Jobs · Quality Assurance

Coding Quality Specialist 3 - Multi Surgery

UVA Health · Virginia, United States · 1 mo ago
Quality Assurance$26–$45.68/hrFull-time
We need to output HTML fragment with sections: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections that have real specific content. Must not repeat job title as heading. Must not include Job ID etc. Must remove boilerplate. Must preserve all substantive info. Must not invent or summarize away detail. Must not include filler like "commensurate with experience". Must only include sections when posting has real specific content. Let's parse the posting. Key info: - Role: Coding Quality Specialist 3 supporting Multi-Surgery Professional Billing. Fully remote. - About the role: description: "Accurate coding is essential... This fully remote opportunity is ideal for an experienced coding professional with advanced Multi-Surgery expertise who enjoys complex case review, problem-solving, and maintaining the highest standards of coding quality. You'll work independently while partnering with providers and colleagues to support compliant, accurate reimbursement and operational excellence across a nationally recognized health system." - The Role section: details of tasks: "Independently review, code, validate, and audit complex Neurosurgery surgical procedures, office-based procedures, inpatient encounters, and E/M services; Analyze provider documentation to ensure complete and compliant code assignment utilizing CPT, ICD-10-CM, modifier usage, and payer-specific guidelines; Apply advanced knowledge of Neurosurgery operative services, diagnostic procedures, therapeutic interventions, and associated E/M services; Evaluate diagnosis specificity, laterality, anatomical detail, medical necessity requirements, and documentation sufficiency; Review and resolve coding edits, charge review issues, and work queue assignments utilizing Epic and EncoderPro; Interpret and apply National Correct Coding Initiative (NCCI) edits, global surgical package rules, LCD/NCD guidance, and payer billing requirements; Identify documentation gaps, coding vulnerabilities, and compliance risks while determining when provider clarification or compliant queries are appropriate; Support coding quality initiatives through research, education, and application of evolving coding and reimbursement guidance; Collaborate with providers, revenue cycle professionals, and coding colleagues to promote accurate reimbursement and regulatory compliance." - Why UVA Health: description about organization, maybe not needed as separate section? Could be part of About the role or Benefits? It's more about the employer. Might be considered "About the organization" but not required sections. We can maybe include as part of "About the role" or ignore if not matching headings. The instruction: Use headings for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). So we should map content to those headings. - What Makes This Opportunity Stand Out: bullet points about fully remote, specialized Multi-Surgery, academic medicine, etc. Could be part of Benefits or maybe "Why UVA Health". Might be considered Benefits? It includes remote work, professional growth, etc. Could be part of Benefits. - Why People Love Living in Charlottesville: location info, but job is fully remote, so maybe not needed. Could be omitted as not relevant. - Minimum Requirements: Education: High School Diploma or GED required. Experience: 5+ years of relevant coding experience required. Multi-Surgical Experience preferred. Licensure: Certified Professional Coder (CPC) required. - Physical Demands: sedentary job, occasional travel. - Pay range: $26.00 - $45.68 hourly. Individual compensation determined by qualifications, experience, education. - 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. - Additional info about UVA Health being Magnet Recognized etc. Could be part of Benefits or About the role? Might be extra but we can include as part of Benefits or maybe as a separate "About UVA Health" but not in allowed headings. Could be omitted if not fitting. But we must preserve ALL substantive information. So we need to include that info somewhere. Could be part of Benefits (maybe as extra bullet) or as a separate section like "About the organization" but not allowed. Could incorporate into Benefits or maybe into "Why UVA Health" but not a heading. Since only allowed headings are those, we need to fit all substantive info under those headings. We can create sections: About the role (intro), Responsibilities (daily tasks), Requirements (education, experience, licensure), Qualifications (maybe certifications? but we already have licensure), Skills (maybe advanced Multi-Surgery expertise, knowledge of CPT, ICD-10, modifier usage, NCCI, etc.), Benefits (benefits package), Pay (hourly range), Schedule (maybe remote, flexible? Not explicitly given schedule; but we could infer fully remote, maybe flexible hours? Not stated. The posting does not give schedule specifics. So we should not create Schedule section unless there is real specific content. It says "never create Pay/Schedule/Benefits sections unless the posting actually states them." Pay is stated, Benefits stated. Schedule not stated, so omit Schedule. - Also we have "Physical Demands" maybe could be part of Requirements or Qualifications? Could be under Requirements as a note. But we need to preserve it. Could add a

under Requirements about physical demands. - Also "Why UVA Health" and "What Makes This Opportunity Stand Out" and "Why People Love Living in Charlottesville" contain substantive info about organization, remote work, professional growth, location. We need to preserve them. Could be placed under About the role (intro) or Benefits (like remote work, professional growth). But we must not invent or summarize away detail. We can include them as paragraphs under appropriate sections. Let's map: About the role: Could include the initial paragraph about accurate coding essential, fully remote opportunity, ideal for experienced coding professional with advanced Multi-Surgery expertise, etc. Also maybe the "Why UVA Health" and "What Makes This Opportunity Stand Out" could be part of About the role? But they are more about the organization and opportunity. However we can keep them as separate paragraphs under About the role if we want to preserve all info. But the heading "About the role" might be expected to describe the role, not the organization. However instruction: "Use

for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule)." It doesn't forbid other headings, but says use those for section headings. It implies we should use those headings when we have content for those categories. It doesn't say we cannot have other headings, but better to stick to those. We can include extra info under those headings as appropriate. Thus: - About the role: include the description of the role and maybe the "Why UVA Health" and "What Makes This Opportunity Stand Out" as they describe why it's a good opportunity. Could be okay. - Responsibilities: list of duties from "In a Typical Day, You Will" bullet points. - Requirements: Education, Experience, Licensure, Physical Demands. - Qualifications: maybe Multi-Surgical Experience preferred, Certified Professional Coder (CPC) required (already in Requirements). Could also include advanced knowledge of Neurosurgery operative services, etc. But those are more skills. Could put under Skills. - Skills: advanced Multi-Surgery expertise, knowledge of CPT, ICD-10-CM, modifier usage, payer-specific guidelines, knowledge of Neurosurgery operative services, diagnostic procedures, therapeutic interventions, E/M services, ability to evaluate diagnosis specificity, laterality, anatomical detail, medical necessity, documentation sufficiency, ability to review and resolve coding edits, charge review issues, work queue assignments using Epic and EncoderPro, ability to interpret and apply NCCI edits, global surgical package rules, LCD/NCD guidance, payer billing requirements, ability to identify documentation gaps, coding vulnerabilities, compliance risks, ability to support coding quality initiatives through research, education, application of evolving coding guidance, ability to collaborate with providers, revenue cycle professionals, coding colleagues. - Benefits: list as given. - Pay: hourly range. - Schedule: not present, omit. We must not include filler like "commensurate with experience". Not present. We must not include boilerplate like EEO, equal opportunity, scam warning, navigation, cookie, legal. Remove those. We must not repeat job title as heading. We must not put Job ID/requisition numbers as headings. We must output only HTML fragment. Let's craft. Structure:

About the role

Accurate coding is essential to quality patient care, regulatory compliance, and the financial health of a leading academic medical center. As a Coding Quality Specialist 3 supporting Multi-Surgery Professional Billing, you will play a critical role in ensuring the integrity of complex clinical documentation and coding for one of healthcare’s most specialized service lines. This fully remote opportunity is ideal for an experienced coding professional with advanced Multi-Surgery expertise who enjoys complex case review, problem‑solving, and maintaining the highest standards of coding quality. You'll work independently while partnering with providers and colleagues to support compliant, accurate reimbursement and operational excellence across a nationally recognized health system. UVA Health is recognized for excellence in patient care, innovation, education, and research; its coding professionals are essential partners in supporting accurate clinical representation and the success of one of the nation’s leading academic health systems. The role offers a fully remote work environment, the chance to support a highly specialized Multi‑Surgery practice, exposure to complex cases that continuously expand expertise, and a culture that values professional growth, continuous learning, and collaboration.

Responsibilities

  • Independently review, code, validate, and audit complex Neurosurgery surgical procedures, office‑based procedures, inpatient encounters, and Evaluation & Management (E/M) services.
  • Analyze provider documentation to ensure complete and compliant code assignment utilizing CPT, ICD‑10‑CM, modifier usage, and payer‑specific guidelines.
  • Apply advanced knowledge of Neurosurgery operative services, diagnostic procedures, therapeutic interventions, and associated E/M services.
  • Evaluate diagnosis specificity, laterality, anatomical detail, medical necessity requirements, and documentation sufficiency.
  • Review and resolve coding edits, charge review issues, and work queue assignments utilizing Epic and EncoderPro.
  • Interpret and apply National Correct Coding Initiative (NCCI) edits, global surgical package rules, LCD/NCD guidance, and payer billing requirements.
  • Identify documentation gaps, coding vulnerabilities, and compliance risks while determining when provider clarification or compliant queries are appropriate.
  • Support coding quality initiatives through research, education, and application of evolving coding and reimbursement guidance.
  • Collaborate with providers, revenue cycle professionals, and coding colleagues to promote accurate reimbursement and regulatory compliance.

Requirements

  • Education: High School Diploma or GED required.
  • Experience: 5+ years of relevant coding experience required; Multi‑Surgical experience preferred.
  • Licensure: Certified Professional Coder (CPC) required.
  • Physical Demands: Primarily sedentary work involving extensive use of desktop computers; occasional travel may be required to attend meetings or programs.

Skills

  • Advanced Multi‑Surgery expertise.
  • Deep understanding of CPT, ICD‑10‑CM coding, modifier usage, and payer‑specific guidelines.
  • Advanced knowledge of Neurosurgery operative services, diagnostic procedures, therapeutic interventions, and associated E/M services.
  • Ability to evaluate diagnosis specificity, laterality, anatomical detail, medical necessity, and documentation sufficiency.
  • Proficiency with Epic and EncoderPro for reviewing coding edits, charge review issues, and work queue assignments.
  • Ability to interpret and apply NCCI edits, global surgical package rules, LCD/NCD guidance, and payer billing requirements.
  • Skill in identifying documentation gaps, coding vulnerabilities, and compliance risks, and determining appropriate provider queries.
  • Experience supporting coding quality

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