Coding Suspend Specialist

Ventra Health

. Review and analyze coding-related suspends generated by coding software or systems .

Posted 10/14/2026full-timeRemote • United StatesJuniorMid-LevelWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in medical coding, including proficiency in CPT, ICD-10, and HCPCS coding systems, while ensuring compliance with payer-specific requirements and regulations. Strong analytical skills and attention to detail are essential for accurate code assignment and resolution of coding issues.

Highest-signal resume keywords

Certified Coding Specialist (CCS)Certified Professional Coder (CPC)Medical Coding ExperienceCPT, ICD-10, HCPCS KnowledgeCoding Software Familiarity

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Medical CodingCode AssignmentCoding GuidelinesCoding AuditsRegulatory ComplianceCoding DocumentationCoding AnalysisModifier AssignmentClaim SubmissionCoding Trends Monitoring

Soft Skills

Analytical SkillsProblem-Solving SkillsAttention to DetailEffective CommunicationInterpersonal Skills

Tools & Technologies

Coding SoftwareEncodersGrouper SoftwareElectronic Health Record (EHR) Systems

Certifications & Qualifications

Certified Coding Specialist (CCS)Certified Professional Coder (CPC)

Industry Keywords

Medical TerminologyAnatomyPhysiologyDisease ProcessesHealthcare Environment

About the role

Key responsibilities & impact

Review and analyze coding-related suspends generated by coding software or systems
Identify errors, discrepancies, and missing information
Review medical records, encounter forms, and relevant documentation to validate code assignments and ensure compliance
Research and interpret CPT, ICD-10, HCPCS, payer-specific requirements, coding guidelines, policies, and regulations
Assign and sequence diagnosis and procedure codes accurately
Collaborate with coding and billing staff, clinicians, and other stakeholders to gather information and resolve coding issues
Correct code assignments, modifiers, and other coding elements to address suspends and ensure accurate claim submission
Document coding activities, findings, and resolutions in coding systems
Communicate coding trends, issues, and best practices; provide education, training, and support
Monitor coding guideline, regulatory, and payer policy changes and implement necessary updates
Assist with coding audits, reviews, and compliance initiatives
Participate in coding-related meetings, committees, and projects

Requirements

What you’ll need

Bachelor's degree in any Life Science field
Certified Coding Specialist (CCS), Certified Professional Coder (CPC), or related coding certification required
Minimum of 2–3 years of experience in medical coding, with a focus on coding suspends and denials
In-depth knowledge of CPT, ICD-10, HCPCS, and other coding systems and guidelines
Familiarity with coding software and systems, including encoders, grouper software, and Electronic Health Record (EHR) systems
Strong analytical and problem-solving skills
Excellent attention to detail and accuracy
Effective communication and interpersonal skills
Proficiency in medical terminology, anatomy, physiology, and disease processes
Ability to work independently and prioritize tasks in a fast-paced healthcare environment
Willingness to stay updated on coding-related trends, regulations, and best practices through continuing education and professional development

Benefits

Comp & perks

Performance-based incentive plan
Discretionary incentive bonus
Referral bonus
Professional development and continuing education opportunities
Reasonable accommodations for qualified individuals with disabilities