Coding Quality Specialist - Anatomical Pathology

Position: 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:*
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** Demonstrate prowess in coding pathology physician services using CPT, HCPCS, and ICD-10-CM guidelines.*
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** Display proficiency in coding and reviewing:*
* ** o Surgical pathology specimens (CPT )*
* ** o Gross and microscopic examinations*
* ** o Pathology consults on outside material (CPT )*
* ** o Intraoperative consultations/frozen sections )*
* ** o Special stains and immunohistochemistry (88312, 88313, 88341, 88342, G0461-G0462)*
* ** o Molecular pathology and pathology consultation services, as is applicable*
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** Exhibit a strong understanding of pathology documentation requirements, medical necessity, and payer-specific billing guidelines.*
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** Experience resolving coding edits, denials, charge review work queues, and physician documentation inquiries related to pathology services.*
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** Determine when provider education or compliant clarification is warranted.*
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** Apply expertise related to NCCI edits, LCD/NCD policies, and payer-specific billing requirements.*
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** Support coding quality initiatives through charge review processes, work queue management, and ongoing coding validation activities.*
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** Utilize Epic, Codify and other coding resources to research and resolve complex coding questions.*
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** 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:*
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** A fully remote opportunity that allows you to contribute to a nationally recognized health system from your home office.*
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** Academic medicine at its best, supporting providers delivering advanced Anatomical Pathology care.*
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** The ability to work alongside highly specialized clinicians and multidisciplinary teams within a complex healthcare environment.*
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** Challenging and rewarding work that requires critical thinking, independent judgment, and advanced coding expertise.*
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** Ongoing professional…