Senior IR Coder jobs in United States
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Ventra Health · 4 days ago

Senior IR Coder

Ventra Health is a leading business solutions provider for facility-based physicians, focusing on Revenue Cycle Management. The Senior Complex IR Coding Specialist is responsible for reviewing medical documents to ensure accurate coding of procedures and diagnoses, adhering to current coding guidelines and maintaining compliance in documentation.

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Responsibilities

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
Assist with reviewing work product of new coders in training, as needed
Provides 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

Qualification

CIRCC certificationICD-10-CM codingCPT codingMIPS reviewMedical billingAnalytical skillsCommunication skillsAttention to detail

Required

High School diploma or equivalent
RHIT and/or CPC required
2023 MDM Guidelines required
Must possess a Certified Interventional Radiology Cardiovascular Coder (CIRCC) certification or have a minimum of 5 years of coding experience in interventional radiology procedures
If not currently CIRCC certified, candidate must obtain certification within 12 months of hire
Maintain confidentiality for all personal, financial, and medical information found in medical records per HIPAA guidelines and Ventra Health policy

Preferred

At least one (1) year of medical billing preferred

Benefits

Ventra performance-based incentive plan
Referral Bonus
Ventra will cover the cost of the certification exam and preparation materials
Ventra will reimburse any financial penalties incurred from a current or previous employer due to exiting a role prior to a required service commitment
Ventra will also cover CEU credits required to maintain active certification(s)

Company

Ventra Health

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“Ventra Health is a revenue cycle management organization serving hospital-based provider.

Funding

Current Stage
Late Stage

Leadership Team

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Steve Giovanni
CTO/SVP of Technology
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Erica Franko
Chief Operating Officer
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Company data provided by crunchbase