Required Skills & Experience
Must Haves:\n•\t5+ years of medical coding experience\n•\tCoder III level experience\n•\tPathology coding experience\n•\tExperience processing both PB and HB charges\n•\tEpic experience required\n•\tStrong knowledge of CPT, ICD-10, HCPCS, and pathology coding guidelines\n•\tExperience coding anatomic pathology specimens\n• \tIf their resume states "labs" that is not the same thing. Coding experience would include surgical specimens such as Bone Marrows, hysterectomies, organ resections\nCpc
Job Description
The Pathology Coder III is responsible for reviewing pathology documentation and assigning accurate ICD-10, CPT, and HCPCS codes for pathology and laboratory services. This individual will support both professional and hospital billing functions by ensuring coding accuracy, compliance, and appropriate charge capture. The ideal candidate has extensive pathology coding experience and a strong understanding of coding regulations, reimbursement methodologies, and documentation requirements.\n \n \n**Note:\nUVA Health is seeking an experienced Pathology Coder III to support newly acquired GI clinics that are currently operating within a manual coding workflow environment. This individual will work closely with pathology-related services while supporting both professional and hospital billing functions. The clinics are expected to transition fully to Epic within the next six months, making this a unique opportunity to participate in a system transformation initiative.\n \n \nKey Responsibilities:\n•\tReview pathology reports, laboratory records, and supporting clinical documentation\n•\tAssign accurate ICD-10, CPT, and HCPCS codes for pathology services\n•\tProcess and reconcile both professional billing (PB) and hospital billing (HB) charges\n•\tEnsure proper charge capture and accurate reimbursement\n•\tIdentify and resolve coding edits, denials, and documentation discrepancies\n•\tMaintain compliance with payer requirements and coding regulations\n•\tMeet established productivity and quality standards\n•\tCollaborate with providers, pathology teams, auditors, and revenue cycle stakeholders\n•\tUtilize Epic and coding tools to support daily workflow and charge processing