MIPS Specialist, Radiology & Emergency Coding

🔥 0 minutes ago

🇮🇳 India – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

✨ Coding Specialist

👻 Ghost score 12%

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Ventra Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2021

🏥 Healthcare

🤝 B2B

☁️ SaaS

Healthcare • B2B • SaaS

Ventra Health is an AI-powered, expert-driven revenue cycle management (RCM) company that provides end-to-end medical billing, coding, claims management, denial prevention, payer contracting, provider enrollment, and related financial services for hospitals, health systems, and physician practices across the United States. The firm combines decades of RCM domain expertise with proprietary technology — notably the vCision AI & Automation platform and the vSight data & analytics platform — to improve first-pass payments, reduce denials, accelerate cash collections, and optimize overall financial performance; it reports serving 30,000+ providers across 3,600 locations and publicly shared performance improvements (e. g. , +19% first-pass payment rates, -26% initial denial rates). Ventra positions itself as a white‑glove, outcomes-focused partner offering both hands-on service delivery and technology-driven insights to drive measurable revenue improvements for healthcare organizations.

📋 Description

• Provide administrative and operational support for regulatory and quality programs across supported specialties • Maintain program timelines, project plans, task lists, and internal tracking tools such as Smartsheets • Prepare specialty-specific materials, workflows, and documentation for internal teams and clients • Create and maintain SOPs, reference guides, and educational materials • Conduct documentation, coding, and data audits under senior regulatory staff direction • Validate data used for MIPS and other quality programs • Prepare, collect, and organize documentation for internal quality reviews or external audits • Identify and escalate errors, inconsistencies, and compliance risks • Support MIPS data validation, workflow documentation, reporting preparation, and annual submission tasks • Track program performance and organize specialty-specific reporting deliverables • Respond to basic MIPS questions and escalate complex inquiries • Collaborate with internal teams across multiple specialties to apply regulatory requirements consistently • Perform additional administrative, auditing, or regulatory tasks as assigned • Support continuous improvement efforts within the Regulatory Affairs team

🎯 Requirements

• High school diploma or equivalent required • Current Certified Professional Coder (CPC) credential required • Minimum of three years working with the MIPS program required • Minimum of two years administrative experience • Familiarity with Radiology, Anesthesia, Emergency Medicine, or Hospital Medicine coding is a plus but not required • Proficiency in Microsoft Office and Windows-based applications, especially Excel • Ability to analyze data, identify patterns, and document findings clearly • Strong time management and task prioritization capabilities • Ability to produce clear, professional materials for internal or external audiences • Ability to work independently with minimal supervision • Comfort in a fast-paced, deadline-driven environment

🏖️ Benefits

• Ventra performance-based incentive plan • Referral bonus