Coding Specialist

Coding Specialist - Remote in South India

Ventra Health is a leading business solutions provider for facility-based physicians. We partner with private practices, hospitals, health systems, and ambulatory surgery centers to deliver transparent and data-driven solutions, enabling clinicians to focus on providing outstanding care.

Come Join Our Team! This role is eligible for our Ventra performance-based incentive plan. Help us grow our dream team and earn a referral bonus!

Job Summary

We are now hiring remote Coding Specialists in South India. This is a full-time opportunity with competitive salaries plus incentives. Enjoy day shift hours, a 5-day work schedule, and a collaborative team culture.

• 100% remote within South India (Andhra Pradesh, Tamil Nadu, Telangana, Kerala, & Karnataka).
• Full-time opportunity with day shift hours and a 5-day work schedule.
• Competitive salaries plus performance-based incentives.
• Benefits include PF, Gratuity, ESI or Group Insurance.
• Excellent colleague recognition and career progression opportunities.

The Coding Specialist reviews documents to identify all procedures and diagnoses, ensuring accurate coding based on current guidelines and compliance with regulations. You will identify and communicate inadequate or incorrect documentation.

Essential Functions and Tasks

• Perform ongoing analysis of medical record documentation and assign codes per CMS, CPT, and Ventra Health guidelines.
• Assign appropriate ICD-10-CM and CPT codes and modifiers.
• Perform MIPS and Provider QA reviews as needed.
• Document coding errors and assist coding management.
• Assist with client/provider audits and review work products of new coders in training.
• Provide feedback to coders on discrepancies and to the coding manager on documentation deficiencies.
• Respond to coding-related questions.
• Maintain strict confidentiality of all information per HIPAA guidelines and company policy.

Education and Experience Requirements

• High School diploma or equivalent required.
• RHIT and/or CPC certification required.
• At least one year of medical billing experience preferred.
• Knowledge of 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 systems.
• Ability to interpret documentation and assign appropriate codes for diagnoses and procedures.
• Ability to apply state/federal laws, regulations, and policies.
• Flexibility to work in a collaborative, fast-paced environment.
• Excellent communication and interpersonal skills.
• Knowledge of medical record documentation requirements, medical terminology, and anatomy.
• Strong time management and organizational skills.
• Proficiency with basic computer applications (Outlook, Word, Excel) and office equipment.
• Ability to become proficient in billing software within 4 weeks.
• Understanding and compliance with company policies and procedures.

Compensation

Base compensation is determined by factors including geographic location, skill set, experience, and qualifications. This position is also eligible for a discretionary incentive bonus.

Key skills/competency

• Medical Coding
• ICD-10-CM
• CPT Codes
• HIPAA
• Revenue Cycle Management
• Medical Terminology
• Documentation Analysis
• MIPS
• Provider QA
• Compliance