Pathology Coder

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.

**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 documentation
• Assign accurate ICD-10, CPT, and HCPCS codes for pathology services
• Process and reconcile both professional billing (PB) and hospital billing (HB) charges
• Ensure proper charge capture and accurate reimbursement
• Identify and resolve coding edits, denials, and documentation discrepancies
• Maintain compliance with payer requirements and coding regulations
• Meet established productivity and quality standards
• Collaborate with providers, pathology teams, auditors, and revenue cycle stakeholders
• Utilize Epic and coding tools to support daily workflow and charge processing

Skills and Requirements

Must Haves:

• 5+ years of medical coding experience
• Coder III level experience
• Pathology coding experience
• Experience processing both PB and HB charges
• Epic experience required
• Strong knowledge of CPT, ICD-10, HCPCS, and pathology coding guidelines
• Experience coding anatomic pathology specimens  If their resume states "labs" that is not the same thing. Coding experience would include surgical specimens such as Bone Marrows, hysterectomies, organ resections Cpc

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal employment opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment without regard to race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or the recruiting process, please send a request to [email protected].