Coding Specialist

About Us Ventra is a leading business solutions provider for facility-based physicians practicing anesthesia emergency medicine hospital medicine pathology and radiology Focused on Revenue Cycle Management Ventra partners with private practices hospitals health systems and ambulatory surgery centers to deliver transparent and data-driven solutions that solve the most complex revenue and reimbursement issues enabling clinicians to focus on providing outstanding care to their patients and communities Come Join Our Team As part of our robust Rewards Recognition program this role is eligible for our Ventra performance-based incentive plan because we believe great work deserves great rewards Help Us Grow Our Dream Team Join Us Refer a Friend and Earn a Referral Bonus Job Summary The Coding Specialist is responsible for reviewing documents to identify all procedures and diagnosis The Coding Specialist must ensure the encounters have been coded correctly based on documents received The Coding Specialist must ensure encounters are coded 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 Education and Experience Requirements 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 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 Ventra Health Equal Employment Opportunity Applicable only in the US 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 We will provide reasonable accommodations to qualified individuals with disabilities as needed to assist them in performing essential job functions Recruitment Agencies Ventra Health does not accept unsolicited agency resumes Ventra Health is not responsible for any fees related to unsolicited resumes Solicitation of Payment Ventra Health does not solicit payment from our applicants and candidates for consideration or placement Attention Candidates Please be aware that there have been reports of individuals falsely claiming to represent Ventra Health or one of our affiliated entities Ventra Health Private Limited and Ventra Health Global Services These scammers may attempt to conduct fake interviews solicit personal information and in some cases have sent fraudulent offer letters To protect yourself verify any communication you receive by contacting us directly through our official channels If you have any doubts please contact us at Careers VentraHealth com to confirm the legitimacy of the offer and the person who contacted you All legitimate roles are posted on https ventrahealth com careers 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 Please review at https ventrahealth com statement-of-accessibility