[Hiring] Coding Specialist @Ventra Health, Inc.

Role Description

Now Hiring: Remote Coding Specialists in South India

• 100% remote in South India – Andhra Pradesh, Tamil Nadu, Telangana, Kerala, & Karnataka
• Full-time opportunity
• Competitive salaries plus incentive in INR
• Day shift hours, 5-day (M-F) work schedule, & collaborative team culture
• Day 1 - 3 orientation onsite and equipment pickup in Chennai Service Delivery
• Day 4 training will begin remotely (WFH)
• Benefits include PF, Gratuity, ESI or Group Insurance
• Colleague Recognition Programs – Monthly VIP, Spot Recognition, & IJP Career Progression

The Coding Specialist is responsible for reviewing documents to identify all procedures and diagnoses. The Coding Specialist must ensure the encounters have been coded correctly based on documents received and using the most current coding guidelines. The Coding Specialist should be able to communicate and recognize inadequate or incorrect documentation so that all coding is completed compliantly.

Essential Functions and Tasks

• 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 coding management.
• 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.
• Provides feedback to coding manager on documentation deficiencies in a timely manner.
• Respond to questions from designated coders.
• Maintain confidentiality for all personal, financial, and medical information found in medical records per HIPAA guidelines and Ventra Health policy.

Qualifications

• High School diploma or equivalent.
• RHIT and/or CPC required.
• At least one (1) year of medical billing preferred.
• 2023 MDM Guidelines required.

Knowledge, Skills, and Abilities

• Understand the use and function of modifiers in CPT.
• In-depth knowledge of CPT/ICD-10 coding system.
• Ability to read and interpret documentation and assign appropriate codes for diagnosis and procedures.
• Ability to read, understand, and apply state/federal laws, regulations, and policies.
• Ability to remain flexible and work within a collaborative and fast-paced environment.
• Ability to communicate with diverse personalities in a tactful, mature, and professional manner.
• Knowledge of the requirements of medical record documentation.
• Knowledge of medical terminology and anatomy.
• Strong oral, written, and interpersonal communication skills.
• Strong time management and organizational skills.
• Basic use of computer, telephone, internet, copier, fax, and scanner.
• Basic knowledge of Outlook, Word, and Excel.
• Become proficient in the use of billing software within 4 weeks and maintain proficiency.
• Understand and comply with company policies and procedures.

Compensation

Base Compensation will be based on various factors unique to each candidate including geographic location, skill set, experience, qualifications, and other job-related reasons. This position is also eligible for a discretionary incentive bonus in accordance with company policies.

Equal Employment Opportunity

Ventra Health is an equal opportunity employer committed to fostering a culturally diverse organization. We strive for inclusiveness and a workplace where mutual respect is paramount. We encourage applications from a diverse pool of candidates, and all qualified applicants will receive consideration for employment without regard to race, color, ethnicity, religion, sex, age, national origin, disability, sexual orientation, gender identity and expression, or veteran status.

Statement of Accessibility

Ventra Health is committed to making our digital experiences accessible to all users, regardless of ability or assistive technology preferences. We continually work to enhance the user experience through ongoing improvements and adherence to accessibility standards.