Coding Suspends Specialist
Company: Ventra Health
Location: Chennai, India (Remote)
Job Type: Full-Time
Experience: 2–3 Years (Medical Coding / Coding Suspends / Denials)
Qualification: Bachelor’s in Life Sciences + CPC / CCS certification
Salary Range: Not Specified
Job Overview
Ventra Health is seeking a Coding Suspends Specialist responsible for identifying and resolving coding-related suspends to ensure accurate and timely claim submission.
The role involves reviewing medical records, correcting coding discrepancies, collaborating with stakeholders, and ensuring compliance with coding guidelines and payer requirements.
Key Responsibilities
Coding Suspends Resolution
Review and analyze coding-related suspends generated by coding systems.
Identify errors, discrepancies, and missing information.
Correct code assignments, modifiers, and related coding elements.
Ensure accurate and timely claim submission.
Medical Record Review
Review medical records, encounter forms, and documentation.
Validate diagnosis and procedure codes.
Ensure compliance with coding guidelines and regulations.
Coding Standards & Compliance
Apply coding guidelines including CPT, ICD-10, and HCPCS.
Follow payer-specific requirements for coding and billing.
Maintain high standards of coding accuracy and compliance.
Research & Issue Resolution
Research coding guidelines and policies for complex cases.
Collaborate with clinicians, coders, and billing teams.
Clarify documentation and resolve coding-related issues.
Documentation & Reporting
Document coding activities, findings, and resolutions.
Maintain accurate records in coding systems.
Communicate coding trends, issues, and best practices.
Training & Continuous Improvement
Provide guidance and support to coding and billing teams.
Stay updated on coding regulations and industry changes.
Support coding audits, compliance initiatives, and process improvements.
Participate in meetings, projects, and quality initiatives.
Required Skills
Medical Coding Expertise
Strong knowledge of CPT, ICD-10, and HCPCS coding systems.
Experience in coding suspends, denials, and claim resolution.
Understanding of medical terminology, anatomy, and disease processes.
Technical Knowledge
Familiarity with coding software, encoders, and EHR systems.
Experience working with healthcare billing and coding platforms.
Analytical & Problem-Solving
Strong analytical and root cause analysis skills.
Ability to identify and resolve coding discrepancies.
Communication & Organization
Effective communication and collaboration skills.
Strong attention to detail and accuracy.
Ability to manage multiple tasks in a fast-paced environment.
Preferred Qualifications
Experience in revenue cycle management (RCM).
Exposure to coding audits and compliance processes.
Continuous learning and professional development in coding.
Key Competencies
Coding suspends and denial management
Medical coding accuracy and compliance
Data analysis and issue resolution
Documentation and reporting
Cross-functional collaboration
About the Company
Ventra Health is a healthcare business solutions provider specializing in revenue cycle management for facility-based physicians across specialties such as anesthesia, emergency medicine, radiology, and pathology.
The company delivers data-driven solutions to improve reimbursement processes and enable healthcare providers to focus on patient care.
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