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Coding Specialist
Medsuite IncRemote Coding Specialist managing medical coding for Ventra Health. Responsible for accurate coding using the latest guidelines and auditing documentation.
About the role
Key responsibilities & impact- 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.
- Provide 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.
Requirements
What you’ll need- 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 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.
Benefits
Comp & perks- PF
- Gratuity
- ESI or Group Insurance
- Colleague Recognition Programs – Monthly VIP, Spot Recognition, & IJP Career Progression
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
ICD-10-CM codingCPT codingMIPS reviewmedical billingmedical record documentationmodifier usage in CPT2023 MDM Guidelinescoding discrepanciescoding deficienciesmedical terminology
Soft Skills
time managementorganizational skillsflexibilitycollaborationcommunication
Certifications
RHITCPC