Coding Escalation Specialist – Remote

Resolve complex coding issues and mentor medical coders while ensuring accuracy, compliance, and efficiency across the revenue cycle.

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 practices, hospitals, and health systems to deliver transparent, data-driven revenue cycle solutions, empowering clinicians to focus on patient care.

Schedule

  • Full-time, remote position (Nationwide, US)
  • Eastern Time shift alignment required
  • Eligible for performance-based incentive plan

Responsibilities

  • Review and resolve escalated coding issues from coders, auditors, billing teams, and providers
  • Analyze medical records and documentation to ensure accurate and compliant code assignment
  • Serve as subject matter expert (SME) for coding guidelines and payer-specific rules
  • Identify coding trends, discrepancies, and compliance risks; recommend corrective actions
  • Participate in coding audits and help implement audit recommendations
  • Mentor and educate coding staff on complex cases and updates to regulations
  • Ensure adherence to CMS, AHA Coding Clinic, AMA CPT Assistant, and payer standards
  • Support initiatives to improve accuracy, documentation quality, and workflows
  • Stay current on coding updates, regulatory changes, and payer guidelines

Requirements

  • High school diploma or GED required; advanced education preferred
  • 3–5 years of experience in medical coding, with focus on complex case review or QA
  • Active AAPC or AHIMA certification required
  • Strong knowledge of ICD-10-CM, CPT, and HCPCS coding systems
  • Familiarity with CMS regulations and payer-specific guidelines
  • Experience with EHRs and coding software systems
  • Excellent problem-solving, analytical, and mentoring skills
  • Proficiency with Microsoft Outlook, Word, Excel (pivot tables), and databases
  • Strong written/verbal communication and time management skills

Compensation & Benefits

  • Competitive base compensation based on skills, experience, and location
  • Eligible for discretionary incentive bonus
  • Full health insurance package including medical, dental, and vision
  • Life insurance, paid holidays, and paid time off
  • 401(k) plan with employer contributions
  • Ongoing training, mentoring, and professional development

Why Join Ventra Health?
This is your chance to apply advanced coding expertise to meaningful work, contribute to compliance excellence, and mentor colleagues in a collaborative and supportive remote environment.

Happy Hunting,
~Two Chicks…

APPLY HERE