1

Coding Integrity Specialist Jobs in Virginia (NOW HIRING)

Coding Payment Resolution Spec

Richmond, VA · On-site

$18.50 - $23.75/hr

Coding Payment Resolution Specialist Responsible for reviewing all post-billed denials (inclusive ... Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring ...

Showing results 41-60

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 cities in Virginia are hiring for Coding Integrity Specialist jobs?

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

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.

Coding Quality Specialist 3

University of Virginia

Charlottesville, VA • On-site

Other

Medical, Dental, Vision, Retirement, PTO

Posted 18 days ago


University Of Virginia rating

7.9

Company rating: 7.9 out of 10

Based on 35 frontline employees who took The Breakroom Quiz

208th of 619 rated colleges and universities


Job description

If you are an experienced Inpatient Professional Fee ( Profee ) 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 support accurate reimbursement, documentation integrity, regulatory compliance, and the financial health of one of the nation's leading academic health systems.

As a Coding Quality Specialist 3, you will work with highly specialized inpatient physician services across multiple medical and surgical specialties while collaborating with providers and operational teams to ensure coding excellence. This remote opportunity is ideal for coding professionals who enjoy challenging cases, continuous learning, and working at the top of their profession.

The Role

In this highly specialized coding role, you will perform professional fee coding and quality review functions for complex inpatient services provided within an academic teaching hospital environment. You will leverage your deep knowledge of CPT, ICD coding, documentation standards, and compliance requirements to help ensure accurate code assignment and optimal revenue cycle performance.

A typical day may include:

  • Reviewing and coding inpatient physician services including admissions, consultations, critical care services, and bedside procedures.

  • Applying accurate CPT and ICD code selection while maintaining compliance with current coding guidelines and payer requirements.

  • Identifying documentation opportunities and collaborating with providers to support coding accuracy and specificity.

  • Supporting quality initiatives through coding audits, education, and coding compliance activities.

  • Interpreting and applying guidelines related to:

  • Modifiers

  • NCCI edits

  • Split/shared services

  • Resident billing

  • APP billing

  • Diagnostic specificity requirements

  • Maintaining consistent productivity and accuracy standards while managing complex inpatient encounters.

  • Working with multidisciplinary physician groups across specialties such as Internal Medicine, Hospital Medicine, Cardiology, Gastroenterology, Endocrinology, Pulmonology, Neurology, Hematology & Oncology, Infectious Disease, Rheumatology, and Pediatrics.

  • Coding highly specialized inpatient encounters involving critical care and advanced academic medicine services.

Ideal candidates bring significant experience in a teaching hospital setting and may have exposure to specialty units such as:

  • Cardiothoracic ICU

  • Trauma ICU

  • Surgical ICU

  • Neurosurgical ICU

  • Medical ICU

  • Neonatal & Pediatric ICU

  • Oncology and Transplant Programs

CPC certification and at least five years of inpatient Profee coding experience are strongly desired for success in this role.

Why UVA Health

UVA Health is an integrated academic health system recognized for advancing patient care, research, education, and innovation. As a Coding Quality Specialist 3, your work directly supports providers caring for some of the most complex patient populations in the region.

What makes this opportunity stand out:

  • Remote work opportunity , allowing experienced coding professionals greater flexibility while remaining connected to a nationally recognized academic health system.

  • Work alongside physicians and clinical teams practicing in a world-class academic medical center .

  • Support coding for high-acuity and highly specialized inpatient services that challenge and expand your expertise.

  • Be part of a health system that includes a Level I Trauma Center , Level IV NICU , nationally recognized pediatric services, and a comprehensive network of specialty care programs.

  • Collaborate within an environment known for innovation, education, continuous improvement, and clinical excellence.

  • Gain exposure to complex teaching physician documentation, resident involvement, advanced specialty services, and evolving coding regulations.

  • Join an organization committed to advancing healthcare while investing in professional growth and lifelong learning.

This role is particularly appealing for coders who enjoy navigating complex documentation, staying current with regulatory changes, and serving as a trusted resource for coding quality and compliance.

Why People Love Living in Charlottesville

Nestled in the foothills of the Blue Ridge Mountains, Charlottesville offers an exceptional quality of life with a blend of outdoor adventure, cultural vibrancy, and small-city charm. Residents enjoy award-winning wineries, a thriving food scene, historic attractions, live music, and abundant hiking and recreation opportunities. The area is known for its welcoming community, excellent schools, and balance between career growth and personal well-being. While this position can be performed remotely, Charlottesville remains one of the most desirable places in the country for healthcare professionals seeking both professional fulfillment and an outstanding lifestyle.

MINIMUM REQUIREMENTS:

Education: High School Diploma or GED required.

Experience: 5+ years of relevant coding experience required.

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 - $40.57 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

  • Paid Time Off, Long-term and Short-term Disability, Retirement Savings

  • Health Saving Plans, and Flexible Spending Accounts

  • Certification and education support

  • Generous Paid Time Off

UVA Health (https://jobs.virginia.edu/why-uva-health) is a world-class Magnet Recognized academic medical center and health system with a level 1 trauma center. 2023-2024 U.S. News & World Report "Best Hospitals" guide (https://health.usnews.com/best-hospitals/area/va/university-of-virginia-medical-center-6344000) rates UVA Health University Medical Center as "High Performing" in 5 adult specialties and 14 conditions/procedures. We are one of 70 National Cancer Institute designated cancer centers. UVA Health Children's (https://jobs.virginia.edu/uva-childrens) is named by 2023-2024 U.S. News & World Report (https://health.usnews.com/best-hospitals/area/va/university-of-virginia-childrens-hospital-PA6344000) as the best children's hospital in Virginia with 9 specialties ranked among the best in the nation. Our footprint also encompasses 3 community hospitals and an integrated network of primary and specialty care clinics throughout Charlottesville, Culpeper, Northern Virginia, and beyond.

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 (https://eocr.virginia.edu/notice-non-discrimination-and-equal-opportunity) .


What University Of Virginia employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom


University of Virginia logo

About University of Virginia

Sourced by ZipRecruiter

The University of Virginia is distinctive among institutions of higher education. Founded by Thomas Jefferson in 1819, the University sustains the ideal of developing, through education, leaders who are well-prepared to shape the future of the nation.

Industry

Colleges, universities, and professional schools

Company size

10,000+ Employees

Headquarters location

Charlottesville, VA, US

Year founded

1819