Coding Quality Assurance Specialist

Ventra Health; Chennai District; On-site; INR 420,000 - 650,000; Full time

Benefits offered by this job

Performance-based incentive plan

Rewards & Recognition program

Job summary

Ventra Health is seeking a Coding Quality Assurance Specialist to determine appropriate CPT and ICD-10 codes based on providers’ documentation for billing accuracy.

The role demands strong knowledge of medical terminology, documentation standards, and data analysis, with emphasis on collaboration in a fast-paced, goal-driven environment.

Qualifications

• High School Diploma or Equivalent.
• Four (4) years of Emergency Department (ED) and Hospitalist Medicine coding experience.
• Certified Professional Coder (CPC), or equivalent, preferred.

Responsibilities

• Assigns appropriate billing codes to patient accounts. Performs ongoing analysis of medical record documentation for completeness.
• Provides feedback to Coders on coding discrepancies.
• Provides feedback to Coding Supervisor on documentation deficiencies.
• Performs special projects and other duties as assigned.

Skills

Medical coding

CPT coding

ICD-10 coding

ED coding

Communication skills

Data analysis

Team collaboration

Education

High School Diploma or Equivalent

4 years ED/hospitalist coding experience

Certified Professional Coder (CPC) or equivalent preferred

Tools

Medical terminology knowledge

Documentation knowledge

Database software skills

Job description

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.

Job Summary

• The Coding Quality Assurance (QA) Specialist is primarily responsible for determining the appropriate CPT and ICD-10 codes to be applied to patient accounts for billing purposes based on providers’ documentation in the patient’s medical record.

Essential Functions And Tasks

• Assigns appropriate billing codes to patient accounts. Performs ongoing analysis of medical record documentation for completeness.
• Provides feedback to Coders on coding discrepancies.
• Provides feedback to Coding Supervisor on documentation deficiencies.
• Performs special projects and other duties as assigned.

Education And Experience Requirements

• High School Diploma or Equivalent.
• Four (4) years of Emergency Department (ED) and Hospitalist Medicine coding experience.
• Certified Professional Coder (CPC), or equivalent, preferred.

Knowledge, Skills, And Abilities

• Knowledge of medical terminology and anatomy.
• Knowledge of the requirements of medical record documentation.
• Strong database software skills.
• Strong oral, written, and interpersonal communication skills.
• Strong time management skills.
• Strong organizational skills.
• 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.

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 incentiv e bon us in accordance with company policies .
• 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

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 [e-mail] 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

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