ASC Coding Specialist

Ventra Health, Inc.; Chennai; On-site; INR 600,000 - 900,000; Full time

Benefits offered by this job

Performance-based incentive plan

Discretionary incentive bonus

Job summary

Ventra Health, Inc. is seeking an ASC Coding Specialist to review documentation and ensure accurate coding according to CPT and ICD-10 guidelines. You will identify and correct discrepancies, communicate documentation gaps, and support audits and training for coders in a fast-paced environment.

The role requires RHIT or CPC, 1+ year of medical billing experience, and knowledge of 2023 MDM Guidelines. Strong communication and teamwork are essential as you handle complex health information with

Qualifications

• RHIT or CPC certification is required.
• Experience with CPT/ICD-10 coding and medical billing preferred.
• Comfort with reading clinical documentation to assign codes.
• Proficiency with standard office software and billing systems.
• Knowledge of 2023 MDM Guidelines is expected.

Responsibilities

• Review medical records to identify procedures and diagnoses and ensure correct coding.
• Assign ICD-10-CM and CPT codes and modifiers according to documentation.
• Perform MIPS reviews and Provider QA as needed.
• Document coding errors and provide feedback to coders.
• Assist with client/provider audits and training of new coders.

Skills

CPT/ICD-10 knowledge

Strong communication

Reading medical documentation

Time management

Team collaboration

Outlook, Word, Excel basics

Education

High School diploma or equivalent

RHIT and/or CPC required

1 year medical billing preferred

2023 MDM Guidelines required

Tools

Billing software

Electronic Medical Records (EMR) systems

Job description

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 ASC 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 AgenciesVentra Health does not accept unsolicited agency resumes. Ventra Health is not responsible for any fees related to unsolicited resumes.Solicitation of PaymentVentra Health does not solicit payment from our applicants and candidates for consideration or placement.

Statement of AccessibilityVentra 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/.