Talent.com
Coding Specialist, Orthopedics

Coding Specialist, Orthopedics

ConfidentialChennai, India
1 day ago
Job description

Ventra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, pathology, and radiology. Focused on Revenue Cycle Management, Ventra partners with private practices, hospitals, health systems, and ambulatory surgery centers to deliver transparent and data-driven solutions that solve the most complex revenue and reimbursement issues, enabling clinicians to focus on providing outstanding care to their patients and communities.

  • Come Join Our Team!
  • As part of our robust Rewards & Recognition program, this role is eligible for our Ventra performance-based incentive plan, because we believe great work deserves great rewards.
  • Help Us Grow Our Dream Team — Join Us, Refer a Friend, and Earn a Referral Bonus!

Job Summary

  • The Orthopedic Coding Specialist is responsible for reviewing clinical documentation to accurately identify and assign diagnosis and procedure codes specific to orthopedic services. This role ensures that all encounters are coded in compliance with current CMS, CPT, and ICD-10-CM guidelines, with appropriate use of modifiers relevant to musculoskeletal procedures. The specialist must be able to recognize and communicate documentation deficiencies, ensuring coding is complete, accurate, and compliant. Collaboration with providers and coding leadership is essential to maintain high standards of quality and integrity in orthopedic coding.
  • This position is remote for candidates located in Chennai.
  • Essential Functions And Tasks

  • Perform ongoing analysis of orthopedic medical record documentation and assigned codes in accordance with CMS, CPT, ICD-10-CM, and Ventra Health documentation guidelines.
  • Assign accurate ICD-10-CM and CPT codes specific to orthopedic procedures (e.g., joint injections, fracture care, arthroscopies, spinal surgeries) and apply appropriate modifiers (e.g., -RT, -LT, -59, -XU).
  • Conduct MIPS reviews with a focus on orthopedic quality measures and performance metrics.
  • Perform Provider QA for orthopedic documentation and coding accuracy.
  • Identify and document coding errors, especially those related to musculoskeletal diagnoses and procedures.
  • Audit orthopedic charts at an average rate of 10–15 charts per hour, ensuring compliance and accuracy.
  • Support coding management with ortho-specific insights and recommendations.
  • Assist with client / provider audits, particularly those involving orthopedic practices or surgical centers.
  • Review work product of new orthopedic coders in training, providing guidance on musculoskeletal coding standards.
  • Provide feedback to coders on discrepancies in orthopedic coding and documentation.
  • Alert coding manager to documentation deficiencies related to orthopedic procedures in a timely manner.
  • Respond to coding questions from designated orthopedic coders.
  • Maintain confidentiality of all personal, financial, and medical information per HIPAA and Ventra Health policy.
  • Education And Experience Requirements

  • High school diploma or equivalent.
  • RHIT and / or CPC certification or equivalent required.
  • 1–2 years of experience in medical coding, with orthopedic coding experience strongly preferred.
  • Knowledge, Skills, And Abilities

  • Deep understanding of CPT coding for orthopedic procedures, including surgical and non-surgical treatments.
  • Proficient in ICD-10-CM coding for musculoskeletal conditions (e.g., osteoarthritis, fractures, tendon injuries).
  • Strong grasp of modifier usage in orthopedic coding (e.g., bilateral procedures, staged surgeries).
  • Ability to interpret orthopedic documentation and assign accurate codes for diagnosis and procedures.
  • Familiarity with state / federal regulations and payer-specific guidelines for orthopedic services.
  • Flexible and collaborative in a fast-paced orthopedic coding environment.
  • Professional communication skills with providers, coders, and auditors.
  • Knowledge of orthopedic medical terminology and anatomy (e.g., joints, bones, ligaments).
  • Strong organizational and time management skills.
  • Basic proficiency in Microsoft Outlook, Word, Excel, and billing software (with proficiency expected within 4 weeks).
  • Ventra Health

    Equal Employment Opportunity (Applicable only in the US)

    Ventra Health is an equal opportunity employer committed to fostering a culturally diverse organization. We strive for inclusiveness and a workplace where mutual respect is paramount. We encourage applications from a diverse pool of candidates, and all qualified applicants will receive consideration for employment without regard to race, color, ethnicity, religion, sex, age, national origin, disability, sexual orientation, gender identity and expression, or veteran status. We will provide reasonable accommodations to qualified individuals with disabilities, as needed, to assist them in performing essential job functions.

    Recruitment Agencies

    Ventra Health does not accept unsolicited agency resumes. Ventra Health is not responsible for any fees related to unsolicited resumes.

    Solicitation of Payment

    Ventra Health does not solicit payment from our applicants and candidates for consideration or placement.

    Attention Candidates

    Please be aware that there have been reports of individuals falsely claiming to represent Ventra Health or one of our affiliated entities Ventra Health Private Limited and Ventra Health Global Services. These scammers may attempt to conduct fake interviews, solicit personal information, and, in some cases, have sent fraudulent offer letters.

    To protect yourself, verify any communication you receive by contacting us directly through our official channels. If you have any doubts, please contact us at [HIDDEN TEXT] to confirm the legitimacy of the offer and the person who contacted you. All legitimate roles are posted on https : / / ventrahealth.com / careers / .

    Statement of Accessibility

    Ventra Health is committed to making our digital experiences accessible to all users, regardless of ability or assistive technology preferences. We continually work to enhance the user experience through ongoing improvements and adherence to accessibility standards. Please review at https : / / ventrahealth.com / statement-of-accessibility / .

    Skills Required

    cpt coding , Microsoft Outlook

    Create a job alert for this search

    Specialist • Chennai, India

    Related jobs
    • Promoted
    Senior Coder OP Surgery

    Senior Coder OP Surgery

    ConfidentialChennai
    Accurately transforms medical diagnoses and procedures into designated alphanumerical codes in ICD-10-CM , ICD-10-PCS codes, CPT and HCPCS codes. Ensure that the daily coding volumes for the team ar...Show moreLast updated: 30+ days ago
    • Promoted
    Medical Recs Coding & Transc. Sr. Assoc.

    Medical Recs Coding & Transc. Sr. Assoc.

    ConfidentialChennai, India
    In this Role you will be Responsible For : .The coder reads the documentation to understand the patient's diagnoses assigned. Transforming of healthcare diagnosis, procedures, medical services, and e...Show moreLast updated: 7 days ago
    • Promoted
    E / M Coder Outpatient or Inpatient

    E / M Coder Outpatient or Inpatient

    ConfidentialChennai, India
    Job Title : E / M Inpatient and Outpatient Coder.We are seeking a detail-oriented and knowledgeable E / M IP and OP Coder with minimum of 3 years of experience to join our healthcare team.The ideal cand...Show moreLast updated: 7 days ago
    • Promoted
    Medical Recs Coding & Transc. Sr. Assoc

    Medical Recs Coding & Transc. Sr. Assoc

    ConfidentialChennai, India
    NTT DATA strives to hire exceptional, innovative and passionate individuals who want to grow with us.If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now....Show moreLast updated: 7 days ago
    • Promoted
    Team Leader - Medical Coding

    Team Leader - Medical Coding

    HuronChennai, Tamil Nadu, India
    Responsible for the day-to-day production and quality functions of a team of coders specializing in meeting client production goals and coding accuracy goals. Plans, directs, supervises and evaluate...Show moreLast updated: 23 hours ago
    • Promoted
    QA / Process Specialist - Medical Coding

    QA / Process Specialist - Medical Coding

    HuronChennai, Tamil Nadu, India
    QA / Process Specialist – Medical Coding.General Manager - Medical Coding.Responsible for the day-to-day production and quality functions of a team of coders specializing in meeting client production...Show moreLast updated: 23 hours ago
    • Promoted
    Senior Process Analyst - Medical Coding

    Senior Process Analyst - Medical Coding

    HuronChennai, Tamil Nadu, India
    Senior Process Analyst – Medical Coding.Responsible for the day-to-day production and quality functions of a team of coders specializing in meeting client production goals and coding accuracy goals...Show moreLast updated: 23 hours ago
    • Promoted
    Coding QA Specialist, Interventional Radiology

    Coding QA Specialist, Interventional Radiology

    ConfidentialChennai, India
    Ventra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, pathology, and radiology. Focused on Revenue Cycle Managem...Show moreLast updated: 7 days ago
    • Promoted
    Sr Manager Medical Coding

    Sr Manager Medical Coding

    ConfidentialChennai
    Lead and manage a team of 100+ to 200 coders to ensure the timely and accurate completion of medical coding tasks.Oversee the day-to-day operations of the medical coding department, ensuring high p...Show moreLast updated: 30+ days ago
    • Promoted
    Anesthesia Coder

    Anesthesia Coder

    ConfidentialChennai, India
    We are seeking a highly skilled and detail-oriented Anesthesia Coder with a.The ideal candidate will have in-depth knowledge of CPT,. ICD-10-CM, and HCPCS coding systems, and be familiar with compli...Show moreLast updated: 7 days ago
    • Promoted
    Coder ED OP Facility

    Coder ED OP Facility

    ConfidentialChennai, India
    Analyzing patient information and accurately converting it into medical codes.Ensuring coding accuracy to avoid billing denials. Validating documentation to support ED Facility codes based on medica...Show moreLast updated: 1 day ago
    • Promoted
    Supervisor, Coding Denials

    Supervisor, Coding Denials

    ConfidentialChennai, India
    Coding Denial Supervisor to provide direction to a team of Coding Denial Specialists, who are responsible for working on assigned claim edits and rejection work queues. The Coding Denial Supervisor ...Show moreLast updated: 7 days ago
    • Promoted
    • New!
    Radiology Medical Coder – US Healthcare

    Radiology Medical Coder – US Healthcare

    Skillra TechnologiesChennai, Tamil Nadu, India
    We are seeking a skilled and detail-oriented.The ideal candidate will accurately review and assign appropriate CPT, ICD-10-CM, and HCPCS codes for radiology services in compliance with federal regu...Show moreLast updated: 3 hours ago
    • Promoted
    Senior Medical Coder

    Senior Medical Coder

    OlleyaHealth Pvt Ltdchennai, tamil nadu, in
    Position : Senior Medical Coding Specialist – AI / ML Audit & Training (Athena Experience.Company : OlleyaHealth | https : / / www. Location : Mumbai or Bangalore (Fully Remote – Occasional Onsite Meetings)....Show moreLast updated: 20 days ago
    • Promoted
    Medical Coder - Multispeciality & Denials

    Medical Coder - Multispeciality & Denials

    TalentgigsChennai, India
    Job Title : Radiology Medical Coder.Notice period : Immediate to 15days.Work from Office Chennai Location.We are seeking detail-oriented and experienced Radiology Medical Coders.The ideal candidate...Show moreLast updated: 12 days ago
    • Promoted
    Coding Subject Matter Expert Consultant

    Coding Subject Matter Expert Consultant

    ConfidentialChennai, India
    Job Description – Coding Subject Matter Expert Consultant.Coding Quality Assurance & Audit.Perform regular and random coding quality audits on work completed by frontline coders.Identify errors, tr...Show moreLast updated: 7 days ago
    • Promoted
    Senior Coding Specialist

    Senior Coding Specialist

    ConfidentialChennai, India
    Retrieve the correct medical record of a patient, review & validate completeness of documentation along with signatures, orders for diagnostic tests etc. Review and validate and / or assign / modify, pr...Show moreLast updated: 6 days ago
    • Promoted
    Senior Coder

    Senior Coder

    ConfidentialChennai
    Review and analyze clinical documentation to assign applicable medical codes.Utilize Evaluation and Management (EM) codes for IP / OP services. Ensure accuracy and compliance with all regulatory guide...Show moreLast updated: 30+ days ago