization and revenue cycle analysis.
• Translate diagnoses, treatments, and procedures into standardized medical codes.
• Ensure coding accuracy to support billing, regulatory compliance, and reporting.
• Maintain integrity of patient health records for reimbursement purposes.
• Provide assistance and training to lower‑level employees.
• Explain practices, procedures, and policies to external stakeholders.
• Analyze non‑routine problems and develop independent solutions.

Requirements

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

Physical Demands

This is primarily a sedentary job involving extensive use of desktop computers. Occasional travel may be required to attend meetings and programs.

Pay

Hourly rate: $26.00 – $40.57, based on qualifications, experience, and education.

Benefits

• Comprehensive medical, dental, and vision insurance.
• Paid time off, long‑term and short‑term disability.
• Retirement savings plans.
• Health Savings Plans and Flexible Spending Accounts.
• Certification and education support.
• Generous paid time off.

Employer Overview

UVA Health is a world‑class, Magnet‑recognized academic medical center and health system with a Level 1 trauma center. It is ranked “High Performing” in multiple adult specialties and conditions by U.S. News & World Report (2023‑2024) and is one of 70 National Cancer Institute‑designated cancer centers. UVA Health Children’s is recognized as the best children’s hospital in Virginia. The system includes three community hospitals and an integrated network of primary and specialty care clinics throughout Charlottesville, Culpeper, Northern Virginia, and beyond.