Job Title: Coding Suspends Specialist – Medical Coding & Revenue Cycle Management
Location: Hyderabad (Hybrid)
Job Type: Full-Time
Shift: Day Shift
Experience Required: 2–3 Years
Industry: Healthcare / Medical Coding / Revenue Cycle Management
About the Company
Ventra Health is a leading provider of revenue cycle management solutions for healthcare organizations, including hospitals, physician groups, and ambulatory surgery centers. The company specializes in delivering data-driven insights and operational excellence, enabling healthcare providers to focus on delivering high-quality patient care.
Job Overview
We are seeking a skilled and detail-oriented Coding Suspends Specialist to join our medical coding team. In this role, you will be responsible for identifying, analyzing, and resolving coding-related suspends to ensure accurate claim submission and timely reimbursement. This position requires strong expertise in medical coding systems, regulatory compliance, and problem-solving within a fast-paced healthcare environment.
Key Responsibilities
Review and resolve coding-related suspends generated by coding systems and workflows
Analyze medical records, encounter forms, and clinical documentation for coding accuracy
Assign and validate diagnosis and procedure codes using ICD-10, CPT, and HCPCS guidelines
Identify discrepancies, missing documentation, and coding errors impacting claims
Collaborate with coders, billers, and clinicians to clarify documentation and resolve issues
Correct coding elements including modifiers and sequencing for accurate claim submission
Document findings, actions, and resolutions in coding systems maintaining audit-ready records
Monitor trends in coding errors and provide insights for process improvement
Support coding audits, compliance reviews, and quality initiatives
Stay updated with payer-specific guidelines, regulatory changes, and coding standards
Eligibility Criteria
Educational Qualification:
Bachelor’s degree in Life Sciences or related healthcare field
Certifications Required:
Certified Coding Specialist (CCS) or Certified Professional Coder (CPC)
Experience Required:
Minimum 2–3 years of experience in medical coding, specifically handling coding suspends and denials
Required Skills & Competencies
Strong knowledge of ICD-10, CPT, and HCPCS coding systems
Familiarity with EHR systems, coding software, and encoders
Excellent analytical and problem-solving abilities
Strong understanding of medical terminology, anatomy, and disease processes
High attention to detail with accuracy in coding practices
Effective communication and collaboration skills
Ability to work independently and manage multiple priorities
Compensation & Benefits
Competitive salary aligned with experience and market standards
Performance-based incentive bonus
Health and wellness benefits
Structured career growth and development opportunities
Why Join Ventra Health
Opportunity to work with a globally recognized healthcare solutions provider
Exposure to advanced medical coding systems and global coding standards
Collaborative and performance-driven work culture
Continuous learning and professional development support
Equal Opportunity Employer
Ventra Health is committed to fostering a diverse and inclusive workplace. All qualified applicants will receive equal employment opportunities without discrimination based on any protected characteristics.
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