Coding Specialist (EM& Surgery)

Ventra Health; Chennai District; On-site; INR 350,000 - 700,000; Full time

Job summary

Ventra Health is seeking a Coding Specialist in Chennai to review medical records, assign ICD-10-CM and CPT codes, and ensure compliance with current guidelines. You will monitor documentation quality, provide feedback, and support audits as part of the coding team.

The role requires RHIT or CPC certification, a High School diploma, and at least 1 year of medical billing experience, with knowledge of 2023 MDM guidelines.

Qualifications

• High School diploma or equivalent required.
• RHIT or CPC certification required.
• At least 1 year medical billing experience preferred.
• 2023 MDM Guidelines knowledge required.

Responsibilities

• 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.

Skills

Attention to detail

Communication skills

Analytical skills

HIPAA compliance

Education

High School diploma or equivalent

RHIT

CPC

MDM Guidelines 2023

Job description

Overview

• 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.

Responsibilities

• 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.