Medical Coder

Pathology Coder IIIRequired Skills & Experience Must Haves:5+ years of medical coding experienceCoder III level experiencePathology coding experienceExperience processing both PB and HB chargesEpic experience requiredStrong knowledge of CPT, ICD-10, HCPCS, and pathology coding guidelinesExperience coding anatomic pathology specimensCoding experience would include surgical specimens such as Bone Marrows, hysterectomies, organ resectionsJob 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.Note: UVA 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.Key Responsibilities:Review pathology reports, laboratory records, and supporting clinical documentationAssign accurate ICD-10, CPT, and HCPCS codes for pathology servicesProcess and reconcile both professional billing (PB) and hospital billing (HB) chargesEnsure proper charge capture and accurate reimbursementIdentify and resolve coding edits, denials, and documentation discrepanciesMaintain compliance with payer requirements and coding regulationsMeet established productivity and quality standardsCollaborate with providers, pathology teams, auditors, and revenue cycle stakeholdersUtilize Epic and coding tools to support daily workflow and charge processing