Coding Specialist (Radiology)

Ventra Health, Inc.; Coimbatore District; On-site; INR 300,000 - 500,000; Full time

Benefits offered by this job

Discretionary incentive bonus

Job summary

Ventra Health, Inc. is seeking a Coding Specialist in Coimbatore District, Tamil Nadu. You will review documents to appropriately identify and code all medical procedures and diagnoses.

This role mandates strong knowledge of coding guidelines and necessitates RHIT and/or CPC certification, with a preference for candidates having a year of medical billing experience. Join a dynamic environment where you can contribute to accurate revenue cycle management.

Qualifications

• High School diploma or equivalent.
• RHIT and/or CPC certification required.
• At least one year of medical billing preferred.
• Strong knowledge of CPT/ICD-10 coding system.

Responsibilities

• Analyze medical record documentation and codes assigned.
• Assign appropriate ICD-10-CM and CPT codes.
• Perform MIPS review as needed.
• Document coding errors and assist coding management.

Skills

CPT/ICD-10 coding system

Medical terminology

Communication skills

Time management

Education

High School diploma or equivalent

RHIT and/or CPC

2023 MDM Guidelines

Tools

Billing software

Outlook

Word

Excel

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.

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.

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. We will provide reasonable accommodations to qualified individuals with disabilities, as needed, to assist them in performing essential job functions.