Ophthalmology Certified Coder (CPC)

Ophthalmic Consultants of Boston•Plymouth, MA

1d•Hybrid

About The Position

Ophthalmic Consultants of Boston (OCB is seeking a detail-oriented and experienced Certified Professional Coder (CPC) to join our team on a part-time basis. The primary responsibility of this role is to review modifier 25 ophthalmology claims and associated documentation, providing feedback and guidance to clinical teams to ensure accurate coding and compliance with regulatory standards. Working Hours: Full time position Monday through Friday. Travel is required. Waltham 3 days per week, Plymouth 1 day per week, and an optional remote day(work from home).

Requirements

Certified Professional Coder (CPC) certification required.
Minimum of 5 years of experience in medical coding, with a focus on modifier 25 claims.
Strong understanding of coding guidelines, regulations, and compliance standards.
Excellent analytical and problem-solving skills.
Effective communication and interpersonal skills.
Ability to work independently and as part of a team.
Proficiency in using coding software and EPIC EHR systems.

Responsibilities

Review and analyze modifier 25 claims and related documentation for accuracy and compliance.
Provide detailed feedback and recommendations to clinical teams to improve coding practices.
Collaborate with clinical teams to address coding and documentation questions and concerns.
Maintain up-to-date knowledge of coding regulations and industry best practices.
Assist in the development and implementation of coding policies and procedures.
Generate reports and maintain logs to track coding accuracy and identify areas for improvement.