Coding Quality Specialist 3 - PM&R Coder
- Employer
- University of Virginia
- Location
- Charlottesville, Virginia, United States of America
View more categoriesView less categories
- Employment Type
- Full Time
- Institution Type
- Four-Year Institution
Job Details
Accurate documentation and coding are essential to delivering high-quality patient care, supporting compliance, and ensuring the financial health of a leading academic medical center. This role offers an opportunity to make a meaningful impact by serving as a trusted coding quality resource for a highly specialized Physical Medicine & Rehabilitation practice.
As a Coding Quality Specialist 3 supporting PM&R Musculoskeletal services, you will leverage your expertise in coding, auditing, and clinical documentation review to ensure accurate capture of complex services. This position will focus primarily on Encompass Hospital Rehabilitation coding. An additional focus will involve Wound Care coding. This fully remote position is ideal for an experienced professional who enjoys analytical work, collaboration with providers, and driving excellence in coding quality and compliance. The RoleIn this role, you will work independently to review complex clinical documentation, validate coding accuracy, identify opportunities for improvement, and support provider education within a fast-paced PM&R environment. Your expertise will directly influence documentation integrity, revenue cycle performance, compliance, and overall quality outcomes. Key responsibilities include:
- Perform detailed coding quality reviews and audits for PM&R Musculoskeletal services (along with additional services to include Encompass Hospital Rehabilitation- and Wound Care coding.
- Apply expert knowledge of CPT, ICD-10-CM, modifier usage, NCCI edits, medical necessity requirements, and payer-specific guidelines.
- Review and validate Evaluation & Management (E/M) services and complex procedural documentation.
- Accurately assign and validate codes for:
- Musculoskeletal services
- Pain management procedures
- Injections and aspirations
- Trigger point injections
- Botulinum toxin procedures
- EMG/NCS services
- Epidural and facet procedures
- Other interventional pain management services
- Ensure appropriate linkage of diagnoses to procedures and support diagnosis specificity requirements.
- Identify documentation inconsistencies, omissions, and opportunities for provider clarification.
- Determine when provider queries are warranted and facilitate clear, compliant communication.
- Partner with coding, compliance, operational, and clinical teams to promote coding accuracy and quality improvement.
- Serve as a subject matter resource for PM&R coding practices and documentation standards.
At UVA Health, your work supports one of the nation's premier academic health systems. As part of an organization dedicated to transforming health and advancing medicine, you will help ensure the integrity and accuracy of the clinical record while supporting exceptional patient care across Virginia and beyond. What makes this opportunity stand out:
- Fully remote position, providing flexibility while remaining connected to a nationally recognized health system.
- Academic medicine environment where innovation, education, research, and clinical excellence come together.
- Opportunity to work with highly specialized PM&R, Musculoskeletal, and pain management providers across a complex patient population.
- Meaningful impact on compliance, quality, and revenue integrity through specialized coding expertise.
- Part of a health system that includes a nationally recognized academic medical center, Level I Trauma Center, comprehensive specialty programs, and a strong commitment to advancing healthcare.
- Collaborative culture that values professional expertise, continuous improvement, and knowledge sharing.
- Stability and career growth within a respected organization committed to being a leading public academic health system and a best place to work.
Nestled in the foothills of the Blue Ridge Mountains, Charlottesville offers a unique combination of natural beauty, cultural richness, and exceptional quality of life. Residents enjoy easy access to hiking, cycling, wineries, acclaimed restaurants, live music, and a vibrant arts scene, all within a welcoming community atmosphere. The area is known for its strong educational resources, family-friendly environment, and balance between professional opportunity and personal well-being. While this position is fully remote, Charlottesville reflects the innovative, collaborative, and people-focused culture that defines UVA Health.
MINIMUM REQUIREMENTS:
Education: High School Diploma or GED required.
Experience: 5+ years of relevant coding experience required. Experience with Hospital Rehabilitation and Wound Care coding preferred.
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.
The pay range for this role is $26.00 - $45.68 hourly. Individual compensation will be determined by the selected candidate's qualifications, previous work experience, and/or 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
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.
Organization
In 1819, the University of Virginia established a new model for intellectual exchange and cross-disciplinary collaboration in higher education. Two hundred years later, as a major research institution, we continue to challenge conventions, lead with ingenuity and advance knowledge for the common good.
What began as an innovative idea has become one of the nation’s leading public research universities, with over 21,000 undergraduate, graduate and professional students. UVA also has over 3,000 full-time faculty offering more than 400 degrees.
Each of the University’s eleven schools has its own distinctive mission, working together to garner consistently high rankings—including #2 Best Value Public College (Princeton Review, 2016), #3 Public University in the Nation (U.S. News & World Report, 2016), and #3 Best Value Among Public Colleges (Kiplinger’s, 2016).
As we invest in and strengthen our research capabilities, UVA seeks new faculty ready to uncover new insights, rewrite old rules and collaborate on intellectual discoveries.
RESEARCH COLLABORATIONS THAT CROSS DISCIPLINES
As an R1 institution, the University’s research centers, consortia and laboratories are on the leading edge of discovery and technology, offering collaborative spaces for students and faculty to solve global problems.
Our professors are recognized members of major national scholarly and professional organizations, including the National Academy of Sciences and the American Academy of Arts and Sciences. Our faculty’s engagement in interdisciplinary research is being facilitated by new research institutes specializing in everything from big data to brain functioning, and by cluster hires across schools.
NATIONALLY RANKED HEALTH SYSTEM
UVA is also home to a nationally renowned academic medical center and the UVA Health System, which serves a three-part mission to treat patients, conduct translational research and train medical practitioners in a wide variety of disciplines.
Established as the nation’s 10th medical school in 1825, the institution has since grown to include a 612-bed hospital and a Level I trauma center, nationally recognized cancer and heart centers, a Children’s Hospital, and primary and specialty clinics throughout Central Virginia.
The UVA Medical Center is consistently ranked among the nation’s best hospitals by the U.S. News & World Report magazine and has been named among the top 25 percent in seven specialties.
INSPIRING STUDENTS, INSPIRED TEACHING
The vast majority of UVA students come from the top 10% of their high school class, as well as from all 50 states, over 142 countries and a variety of socioeconomic backgrounds. Despite their diversity, all UVA students share a love of learning and a drive to achieve.
One of the reasons students choose Virginia is our unique residential culture. At UVA, the community of students, faculty and staff personifies the Jeffersonian idea that living and learning are connected. The Academical Village was constructed to support a unique residential experience, with faculty living in the Pavilions, students occupying Lawn rooms and the world-famous Rotunda at its heart. The University’s residential culture continues to support this experience today—strengthened by students, faculty and staff rich in backgrounds, ideas and perspectives. Our unique culture is also paying dividends in innovation: UVA’s faculty have generated more than 130 patents since 2010.
Perhaps most importantly, faculty come to UVA knowing that instruction is as important as research, and they pride themselves on their many teaching awards. Our best professors look for ways to encourage, mentor and develop tomorrow’s leaders inside and outside the classroom.
LIFE IN CHARLOTTESVILLE
Living in Charlottesville you’ll find sophisticated restaurants, world-renowned wineries and breweries, cosmopolitan arts and music, friendly urban and suburban neighborhoods and a Piedmont landscape that has lured adventurous souls for centuries. No wonder the U.S. National Bureau of Economic Research named Charlottesville the “happiest city in America” in 2014.
In addition to UVA and its health system, several major employers have facilities in Charlottesville, including State Farm, Northrop Grumman, the U.S. Department of Defense, GE and others. Charlottesville is also becoming a center for innovative start-up businesses. The University also actively helps spouses and partners of faculty members build their networks and pursue employment opportunities with a wide variety of area employers.
The University of Virginia is an Equal Opportunity Employer. All interested persons are encouraged to apply including veterans and individuals with disabilities.
- Telephone
- 434-985-4532
- Location
-
2420 Old Ivy
Charlottesvle
Virginia
22911-7433
United States
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