The Ophthalmic Billing & E/M Coding Specialist is responsible for accurately posting clinic and hospital charges with a primary focus on ophthalmology-related Evaluation & Management (E&M) coding.
This role includes reviewing documentation from ophthalmologists, ensuring correct use of CPT and ICD-10 codes specific to ophthalmic services, drafting appeals for denied claims, assisting patients with understanding their accounts, and posting payments.
Minimum of a high school diploma or equivalent.
2-5 years of medical billing experience, preferably in ophthalmology or surgical specialties.
Proficiency in CPT, ICD-10, and modifiers, especially related to global surgery policies.
Familiarity with surgical billing, global periods, and Medicare, Medicaid, and Medi-Cal rules.
Strong knowledge of medical terminology.
Excellent interpersonal and communication skills.
Experience with EMR and billing systems such as Practice+, MoD MED, TriZetto, and Availity.
Strong organizational skills, accuracy, attention to detail, and analytical ability.
Ability to read and create reports, checklists, and correspondence, and understand complex written instructions.
Excel knowledge is a plus.
Ability to apply sound judgment to resolve routine problems.
Must be a self-motivated multitasker.
Bilingual ability is a plus.
Location
Nevada, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
No
Posted
3 weeks ago