Medical Coder I

CLS Health PLLC • Webster, TX

443d

About The Position

CLS Health is seeking a Medical Coder to join their growing Ophthalmology and Optometry practice. This entry-level position is crucial for ensuring accurate and timely submission of medical claims, maintaining compliance with healthcare regulations, and managing billing processes effectively.

Requirements

• Preferred coding certification from the American Academy of Ophthalmology (AAO) or willingness to obtain.
• Minimum of 1 year of direct experience in Ophthalmology and Optometry coding and billing, with a preference for 3 years of experience.
• Prior experience with physician claim billing processes is required.
• Exposure to or experience with the eCW Practice Management billing platform is preferred.
• Ability to multitask and prioritize effectively.
• Strong attention to detail and accuracy.

Nice To Haves

• Additional certifications such as AAPC are a plus.

Responsibilities

• Accurately code Ophthalmology and Optometry diagnoses and procedures using ICD-10, CPT, and HCPCS codes.
• Submit claims to insurance providers and follow up on denials or rejections.
• Investigate and resolve rejected or denied claims, correcting coding issues and submitting appeals as needed.
• Ensure timely reimbursement for services.
• Stay updated on Ophthalmology/Optometry-specific coding standards, payer policies, and insurance regulations.
• Ensure compliance with HIPAA and other healthcare laws.
• Utilize eCW Practice Management system for claim submission, tracking, and payment processing.
• Communicate with physicians, staff, and patients to resolve billing discrepancies and answer inquiries.

Benefits

• 401(k)
• 401(k) matching
• Dental Insurance
• Disability insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed