Medical Coder

Ophthalmology Ltd-posted about 1 year ago
Full-time • Mid Level
Sioux Falls, SD
Ambulatory Health Care Services
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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.

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