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Coding Suspends Specialist

Ventra Health
Ventra health
2-3 years
preferred by company
Hyderabad
1 May 12, 2026
Job Description
Job Type: Hybrid Education: M.Pharm/B.Pharm or M.Sc. Skills: Medical Coding, Medical Terminology, mRS and EQ-5D-5L., Narrative Writing, Research & Development

 

Coding Suspends Specialist

Job Category: Medical Coding / Healthcare Revenue Cycle Management
Department: Coding Operations – Radiology
Location: Hyderabad, India
Work Mode: Hybrid
Employment Type: Full-Time
Shift: Day Shift
Experience Required: 2–3 Years (Freshers Not Eligible)

About the Role

A leading healthcare revenue cycle management organization is seeking an experienced Coding Suspends Specialist to join its coding operations team in Hyderabad. This role is ideal for medical coding professionals with expertise in coding suspends management, claim issue resolution, medical billing workflows, coding compliance, denial prevention, and healthcare reimbursement operations.

The selected candidate will be responsible for reviewing coding-related suspends, resolving claim submission issues, validating medical documentation, and ensuring coding accuracy in compliance with payer and regulatory standards.

This opportunity is ideal for professionals looking to advance their career in medical coding, healthcare revenue cycle management, coding quality assurance, claims processing, and reimbursement optimization.

Key Responsibilities

  • Review and analyze coding-related suspends generated by coding platforms or claim processing systems.
  • Identify coding discrepancies, missing documentation, claim errors, and reimbursement workflow issues.
  • Conduct detailed reviews of medical records, encounter documentation, and clinical records to validate coding accuracy.
  • Accurately assign and sequence diagnosis and procedure codes using CPT, ICD-10, and HCPCS coding systems.
  • Research payer-specific coding requirements, compliance regulations, and industry coding guidelines.
  • Correct coding errors, modifiers, and claim data to support accurate and timely claim submission.
  • Collaborate with coding teams, billing professionals, clinicians, and operational stakeholders to resolve documentation and coding issues.
  • Maintain complete documentation of coding reviews, resolutions, audit findings, and workflow corrections.
  • Communicate coding trends, recurring issues, and best practices to support operational improvement.
  • Support coding audits, compliance initiatives, and revenue cycle quality assurance programs.
  • Participate in coding process improvement meetings, operational reviews, and healthcare workflow optimization projects.

Required Qualifications

  • Bachelor’s degree in Life Sciences or a related healthcare discipline
  • Professional coding certification such as:
    • Certified Coding Specialist (CCS)
    • Certified Professional Coder (CPC)
    • Equivalent recognized coding certification
  • 2–3 years of professional medical coding experience
  • Hands-on experience in:
    • Coding suspends management
    • Medical coding and billing operations
    • Claims issue resolution
    • Healthcare reimbursement workflows