Coding Specialist
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Job Description
Remote Coding Specialist ensuring accurate medical coding for Ventra Health in South India. Responsible for reviewing documents and coding procedures in compliance with guidelines.
Responsibilities:
- Responsible for reviewing documents to identify all procedures and diagnosis
- Ensure encounters have been coded correctly based on documents received
- Ensure encounters are coded using the most current coding guidelines
- Communicate and recognize inadequate or incorrect documentation so that all coding is completed compliantly
- Perform 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
- Provide feedback to coders on coding discrepancies/deficiencies, as needed
- Provide 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.
Requirements:
- High School diploma or equivalent
- RHIT and/or CPC required
- At least one (1) year of medical billing preferred
- 2023 MDM Guidelines required
- 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
- 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.
Benefits:
- PF
- Gratuity
- ESI or Group Insurance
- Colleague Recognition Programs – Monthly VIP, Spot Recognition, & IJP Career Progression
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