Senior Specialist, Coding

This is a fully remote position, open to applicants in United States.

📋 Description

• Review and assess coding-related suspends produced by coding software or systems, pinpointing errors, discrepancies, and missing information.

• Examine medical records, encounter forms, and pertinent documentation to verify code assignments and guarantee compliance.

• Investigate and interpret CPT, ICD-10, HCPCS, and payer-specific coding requirements.

• Accurately assign and sequence diagnosis and procedure codes.

• Collaborate with coding and billing personnel, clinicians, and other stakeholders to address coding-related concerns.

• Amend code assignments, modifiers, and other coding components to resolve suspends and ensure precise claim submission.

• Record coding activities, findings, and resolutions within coding software or systems.

• Share insights on coding trends, issues, and best practices while providing education, training, and support.

• Keep up-to-date with coding guidelines, regulations, and changes in payer policies.

• Assist in coding audits, reviews, and compliance initiatives.

• Engage in coding-related meetings, committees, and projects.

⛳️ Requirements

• Bachelor's degree in any Life Science field.

• Certification as a Certified Coding Specialist (CCS), Certified Professional Coder (CPC), or a related coding certification is mandatory.

• A minimum of 2-3 years of experience in medical coding, particularly focusing on coding suspends and denials.

• Comprehensive knowledge of CPT, ICD-10, HCPCS, and other coding systems and guidelines.

• Familiarity with coding software and systems, including encoders, grouper software, and Electronic Health Record (EHR) systems.

• Strong analytical and problem-solving abilities.

• Exceptional attention to detail and precision.

• Effective communication and interpersonal skills.

• Proficiency in medical terminology, anatomy, physiology, and disease processes.

• Capability to work independently and prioritize tasks in a dynamic healthcare environment.

• Commitment to staying current on coding-related trends, regulations, and best practices through ongoing education and professional development.

🏝️ Benefits

• Ventra performance-based incentive plan.

• Discretionary incentive bonus in accordance with company policies.

• Referral bonus.

• Opportunities for continuing education and professional development.