Job Overview
We are seeking a dedicated and detail-oriented Ophthalmology Biller/Coder to join our dynamic healthcare team. In this vital role, you will be responsible for accurately coding and billing ophthalmology procedures, diagnoses, and services to ensure seamless reimbursement processes. Your expertise will help optimize revenue cycle management while maintaining compliance with healthcare regulations. This position offers an exciting opportunity to contribute to high-quality patient care through precise medical documentation and billing practices.
Responsibilities
- Review ophthalmology medical records, including clinical notes, diagnostic reports, and treatment plans, to assign appropriate CPT (Current Procedural Terminology), ICD-9, ICD-10, and DRG (Diagnosis-Related Group) codes.
- Ensure accurate coding of procedures and diagnoses in accordance with current coding guidelines and payer requirements.
- Prepare and submit clean claims for insurance reimbursement using Electronic Medical Record (EMR) or Electronic Health Record (EHR) systems efficiently.
- Follow up on unpaid or denied claims through effective medical collection strategies while maintaining positive patient relationships.
- Maintain detailed and organized medical records, ensuring all documentation supports billed services for audit readiness.
- Stay updated on changes in medical billing regulations, coding standards, and insurance policies relevant to ophthalmology practices.
- Collaborate with physicians and administrative staff to clarify documentation and improve coding accuracy for optimal reimbursement.
Qualifications
- Proven experience in medical billing and coding within an ophthalmology.
- Strong knowledge of CPT coding, ICD-9, ICD-10, DRG classifications, and ICD coding principles specific to ophthalmology procedures.
- Familiarity with medical terminology, medical records management, and the use of EMR/EHR systems.
- Excellent understanding of medical billing processes, insurance claim submission, denials management, and collections.
- Ability to interpret complex medical documentation accurately and translate it into precise codes.
- Attention to detail with strong organizational skills to ensure compliance and audit readiness.
- Certification in Medical Coding (such as CPC or CCS) is mandatory. Join us in delivering exceptional patient care by ensuring accurate billing practices that support our commitment to excellence!
Pay: $20.00 - $28.44 per hour
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Paid time off
- Retirement plan
Work Location: In person
