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Ophthalmic Coding Specialist Jobs (NOW HIRING)

Ophthalmology Ltd

Medical Coder

Sioux Falls, SD · On-site

$18 - $24.25/hr

Ophthalmology coding and billing experience preferred. * Certification is encouraged (CPC-Certified Professional Coder, OCS-Ophthalmic Coding Specialist) Please note this is not a complete listing of ...

Medix

Medical AR Specialist

Overland Park, KS · On-site

$18 - $20/hr

The practice will fully sponsor and provide on-the-clock training for you to earn your Ophthalmic Coding Specialist Retina (OCSR) exam within your first 6 months. Note: This requires dedicated study ...

WellSpan Health

Coder III- Cardiology

York, PA

$22.25 - $30.25/hr

Certified Coding Specialist - Physician Based Upon Hire Required or * Certified Medical Coder Upon ... Certified Ophthalmology Coder Upon Hire Required or * Certified Orthopedic Surgery Coder Upon Hire ...

WellSpan Health

Coder III- Cardiology

York, PA · On-site

$22.25 - $30.25/hr

Certified Coding Specialist - Physician Based Upon Hire Required or * Certified Medical Coder Upon ... Certified Ophthalmology Coder Upon Hire Required or * Certified Orthopedic Surgery Coder Upon Hire ...

P.M. Medical Billing

Be Seen First

Ophthalmology Medical Billing Specialist

Syosset, NY · On-site

$19 - $24.50/hr

Our staff consists of certified ophthalmology technicians as well as certified ophthalmology coders for optimum ophthalmological knowledge. We have brought to our clients dramatically increase ...

P.M. Medical Billing

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Medical Billing Specialist- Ophthalmology

Tarpon Springs, FL · On-site

$15.75 - $20.50/hr

Our staff consists of certified ophthalmology technicians as well as certified ophthalmology coders for optimum ophthalmological knowledge. We have brought to our clients dramatically increase ...

P.M. Medical Billing

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Medical Billing Specialist- Ophthalmology (CompULink)

Tarpon Springs, FL · On-site

$15.75 - $20.50/hr

Our staff consists of certified ophthalmology technicians as well as certified ophthalmology coders for optimum ophthalmological knowledge. We have brought to our clients dramatically increase ...

American Vision Partners

Certified Coder

Phoenix, AZ

$20.75 - $27.50/hr

... Coding Specialist (CCS) required * 5+ years medical billing or coding experience * Experience in Ophthalmology is a plus * Active knowledge of CMS guidelines, contracted insurance guidelines and ...

American Eye Associates

Medical Biller/Coder

Chula Vista, CA · On-site

$19.50 - $24.75/hr

Our growing Ophthalmology practice has a vacancy for a Full Time Biller/ Coder role. This role will ... We are seeking a talented and proficient Claims Denial Resolution Specialist/ Coder to join our ...

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Ophthalmic Coding Specialist information

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$16

$27

$38

How much do ophthalmic coding specialist jobs pay per hour?

As of Jul 20, 2026, the average hourly pay for ophthalmic coding specialist in the United States is $27.40, according to ZipRecruiter salary data. Most workers in this role earn between $22.12 and $32.69 per hour, depending on experience, location, and employer.

What is the difference between Ophthalmic Coding Specialist vs Ophthalmic Medical Assistant?

AspectOphthalmic Coding Specialist

Ophthalmic Coding Specialists focus on medical billing, coding, and documentation specific to eye care, requiring certifications like CPC. They work primarily in medical offices, clinics, or billing companies. Ophthalmic Medical Assistants perform clinical tasks such as patient exams, assisting with procedures, and basic administrative duties, often in ophthalmology clinics. While both roles support eye care practices, the Coding Specialist emphasizes billing and coding, whereas the Medical Assistant handles patient care and clinical support. Both roles are essential in ophthalmology settings but differ in responsibilities and required credentials.

What are the key skills and qualifications needed to thrive as an Ophthalmic Coding Specialist, and why are they important?

To thrive as an Ophthalmic Coding Specialist, you need a strong knowledge of ophthalmology terminology, medical coding systems (like ICD-10, CPT, and HCPCS), and typically a certification such as Certified Ophthalmic Coder (COC) or Certified Professional Coder (CPC). Familiarity with electronic health records (EHRs), practice management software, and coding reference tools is crucial for daily tasks. Attention to detail, analytical thinking, and effective communication are vital soft skills for accurate coding and collaborating with physicians and billing staff. These abilities ensure compliance, maximize reimbursement, and minimize claim denials in ophthalmic practices.

What are Ophthalmic Coding Specialists?

Ophthalmic Coding Specialists are professionals who specialize in accurately translating ophthalmic medical procedures, diagnoses, and services into standardized codes for billing and insurance purposes. They ensure that eye care providers' documentation meets regulatory requirements and that claims are processed correctly. Their expertise helps ophthalmology practices receive proper reimbursement and avoid coding errors that could lead to audits or denied claims. These specialists must stay updated on coding guidelines and changes specific to ophthalmology.

What are some common challenges Ophthalmic Coding Specialists face when interpreting complex ophthalmology procedures for accurate billing?

Ophthalmic Coding Specialists often encounter challenges when coding for intricate procedures such as retinal surgeries, laser treatments, and diagnostic imaging, which require detailed knowledge of both CPT and ICD-10 codes. Staying updated on frequent changes in ophthalmic coding guidelines and payer-specific billing policies can also be demanding. Additionally, collaborating closely with physicians to clarify documentation and ensure coding accuracy is crucial, as incomplete or ambiguous records can lead to claim denials or delays. Attention to detail and strong communication skills are essential to navigate these complexities effectively.
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Ophthalmic Coding Specialist jobs near you
RCM Specialist (Ophthalmology)

RCM Specialist (Ophthalmology)

Center for Sight Las Vegas

Las Vegas, NV • Remote

$21 - $24/hr

Full-time

Posted 3 days ago

Job description

Position Summary
The Ophthalmology Surgical Coder amp; Accounts Receivable Specialist is responsible for accurately coding and posting ophthalmic surgical procedures while managing assigned insurance payer accounts receivable to ensure timely, accurate, and compliant reimbursement. This position reviews operative documentation to assign appropriate CPT, ICD-10-CM, HCPCS, and modifier coding, prepares and submits clean claims, investigates and resolves unpaid, underpaid, denied, or delayed claims for assigned payers, and maintains accurate account documentation throughout the revenue cycle. The ideal candidate demonstrates strong analytical skills, attention to detail, and a commitment to coding accuracy, regulatory compliance, and maximizing reimbursement while collaborating with physicians, clinical staff, insurance carriers, and the Revenue Cycle Manager to support operational initiatives, process improvements, and other revenue cycle responsibilities as needed.
Essential Responsibilities
Surgical Coding amp; Posting
  • Review operative reports and physician documentation to assign accurate CPT, ICD-10-CM, HCPCS, and modifier coding.
  • Accurately code ophthalmology surgical procedures in accordance with AMA, CMS, AAO, NCCI, and payer-specific guidelines.
  • Post surgical cases into the practice management system within established departmental turnaround times.
Revenue Cycle Operations
  • Support all phases of the revenue cycle, including registration, insurance verification, referrals, authorizations, charge capture, coding, billing, payment posting, accounts receivable, patient collections, and denial management.
  • Monitor aging reports and prioritize accounts based on timely filing limits, aging, financial impact, and payer requirements.
  • Review claim status through payer portals, clearinghouses, and direct communication with insurance carriers.
  • Investigate unpaid, denied, rejected, and underpaid claims.
  • Identify barriers preventing reimbursement and take appropriate corrective action; Escalate complex reimbursement issues to leadership when appropriate.
  • Submit corrected claims, appeals, reconsiderations, and supporting documentation as necessary.
  • Maintain current knowledge of coding guidelines, payer regulations, and revenue cycle best practices through ongoing education.
  • Assist with special projects, reporting, and operational initiatives as assigned by the Revenue Cycle Manager.
Qualifications
Required
  • Minimum three years of medical billing or accounts receivable experience.
  • Minimum two years of medical coding experience, including surgical coding.
  • Working knowledge of CPT, ICD-10-CM, HCPCS Level II, and modifier assignment.
  • Experience interpreting operative reports and physician documentation.Appeals and denial management
  • Knowledge of Medicare, Medicaid, commercial insurance, managed care, and payer reimbursement methodologies.
  • Experience with electronic health records (EHR) and practice management systems.
  • Strong analytical, organizational, and problem-solving skills.
  • Excellent written and verbal communication skills.
  • Proficiency in Microsoft Outlook, Word, and Excel.
Preferred
  • Ophthalmology coding and billing experience.
  • Certified Professional Coder (CPC), Certified Professional Biller (CPB), Certified Ophthalmic Coding Specialist (COCS), or equivalent certification
  • Experience with ModMed (Modernizing Medicine).

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