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Coding Specialist
About the role
Ventra Health is a revenue cycle management solutions provider for facility-based physicians in anesthesia, emergency medicine, hospital medicine, pathology, and radiology. The Coding Specialist reviews medical record documentation to assign accurate ICD-10-CM and CPT codes and modifiers, ensures compliance with current coding guidelines, and communicates documentation deficiencies. This on-site role is based in Coimbatore and requires a High School diploma or equivalent plus RHIT and/or CPC certification.
What you’ll do
- Performs ongoing analysis of medical record documentation and codes assigned per CMS, CPT, and Ventra Health documentation guidelines
- Assign appropriate ICD-10-CM and CPT codes and modifiers according to documentation
- Perform MIPS review as needed
- Perform Provider QA as needed
- Document coding errors
- Assist with client/provider audits as needed
- Assist with reviewing work product of new coders in training, as needed
- Provides feedback to coders on coding discrepancies/deficiencies, as needed
What you’ll bring
- High School diploma or equivalent
- RHIT and/or CPC certification required
- 2023 MDM Guidelines required
- In-depth knowledge of CPT/ICD-10 coding system
- Knowledge of medical terminology and anatomy
- Understand the use and function of modifiers in CPT
- Ability to read and interpret documentation and assign appropriate codes for diagnosis and procedures
- Maintain confidentiality for all personal, financial, and medical information per HIPAA guidelines and Ventra Health policy
Nice to have
At least one (1) year of medical billing preferred
Skills
Benefits
- Eligible for Ventra performance-based incentive plan
- Referral bonus for referring a friend
- Discretionary incentive bonus in accordance with company policies
Education
High School diploma or equivalent.