1

Inpatient Coding Resolution Specialist Jobs in Virginia

Showing results 41-60

Inpatient Coding Resolution Specialist information

What is an inpatient coding resolution specialist?

Inpatient Coding Resolution Specialists are healthcare professionals who review, analyze, and resolve discrepancies or issues in medical coding for inpatient hospital stays. They ensure that diagnoses, procedures, and services are accurately coded according to regulatory and payer requirements, which helps maximize reimbursement and maintain compliance. These specialists often collaborate with physicians, clinical staff, and other coding professionals to clarify documentation and resolve coding denials or audits. Their expertise is crucial for the financial health of healthcare organizations and for maintaining accurate patient records.

What are the key skills and qualifications needed to thrive as an inpatient coding resolution specialist?

To excel as an Inpatient Coding Resolution Specialist, you need a solid understanding of medical terminology, ICD-10-CM/PCS coding systems, and healthcare reimbursement methodologies, often backed by a certification such as CCS or RHIA/RHIT. Familiarity with electronic health record (EHR) systems, coding software, and compliance tools is crucial for accurate data entry and audit processes. Strong analytical thinking, attention to detail, and effective communication skills distinguish top performers in this role. These skills are vital to ensure coding accuracy, regulatory compliance, and optimal reimbursement for healthcare organizations.

What are some common challenges faced by inpatient coding resolution specialists, and how are they typically addressed?

Inpatient Coding Resolution Specialists often encounter challenges such as interpreting complex medical records, keeping up with frequent coding updates, and resolving discrepancies between clinical documentation and coding guidelines. To address these, specialists regularly collaborate with physicians and clinical staff to clarify documentation, participate in ongoing training to stay current with coding standards (like ICD-10 and DRG classifications), and utilize coding software to ensure accuracy. Effective communication and strong attention to detail are essential for successfully navigating these challenges within a hospital or healthcare system setting.

What is the difference between Inpatient Coding Resolution Specialist vs Medical Coder?

AspectInpatient Coding Resolution SpecialistMedical Coder
CertificationsAHIMA or AAPC credentials, coding certificationsSimilar certifications, often AHIMA or AAPC
Work EnvironmentHospitals, inpatient facilities, coding departmentsClinics, outpatient facilities, various healthcare settings
Job FocusResolving inpatient coding discrepancies, ensuring accurate DRG assignmentGeneral coding tasks across inpatient and outpatient records
Employer & Industry UsageHospitals, health systems, inpatient coding teamsMedical practices, outpatient clinics, coding companies

The Inpatient Coding Resolution Specialist primarily focuses on resolving inpatient coding issues, ensuring accurate DRG assignments, and working within hospital settings. In contrast, Medical Coders handle a broader range of coding tasks across inpatient and outpatient records. Both roles require similar certifications and often work in healthcare environments that demand precise coding skills, but their specific responsibilities and work settings differ.

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

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

What cities in Virginia are hiring for Inpatient Coding Resolution Specialist jobs?

Cities in Virginia with the most Inpatient Coding Resolution Specialist job openings:

Infographic showing various Inpatient Coding Resolution Specialist job openings in Virginia as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution.

Coding Quality Specialist 3

University of Virginia

Charlottesville, VA • On-site

Full-time

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 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 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 is named by 2023-2024 U.S. News & World Report 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 .

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