Coding Specialist

Ventra Health

0-2 years

Not Disclosed

Chennai, India

Openings: 10 June 9, 2026

Job Description

Job Type: Full Time Hybrid Education: B.Sc./ M.Sc./ M.Pharm/ B.Pharm/ Life Sciences Skills: Apache Spark, Artificial Intelligence (AI), Big Data, Data Governance, Data Literacy, Data Management, Data Quality, Data Science, Data Strategies, Data Visualization, Machine Learning (ML), Master Da, Auditing, Audit Management, Audits Compliance, Communication, Continued Learning, Decision Making, Gmp Procedures, Inspection Readiness, Managing Ambiguity, Organizing, People Management and Leadershi, Bachelor’s Degree (BS) or Master’s Degree (MS) in: Life Sciences Pharmacy Biotechnology Biomedical Sciences Chemistry Regulatory Affairs Or related scientific disciplines, Budget Management, Clinical Trials, Negotiation Skills, Process Improvement, Project Planning, Vendor Management, Waterfall Model, Building Construction, Clinical Practices, Clinical Research, Clinical Trials, Drug Development, Hazard Identification, Health Sciences, Immunology, Intensive Care UnIT (Icu), Internal Control, Intern, Building Construction, Clinical Practices, Clinical Research, Clinical Trials, Drug Development, Hazard Identification, Health Sciences, Immunology, Intensive Care UnIT (Icu), Internal Control, Intern, Building Construction, Clinical Practices, Clinical Research, Clinical Trials, Drug Development, Hazard Identification, Health Sciences, Immunology, Intensive Care UnIT (Icu), Internal Control, Intern, Building Construction, Clinical Practices, Clinical Research, Clinical Trials, Drug Development, Hazard Identification, Health Sciences, Immunology, Intensive Care UnIT (Icu), Internal Control, Intern, Causality Assessment, Change Control, Continual Improvement Process, Data Analytics and Digital, GDP Knowledge, gmp knowledge, HSE Knowledge, Manufacturing Process, Manufacturing Production, Operational Excellence, Process, Clinical Monitoring, Clinical Research, Clinical Study Reports, Clinical Trial Management Systems, Clinical Trials, Collaboration, Data Integrity, Decision Making Skills, Lifesciences, Clinical Research, Clinical Trials, Curious Mindset, Databases, Drug Development, Job Description, Lifesciences, Medical Communication, Medical Information, Medical Writing, Military Intelligence, Pat, Clinical SAS Programming, Clinical Trials, Cross-Functional Teams, Drug Development, Lifesciences, Negotiation Skills, People Management, Problem Solving Skills, Regulatory Compliance, Risk Management, Strategy Execution, Clinical Trials, Detail-Oriented, Drug Development, Lifesciences, Negotiation Skills, Regulatory Compliance, Clinical Trials, Functional Teams, Literature Review, Management Skills, Medical Information, Medical Records, Medical Strategy, Pharmacovigilance, Regulatory Compliance, Risk Management, Safety Scien, Coaching Skills, Data Science, Environment, Experiments Design, Health And Safety (Ehs), Laboratory Equipment, Manufacturing Process, Materials Science, Process Simulation, Sop (Standard Operating Pro, Collaboration, Communication Skills, gmp, GMP Guidelines, Operational Excellence, Problem Solving Skills, Quality Agreements, Quality Compliance, Quality Management, Quality Standards, Regulatory Requ, Communication Skills, Continual Improvement Process, Master Data, Material Requirements Planning (Mrp), Materials Management, People Management, Production Planning, Supplier Relationship Management (Srm), Supply-Chain Man, CPC Certified, Data Analysis, Document Management, Life Science, Regulatory Compliance, Waterfall Model, Environment, Experiments Design, Health And Safety (Ehs), Laboratory Equipment, Manufacturing Process, Materials Science, Process Simulation, Sop (Standard Operating Procedure), Technical Writing, Wat, GCP guidelines, gmp knowledge, HSE Knowledge , Logistics and Transportation Management, Master Data, Operational Excellence, Sap Erp, supply chain management, Supply Planning, Warehouse Management, ICD-10 CM Codes, CPT-Codes, HCPCS Codes, ICD-10 CM, CPT, HCPCS Coding, ICH guidelines, ICSR Case Processing, Interpersonal Skill, Labelling Assessment, MedDRA Coding, Medical Billing, Medical Coding, Medical Terminology, mRS and EQ-5D-5L., Narrative Writing, Research & Development, Technical Skill, Triage of ICSRs, WHO DD Coding

Coding Specialist
Requisition ID: 2026-6746
Location: Guindy, Chennai, Tamil Nadu, India
Work Mode: Onsite
Employment Type: Full-Time
Business Unit: Legacy Arcmed
Department: Coding
Shift: Day Shift

Position Summary

The Coding Specialist is responsible for reviewing medical documentation, identifying diagnoses and procedures, and assigning accurate medical codes in accordance with current coding guidelines. The role ensures coding compliance, supports quality assurance activities, and contributes to accurate reimbursement and revenue cycle management.

Key Responsibilities

Medical Coding & Documentation Review

Review medical records and clinical documentation to identify diagnoses and procedures.
Ensure encounters are coded accurately and compliantly.
Apply current coding guidelines and industry standards.
Recognize and communicate documentation deficiencies or inaccuracies.

Coding Assignment

Assign appropriate:
- ICD-10-CM diagnosis codes
- CPT procedure codes
- CPT modifiers
Ensure coding reflects documented services and diagnoses.
Apply CMS, CPT, and company-specific coding guidelines.

Quality Assurance & Auditing

Perform coding quality reviews and audits.
Conduct Provider Quality Assurance (QA) reviews as required.
Perform MIPS (Merit-based Incentive Payment System) reviews.
Document coding discrepancies and errors.
Assist with client and provider audit activities.

Training & Team Support

Support coding management with operational activities.
Review coding work completed by new coders during training.
Provide feedback regarding coding discrepancies and deficiencies.
Respond to coding-related questions from team members.
Assist in maintaining coding quality standards.

Compliance & Regulatory Adherence

Maintain compliance with:
- HIPAA requirements
- CMS regulations
- CPT and ICD-10 coding guidelines
- Company policies and procedures
Protect the confidentiality of patient, financial, and medical information.

Documentation Improvement

Identify documentation gaps and deficiencies.
Provide timely feedback to coding leadership regarding documentation concerns.
Support initiatives to improve coding accuracy and compliance.

Minimum Requirements

Education

High School Diploma or equivalent.

Certifications

RHIT (Registered Health Information Technician) and/or
CPC (Certified Professional Coder) – Required

Experience

Minimum 1 year of medical billing experience preferred.
Experience with 2023 Medical Decision Making (MDM) Guidelines required.

Required Expertise

Technical Competencies

ICD-10-CM Coding
CPT Coding
Medical Billing
Medical Record Review
Coding Compliance
Documentation Analysis
Medical Decision Making (MDM) Guidelines
CMS Regulations
HIPAA Compliance
Revenue Cycle Management

Clinical Knowledge

Medical Terminology
Human Anatomy
Disease Classification
Procedure Coding
Documentation Requirements

Software & Systems

Microsoft Outlook
Microsoft Word
Microsoft Excel
Medical Billing Software
Electronic Medical Records (EMR/EHR) Systems

Key Skills & Abilities

Analytical Skills

Ability to interpret clinical documentation accurately.
Strong attention to detail and coding accuracy.
Ability to identify coding errors and compliance risks.

Communication Skills

Strong verbal and written communication skills.
Ability to communicate professionally with providers and team members.
Ability to provide constructive coding feedback.

Professional Competencies

Time Management
Organization Skills
Problem Solving
Adaptability
Team Collaboration
Confidentiality & Ethics

Ideal Candidate Profile

Certified coder with strong ICD-10-CM and CPT expertise.
Knowledge of medical billing and reimbursement processes.
Experience performing coding audits and quality reviews.
Strong understanding of healthcare compliance and documentation requirements.
Ability to work independently in a fast-paced revenue cycle environment.
Excellent attention to detail and commitment to coding accuracy.

Career Focus Areas

Medical Coding
Revenue Cycle Management (RCM)
Healthcare Compliance
Clinical Documentation Improvement (CDI)
Medical Billing & Reimbursement
Coding Quality Assurance
Healthcare Operations
Risk & Audit Management

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Coding Specialist

Job Description

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