Hospital Medicine Coding Specialist (EM IP/ HM Coding)

Ventra Health, Inc.; Chennai; In loco; INR 400.000 - 700.000; Tempo pieno

Descrizione del lavoro

Ventra Health, Inc. in Chennai seeks a Coding Specialist to review documents and assign ICD-10-CM and CPT codes according to current guidelines. The role emphasizes identifying incomplete documentation and ensuring compliant coding.

Requirements include a High School diploma, RHIT and/or CPC certification, at least 1 year of medical billing experience, and 2023 MDM Guidelines knowledge. This is an on-site position with HIPAA compliance responsibilities.

Competenze

• High School diploma or equivalent.
• RHIT and/or CPC required.
• At least 1 year of medical billing experience.
• 2023 MDM Guidelines required.

Mansioni

• Review medical records to assign ICD-10-CM and CPT codes per guidelines.
• Perform CMS, CPT, and Ventra Health coding guidelines analysis.
• Conduct MIPS reviews as needed.
• Coordinate Provider QA as needed.
• Document coding errors.
• Assist coding management.
• Assist with client/provider audits as needed.
• Mentor new coders in training.
• Provide feedback on coding discrepancies to coders.
• Provide feedback to coding manager on documentation deficiencies.
• Respond to questions from designated coders.
• Maintain HIPAA confidentiality and Ventra Health policies.

Conoscenze

Medical coding

MIPS knowledge

HIPAA compliance

Formazione

RHIT

CPC

Descrizione del lavoro

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.