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.
AdviceBillingHealth CareService Industry
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
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
“Ventra Health is a revenue cycle management organization serving hospital-based provider.
Funding
Current Stage
Late StageRecent News
2025-04-15
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