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Coding Integrity Specialist Jobs in Virginia (NOW HIRING)

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Coding Integrity Specialist information

What is a coding integrity specialist?

Coding Integrity Specialists are professionals who ensure the accuracy and compliance of medical coding within healthcare organizations. They review clinical documentation and coding processes to make sure that diagnoses, procedures, and services are coded correctly according to regulatory requirements and industry standards. Their work helps organizations receive appropriate reimbursement, avoid coding errors, and maintain compliance with healthcare laws. Coding Integrity Specialists often collaborate with medical coders, auditors, and healthcare providers to resolve discrepancies and provide education on best practices.

How does a coding integrity specialist typically collaborate with clinical staff and other departments?

Coding Integrity Specialists frequently work closely with clinical staff, billing teams, and compliance departments to ensure accurate medical coding and adherence to regulatory guidelines. They often clarify documentation with healthcare providers, participate in cross-departmental meetings, and provide education on coding best practices. This collaborative approach helps reduce errors, prevent claim denials, and maintain high standards for data integrity across the organization.

What are the key skills and qualifications needed to thrive as a coding integrity specialist, and why are they important?

To thrive as a Coding Integrity Specialist, you need comprehensive knowledge of medical coding systems (such as ICD-10, CPT, and HCPCS), healthcare regulations, and typically a certification like CCS or CPC. Proficiency with coding auditing software, electronic health record (EHR) systems, and compliance tools is essential. Attention to detail, analytical thinking, and strong communication skills are crucial soft skills for ensuring accuracy and collaborating with healthcare teams. These skills ensure accurate coding, regulatory compliance, and optimized reimbursement for healthcare organizations.

What is the difference between Coding Integrity Specialist vs Medical Coder?

AspectCoding Integrity SpecialistMedical Coder
CertificationsAHIMA or AAPC coding credentials, compliance trainingAHIMA or AAPC coding credentials, certification often preferred
Work EnvironmentHealthcare organizations, compliance departmentsHospitals, clinics, billing companies
Job FocusEnsuring coding accuracy, compliance, auditingAssigning medical codes for billing and documentation

The Coding Integrity Specialist and Medical Coder roles both require coding certifications and work within healthcare settings. However, the Coding Integrity Specialist primarily focuses on auditing, compliance, and maintaining coding accuracy, while Medical Coders are responsible for assigning codes for billing purposes. The Specialist role emphasizes oversight and integrity, whereas the Coder role centers on code assignment.

What are popular job titles related to Coding Integrity Specialist jobs in Virginia?

For Coding Integrity Specialist jobs in Virginia, the most frequently searched job titles are:

What job categories do people searching Coding Integrity Specialist jobs in Virginia look for?

The top searched job categories for Coding Integrity Specialist jobs in Virginia are:

What cities in Virginia are hiring for Coding Integrity Specialist jobs?

Cities in Virginia with the most Coding Integrity Specialist job openings:

Coding Integrity Specialist jobs near you
Infographic showing various Coding Integrity Specialist job openings in Virginia as of June 2026, with employment types broken down into 100% Full Time. Highlights an 67% In-person, and 33% Remote job distribution.

Senior Inpatient Coder-REMOTE- Full time, Days

Centra Health

Lynchburg, VA • Remote

$34.59 - $50.15/hr

Full-time

Re-posted 2 days ago

Centra Health rating

6.6

Company rating: 6.6 out of 10

Based on 121 frontline employees who took The Breakroom Quiz

568th of 888 rated healthcare providers

Job description

The Hospital Inpatient Coding Specialist reviews inpatient medical records and assigns International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10 CM) diagnosis and International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) procedure codes that derives an All Patient Refined Diagnosis Related Group (APR-DRG) or Medical Severity Diagnosis Related Group (MS-DRG) for optimal reimbursement.  The Hospital Inpatient Coding Specialist will work in collaboration with the Clinical Documentation Integrity Specialist at times to ensure accuracy consistent with Centra's coding policies.  The Hospital Inpatient Coding Specialist will abstract pertinent information according to established guidelines for the organization and will formulate provider queries to clarify information.

Required Qualifications:

High School Diploma or equivalent

One or more of the following certifications required: RHIA, RHIT, CCS or CCA

Minimum of 2 years acute care inpatient coding experience required.

Experience in coding across multiple specialties within a hospital coding environment and remote coding experience preferred.

Demonstrated proficiency in ICD-10-CM and ICD-10-PCS by passing coding competency assessment administered before hire.

Demonstrated proficiency in medical terminology, anatomy and physiology, and disease process by passing coding competency assessment administered before hire.

Good working knowledge of Inpatient Prospective Payment System (RPPS), Diagnosis Related Group (DRG) methodologies, Severity of Illness (SOI), and Risk of Mortality (ROM) 

Preferred Qualifications:

Bachelor's degree- Healthcare

Travel Required 

Travel is expected to be between 0%-10% of the time 

Salary Range: $34.59-$50.15/hr

Assigns diagnosis and procedure codes.

Verifies accuracy of DRG

Accurately abstracts required information.

Initiates provider coding queries in compliance with coding guidelines and policies where appropriate.

Meets productivity standard of 2 charts per hour or higher.

Meets coding accuracy of 95% or higher.

Verifies and assigns discharge status codes.

Ensures presence of a completed Medicaid certification prior to finalizing coding.

Appropriately assigns the Hospital Acquired condition (HAC) and Present on Admission (POA) indicator for each diagnosis.

Communicate with Clinical Documentation Integrity (CDI) Specialist via email, phone, or other methods regarding accounts.

Participates in team, organization and educational meetings.

Maintains and continually enhances coding competency, through participation in educational programs, reading official coding publications such as the American Hospital Association's (AHA) Coding Clinic for ICD-10-CM/PCS, AHA Coding Clinic for HCPCS, AMA CPT Assistant) to stay abreast of changes in codes, coding guidelines, regulatory and other requirements.

Maintains coding credential(s) by completing continuing education requirements of credits per year.

Assist in achieving department goals of Accounts Receivable days in regard to Discharged Not Final Billed (DNFB)

Other Functions:

Observes confidentiality and safeguards all patient related information.

Remote home office skills including PC use and maintenance, knowledge of Microsoft Office products including Excel and Outlook. 

Communicates in a positive and professional manner with patients, providers, and staff. 

Demonstrates ability to work independently.

Demonstrates ability to adjust to changes in workflow.

Thoroughness and attention to detail

Performs other duties as assigned.

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