Medical Coder

Ophthalmology Ltd • Sioux Falls, SD

432d

About The Position

The Medical Coder at Ophthalmology LTD is responsible for accurately coding clinical and outpatient medical records using ICD-10-CM and CPT codes, ensuring compliance with regulatory guidelines and company policies. This full-time position requires collaboration with clinical staff to optimize reimbursement and improve coding practices, contributing to the overall patient experience.

Requirements

• High School Diploma or equivalent.
• Minimum of 2 years of medical coding experience in a physician office setting or equivalent.
• Knowledge of various medical payer practices and insurance laws/guidelines (Medicare, Medicaid, Work Comp, VA, etc.).
• Extensive knowledge of official coding guidelines established by the AMA and CMS.
• Educational coursework in CPT and ICD coding in medical practice.
• Thorough understanding of medical terminology and anatomy.

Nice To Haves

• Post-secondary education courses in Health Information Management, accounting, and/or business.
• Ophthalmology coding and billing experience preferred.
• Certification as a CPC (Certified Professional Coder) or OCS (Ophthalmic Coding Specialist) is encouraged.

Responsibilities

• Code clinical and outpatient medical records using ICD-10-CM and CPT codes.
• Evaluate medical record documentation to ensure accurate coding and optimize reimbursement.
• Respond to coding and reimbursement questions from clinical staff and other departments.
• Perform scheduled audits of physician coding and documentation, providing recommendations for improvements.
• Obtain authorizations prior to procedures or surgical services.
• Assist department leadership with research, analysis, and special projects.
• Provide financial counseling to patients prior to medical services.
• Answer phone calls and direct them to appropriate areas.

Benefits

• Health insurance
• Dental insurance
• 401(k)
• Life insurance
• AD&D insurance
• Disability insurance
• Paid holidays
• Paid time off

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Ambulatory Health Care Services
• Education Level: High school or GED