• Job Description

  Req#: 6034

  About Us

  Ventra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, pathology, and radiology. Focused on Revenue Cycle Management, Ventra partners with private practices, hospitals, health systems, and ambulatory surgery centers to deliver transparent and data-driven solutions that solve the most complex revenue and reimbursement issues, enabling clinicians to focus on providing outstanding care to their patients and communities.

  • Come Join Our Team!

    • As part of our robust Rewards & Recognition program, this role is eligible for our Ventra performance-based incentive plan, because we believe great work deserves great rewards.

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  Job Summary

  The Coding Quality Assurance (QA) Specialist, Interventional Radiology (IR) is primarily responsible for determining the appropriate CPT and ICD-10 codes to be applied to patient accounts for billing purposes based on providers’ documentation in the patient’s medical record.

  Essential Functions and Tasks

  Assigns appropriate billing codes to patient accounts. Performs ongoing analysis of medical record documentation for completeness. - Provides feedback to Coders on coding discrepancies. - Provides feedback to Coding Supervisor on documentation deficiencies. - Performs special projects and other duties as assigned.

  Education and Experience Requirements

  • High School Diploma or Equivalent.
  • Four (4) years of Emergency Department (ED) and Hospitalist Medicine coding experience.
  • Certified Professional Coder (CPC), or equivalent, preferred.
  • CIRCC required within 12 months of hire.

  Knowledge, Skills, and Abilities

  • 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. Ventra will cover the cost of the certification exam and preparation materials.
  • For candidates who already hold a CIRCC certification, Ventra will reimburse any financial penalties incurred from a current or previous employer due to exiting a role prior to a required service commitment, upon proof of payment and supporting documentation.
  • Ventra will also cover CEU credits required to maintain active certification(s), in accordance with our policy.
  • Knowledge of medical terminology and anatomy.
  • Knowledge of the requirements of medical record documentation.
  • Strong database software skills.
  • Strong oral, written, and interpersonal communication skills.
  • Strong time management skills.
  • Strong organizational skills.
  • Ability to read, understand, and apply state/federal laws, regulations, and policies.
  • Ability to remain flexible and work within a collaborative and fast paced environment.
  • Ability to communicate with diverse personalities in a tactful, mature, and professional manner.

  Compensation

  • Base Compensation will be based on various factors unique to each candidate including geographic location, skill set, experience, qualifications, and other job-related reasons.

  • This position is also eligible for a discretionary incentive bonus in accordance with company policies.

  Ventra Health

  Equal Employment Opportunity (Applicable only in the US)Ventra Health is an equal opportunity employer committed to fostering a culturally diverse organization. We strive for inclusiveness and a workplace where mutual respect is paramount. We encourage applications from a diverse pool of candidates, and all qualified applicants will receive consideration for employment without regard to race, color, ethnicity, religion, sex, age, national origin, disability, sexual orientation, gender identity and expression, or veteran status. We will provide reasonable accommodations to qualified individuals with disabilities, as needed, to assist them in performing essential job functions. Recruitment AgenciesVentra Health does not accept unsolicited agency resumes. Ventra Health is not responsible for any fees related to unsolicited resumes. Solicitation of PaymentVentra Health does not solicit payment from our applicants and candidates for consideration or placement.

  Attention CandidatesPlease be aware that there have been reports of individuals falsely claiming to represent Ventra Health or one of our affiliated entities Ventra Health Private Limited and Ventra Health Global Services. These scammers may attempt to conduct fake interviews, solicit personal information, and, in some cases, have sent fraudulent offer letters.To protect yourself, verify any communication you receive by contacting us directly through our official channels. If you have any doubts, please contact us at Careers@VentraHealth.com to confirm the legitimacy of the offer and the person who contacted you. All legitimate roles are posted on https://ventrahealth.com/careers/.

  Statement of AccessibilityVentra Health is committed to making our digital experiences accessible to all users, regardless of ability or assistive technology preferences. We continually work to enhance the user experience through ongoing improvements and adherence to accessibility standards. Please review at https://ventrahealth.com/statement-of-accessibility/.

• About the company

  Ventra Health is a top healthcare revenue cycle management company established when Abeo, DuvaSawko, & Gottlieb merged.

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