Ophthalmic Coding Specialist

Retina Consultants of Texas•Houston, TX

24d•Onsite

About The Position

Retina Consultants of Texas is hiring an Ophthalmic Coding Specialist for its Spurs Lane office in San Antonio. The role reviews medical records and assigns accurate diagnosis and procedure codes to patient health information using coding systems including ICD-10-CM (and potentially PCS) and HCPCS/CPT. The specialist supports compliant coding, billing, chart auditing, and responses to patient and insurance inquiries while maintaining patient confidentiality and professional service. The position works with minor and major ophthalmic surgical procedures, including intravitreal injections and retina surgeries. Retina Consultants of Texas is a retina-only ophthalmology practice with 26 physicians and 25 locations. Its stated core values are Hard Work, Authentic Care, and Innovation. The pay rate is $22.00 or more per hour, and the position is eligible for overtime. Benefits listed for eligible full-time employees begin after a 60-day introductory period, except 401(k) retirement savings contributions, which start on the date of hire.

Requirements

High school diploma or GED equivalent.
At least two years of experience in a medical office.
Experience in medical billing and knowledge of CPT and ICD-10 coding.
Basic understanding of algebraic principles.
Knowledge of minor and major surgical procedures, including intravitreal injections and retina surgeries.
Understanding of Medicare and other common insurance requirements for quality reporting and payer compliance.
Knowledge of required examination components for appropriate ICD-10 selection and CPT coding.
Training and understanding of HIPAA requirements and patient confidentiality.
Ability to learn Nextgen/Nextech quickly and efficiently.
Strong professional interpersonal skills.
Understanding of medical terminology and/or ophthalmic terminology.
Ability to maintain a calm, positive attitude and professional demeanor in stressful situations and respond to changing workloads and work environments.
Excellent verbal and written communication skills.
Ability to manage multiple projects simultaneously.
Strong computer skills, accurate data entry, and attention to detail.
Ability to multitask and work in a fast-paced environment.
Ability to sit for long periods of time.
Manual dexterity sufficient to operate a keyboard, calculator, telephone, and other office equipment.
Must maintain patient confidentiality in accordance with clinic policy and HIPAA guidelines.

Nice To Haves

College degree preferred.
Medical office experience in an ophthalmology office preferred.
Scribe certification preferred.
Ophthalmic coding preferred.

Responsibilities

Assign diagnosis and procedure codes using ICD and CPT coding systems.
Ensure codes are accurate and sequenced according to government and insurance requirements.
Document chart errors accurately in accordance with practice protocols.
Code minor and major surgical procedures, including intravitreal injections and retina surgeries.
Assist with initiating billing and rebilling for procedures using appropriate CPT and ICD codes.
Conduct internal chart audits.
Partner with cross-functional teams to resolve patient billing questions and inquiries.
Respond promptly to insurance company inquiries in company systems.
Monitor aging accounts reports and identify delinquent items requiring action.
Handle business office phone calls as needed.
Represent the practice professionally and treat internal and external patients courteously.
Perform other tasks as required.

Benefits

Medical, dental, and vision benefits.
Short-term disability insurance.
Voluntary life insurance.
Accident, critical illness, and hospital indemnity coverage.
Pet insurance.
Pre-tax HSA contributions and employer HSA contributions.
401(k) retirement savings contributions with Roth and Traditional options, plus a 3% employer safe harbor contribution.
Long-term disability insurance.
$25,000 basic life insurance policy.
Annual performance merit increases.
Certification opportunities.
Rewards and recognition platform.
WellHub Starter Plan gym membership.
Paid time off.
Eight paid holidays and one floating holiday annually.
Overtime eligibility.