Coding Quality Specialist 2 - OB/GYN

University of Virginia•Charlottesville, VA

6d•$23 - $41•Remote

About The Position

As a Coding Quality Specialist 2 supporting OB/GYN services, you will use professional fee coding and documentation review expertise to ensure accurate coding, documentation quality, reimbursement integrity, and regulatory compliance. You will support providers across a variety of clinical services and help them navigate coding and billing requirements. This is a remote role within UVA Health, an academic health system, supporting Obstetrics and Gynecology services. The position involves reviewing and assigning ICD-10-CM and CPT codes for provider services, procedures, and diagnostic testing; analyzing clinical documentation; identifying deficiencies and determining when provider queries are appropriate; applying modifiers and evaluating NCCI edits; and working with payer-specific billing requirements. You will collaborate with physicians, clinical staff, and revenue cycle teams on coding education and best practices, monitor coding quality trends, and contribute to process improvement. The role uses electronic health record systems, with Epic preferred, and requires productivity alongside accuracy and attention to detail in a fast-paced environment.

Requirements

High school diploma or GED required.
At least 2 years of relevant coding experience required.
Certified Professional Coder (CPC) certification required.
Professional fee coding, documentation review, and coding compliance expertise.
Ability to apply ICD-10-CM and CPT coding, modifiers, NCCI edits, and payer-specific billing requirements.

Nice To Haves

Experience with Epic electronic health record systems is preferred.

Responsibilities

Review and assign accurate ICD-10-CM and CPT codes for provider services, procedures, and diagnostic testing.
Analyze clinical documentation to ensure coding accuracy and compliance with established guidelines.
Identify documentation deficiencies and determine when provider clarification or queries are appropriate.
Apply coding modifiers, evaluate National Correct Coding Initiative (NCCI) edits, and navigate payer-specific billing requirements.
Partner with physicians, clinical staff, and revenue cycle teams to support coding education and best practices.
Monitor coding quality trends and contribute to process improvement efforts.
Use electronic health record systems to review encounters and supporting documentation.
Maintain productivity while delivering accuracy and attention to detail.