Coding Quality Specialist 3 - PB Neurosurgery

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 Neurosurgery 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 Neurosurgery 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

As a Coding Quality Specialist 3, you will serve as a subject matter expert in professional fee coding for Neurosurgery, applying advanced coding knowledge to highly complex surgical, procedural, and Evaluation & Management services. This role requires a strong understanding of clinical documentation, regulatory requirements, and payer expectations, with a focus on quality, accuracy, and compliance.

In a typical day, you will:

• 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

This position offers a rewarding balance of autonomy, technical complexity, and meaningful impact on the delivery of specialized neurosciences care.

Why UVA Health

At UVA Health, you'll contribute to a health system recognized for excellence in patient care, innovation, education, and research. Our coding professionals are essential partners in supporting accurate clinical representation and the success of one of the nation's leading academic health systems.

What makes this opportunity stand out:

• Fully remote work environment, allowing you to build a meaningful career while enjoying greater flexibility and work-life balance

• Opportunity to support a highly specialized Neurosurgery practice, working with complex cases that will continuously expand your expertise

• Be part of an organization where academic medicine, clinical excellence, and innovation drive continual advancement in patient care

• Work alongside experienced providers and revenue cycle professionals dedicated to quality, compliance, and operational excellence

• Access to a culture that values professional growth, continuous learning, and collaboration

• Contribute to the integrity of healthcare data that supports patient care, research initiatives, quality outcomes, and organizational success

• Join a health system known for investing in both its people and the future of medicine

For experienced coders seeking a role where their expertise is recognized and their work directly influences quality and compliance, this position offers both challenge and long-term career value.

Why People Love Living in Charlottesville

While this position is fully remote, UVA Health is based in Charlottesville, Virginia, a community consistently recognized for its exceptional quality of life. Nestled between the Blue Ridge Mountains and Virginia wine country, Charlottesville offers a unique blend of outdoor recreation, cultural attractions, acclaimed restaurants, historic charm, and a welcoming community atmosphere. Healthcare professionals are drawn to the area for its balance of career opportunity and lifestyle, making it a place where both individuals and families can thrive while remaining connected to one of the nation's leading academic health systems.