Virginia Licensed Coding Quality Specialist

Job Summary

To support accurate reimbursement and documentation integrity, the remote Virginia Licensed Coding Quality Specialist will perform professional fee coding and quality reviews for complex inpatient services while collaborating with providers and operational teams in a leading academic health system.

Key responsibilities

• Review and code inpatient physician services, ensuring compliance with current coding guidelines
• Identify documentation opportunities and collaborate with providers to enhance coding accuracy
• Support quality initiatives through coding audits, education, and compliance activities

Required qualifications

• High School Diploma or GED required
• Certified Professional Coder (CPC) certification required
• At least five years of inpatient Profee coding experience
• Experience in a teaching hospital setting preferred
• Knowledge of CPT, ICD coding, and compliance requirements