Coding Specialist Jobs

About The Position

Requirements

• High school diploma or GED equivalent.
• At least two years of experience in a medical office; ophthalmology office experience is preferred.
• Experience in medical billing and knowledge of CPT/ICD-10 coding required.
• 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.
• Ability to 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.
• Must maintain patient confidentiality in accordance with clinic policy and HIPAA guidelines.
• 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.

Nice To Haves

• College degree preferred.
• Scribe certification preferred.
• Ophthalmic coding experience preferred.

Responsibilities

• Assign diagnosis and procedure codes using ICD and CPT coding systems.
• Ensure codes are accurate and correctly sequenced according to government and insurance requirements.
• Document chart errors accurately according to 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 coding.
• Conduct internal chart audits.
• Work with cross-functional teams to resolve patient billing questions and inquiries.
• Respond promptly to insurance company inquiries in company systems.
• Monitor the aging accounts report and take action on delinquent items.
• 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 (employee-paid).
• Short-term disability (employee-paid).
• Voluntary life insurance (employee-paid).
• Accident, critical illness, and hospital indemnity coverage (employee-paid).
• Pet insurance (employee-paid).
• Pre-tax HSA contributions, including employer contributions.
• 401(k) retirement savings plan with Roth and Traditional options; employer 3% safe harbor contribution.
• Long-term disability (employer-paid).
• $25,000 basic life insurance policy (employer-paid).
• 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.