Coding Quality Specialist 3-Cardiology

UVA Health•Charlottesville, VA

2d•$26 - $41•Remote

About The Position

If you are an experienced medical coder who thrives in a complex academic medicine environment, this is an opportunity to make a meaningful impact behind the scenes of world-class patient care. Your expertise will help support accurate reimbursement, documentation integrity, regulatory compliance, and the financial health of a nationally recognized academic health system. As a Coding Quality Specialist 3, you will leverage advanced coding expertise in cardiology services, cardiac, thoracic and vascular surgical procedures, catheter-based procedures, diagnostic testing, and evaluation & management services. This remote role offers the opportunity to work with highly specialized physician services while partnering with providers and operational teams to ensure coding accuracy, compliance, and excellence across the revenue cycle. In this highly specialized coding position, you will perform professional fee coding and quality review functions for complex physician services within an academic medical center. Working with a high degree of independence, you will analyze documentation, apply coding regulations, and serve as a trusted resource for coding quality and compliance. A typical day may include: Reviewing and coding inpatient and specialty physician services across cardiology and related procedural areas. Assigning accurate CPT, ICD-10-CM, and modifier coding while maintaining compliance with payer and regulatory requirements. Coding complex cardiac, thoracic, vascular, and catheter-based procedures, diagnostic testing, and associated E/M services. Identifying documentation improvement opportunities and collaborating with providers to support coding specificity and accuracy. Performing coding quality reviews, audits, and educational activities to improve coding performance. Interpreting and applying coding guidelines related to: NCCI edits Modifiers Split/shared services Resident teaching physician documentation APP billing requirements Medical necessity and diagnostic specificity Assisting and mentoring lower-level coding staff while serving as a subject matter resource. Managing complex coding scenarios that require analysis, critical thinking, and independent problem-solving. Supporting compliance initiatives, documentation integrity efforts, and revenue cycle optimization. This role is especially appealing for coding professionals who enjoy complex cases, continuous learning, regulatory interpretation, and collaboration with highly specialized clinical teams.

Requirements

High School Diploma or GED required.
5+ years of relevant coding experience required.
Certified Professional Coder (CPC) required.

Nice To Haves

Cardiac, Thoracic, and Vascular Surgery E&M and procedure experience preferred.

Responsibilities

Reviewing and coding inpatient and specialty physician services across cardiology and related procedural areas.
Assigning accurate CPT, ICD-10-CM, and modifier coding while maintaining compliance with payer and regulatory requirements.
Coding complex cardiac, thoracic, vascular, and catheter-based procedures, diagnostic testing, and associated E/M services.
Identifying documentation improvement opportunities and collaborating with providers to support coding specificity and accuracy.
Performing coding quality reviews, audits, and educational activities to improve coding performance.
Interpreting and applying coding guidelines related to NCCI edits, Modifiers, Split/shared services, Resident teaching physician documentation, APP billing requirements, and Medical necessity and diagnostic specificity.
Assisting and mentoring lower-level coding staff while serving as a subject matter resource.
Managing complex coding scenarios that require analysis, critical thinking, and independent problem-solving.
Supporting compliance initiatives, documentation integrity efforts, and revenue cycle optimization.