Virginia Licensed Coding Specialist

To support the integrity of Anatomic Pathology coding practices, the fully remote Virginia Licensed Coding Specialist will leverage expertise in CPT, HCPCS, and ICD-10-CM guidelines to review complex clinical documentation, promote coding accuracy, and ensure appropriate reimbursement for services. Key responsibilities Review and validate Anatomical Pathology professional fee coding while collaborating with providers and operational partners Resolve coding edits, denials, and physician documentation inquiries related to pathology services Support coding quality initiatives through charge review processes and ongoing coding validation activities Required qualifications High School Diploma or GED required 5+ years of relevant Anatomical Pathology coding experience required Certified Professional Coder (CPC) required Strong understanding of pathology documentation requirements and payer-specific billing guidelines Experience with NCCI edits and LCD/NCD policies