Resolve claim denials and rejections while ensuring coding accuracy and timely appeals in a healthcare revenue cycle environment.
About Ventra Health
Ventra is a leading business solutions provider for facility-based physicians in anesthesia, emergency medicine, hospital medicine, pathology, and radiology. We partner with private practices, hospitals, and health systems to deliver transparent, data-driven revenue cycle solutions that enable clinicians to focus on patient care.
Schedule
- Full-time, remote position (Nationwide, US)
- Eligible for performance-based incentive plan
Responsibilities
- Process accounts that meet coding denial management criteria (rejections, down-codes, bundling, modifiers, E&M leveling)
- Validate denial reasons and confirm coding accuracy
- Generate and submit appeals based on payer guidelines and contract terms (including online reconsiderations)
- Escalate unresolved claims and exhausted appeals for resolution
- Resolve assigned work queues in accordance with policies and departmental priorities
- Adhere to production and quality standards while maintaining detailed documentation
- Maintain updated knowledge of coding guidelines, payer rules, and departmental tools
- Support special projects as assigned by management
Requirements
- High school diploma or equivalent
- 1–3 years of physician medical billing experience with focus on research and claim denials
- Current AHIMA or AAPC certification required
- Knowledge of ICD-10, CPT, and HCPCS coding with strong emphasis on E&M leveling
- Understanding of AHA Official Coding Guidelines, CMS, and healthcare reimbursement standards
- Proficiency with computer systems; Excel knowledge helpful
- Strong analytical, organizational, and communication skills
- Ability to work independently and collaboratively in a fast-paced environment
Compensation & Benefits
- Competitive base pay (varies by experience, skills, and location)
- Eligible for discretionary incentive bonus
- Comprehensive health benefits including medical, dental, and vision coverage
- Paid holidays and paid time off
- 401(k) retirement plan with employer contributions
- Training, development, and advancement opportunities
- Supportive, inclusive, and collaborative workplace
Why Join Ventra Health?
Be part of a team that ensures accurate coding and fair reimbursement while supporting clinicians nationwide. Grow your skills in coding, denial management, and appeals in a dynamic, rewarding environment.
Happy Hunting,
~Two Chicks…