Coding Specialist - IPDRG

Ventra Health, Inc.; Singapore; On-site; SGD 60,000 - 80,000; Full time

Job summary

A leading solutions provider seeks a Coding Specialist responsible for reviewing medical documentation and ensuring proper coding of procedures and diagnoses. This role requires adherence to the latest coding guidelines and collaboration with coders to maintain compliance. The ideal candidate should have RHIT or CPC certification and experience in medical billing. Strong analytical, communication, and organizational skills are essential to succeed in this fast-paced environment.

Qualifications

• Must have RHIT and/or CPC certification.
• Preferred at least one year of medical billing experience.
• In-depth knowledge of CPT and ICD-10 coding.

Responsibilities

• Review documents to code encounters based on guidelines.
• Ensure coding complies with regulations and standards.
• Provide feedback on coding discrepancies and deficiencies.

Skills

Medical Terminology

Coding Skills

Interpersonal Skills

Attention to Detail

Organizational Skills

Analytical Skills

Communication Skills

Education

RHIT Certification

CPC Certification

High School Diploma or Equivalent

Tools

Microsoft Office

Billing Software

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.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.Ventra Health:Equal Employment Opportunity (Applicable only in the US)Recruitment AgenciesVentra Health does not accept unsolicited agency resumes. Ventra Health is not responsible for any fees related to unsolicited resumes.Attention CandidatesPlease 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 hidden_email legitimate roles are posted on https://ventrahealth.com/careers/.,

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