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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 ...

DuPage Eye Surgery Center

Be Seen First

Claim Specialist/Coder

Wheaton, IL · On-site

$24 - $26/hr

The ideal candidate will possess a comprehensive understanding of medical coding, billing, and ... Ophthalmology knowledge a bonus * Ambulatory Surgery Center claim knowledge a bonus Benefits ...

DuPage Eye Surgery Center

Be Seen First

Claim Specialist/Coder

Wheaton, IL · On-site

$24 - $26/hr

The ideal candidate will possess a comprehensive understanding of medical coding, billing, and ... Ophthalmology knowledge a bonus * Ambulatory Surgery Center claim knowledge a bonus Benefits ...

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 ...

CRA MSO LLC

Medical Biller/Coder

Chula Vista, CA · On-site

$23 - $24/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 ...

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 Vision Partners

Certified Coder

Phoenix, AZ · On-site

$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 ...

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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 Jun 13, 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
Infographic showing various Ophthalmic Coding Specialist job openings in the United States as of June 2026, with employment types broken down into 86% Full Time, and 14% Part Time. Highlights an 93% In-person, and 7% Remote job distribution, with an average salary of $57,000 per year, or $27.4 per hour.
Medical Coder

Medical Coder

Ophthalmology Ltd

Sioux Falls, SD • On-site

$18 - $24.25/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 13 days ago

Job description

Over the years, Ophthalmology LTD's name provides the highest quality of comprehensive medical and surgical eye care. Highly trained ophthalmologists, as well as experienced optometrists, combine their considerable expertise to give each and every patient the best possible care. Ophthalmology LTD delivers treatment for cataracts, glaucoma, and diabetic eye disease, as well as cornea transplants, oculoplastic surgery, retina surgery, vitreoretinal surgery, and pediatric eye care in Sioux Falls.

We are looking for a passionate Medical Coder. This person is responsible for coding clinical and outpatient medical records using the most accurate and appropriate ICD-10-CM and CPT codes in accordance with regulatory coding guidelines and Ophthalmology LTD policy and procedures. If you are passionate about the work you do and the effect your work has on a patient's experience, this might be a great fit for you! This position is full-time and will work on-site to provide you real-time opportunity to collaborate with the Ophthalmology LTD family.

A summary of the job duties include:

  • Demonstrate extensive knowledge of official coding guidelines established by the AMA and CMS with regard to the assignment of ICD-10 and CPT.
  • Evaluates medical record documentation to optimize reimbursement by ensuring that diagnostic and procedural codes and other documentation accurately reflect and support outpatient visits.
  • Respond to coding questions/issues and reimbursement questions from clinical staff and other departments as necessary.
  • Performs scheduled audits of physician coding and documentation to make recommendations for improvements and enhancements.
  • Obtains authorizations prior to procedures or surgical services being performed.
  • Assist department leadership with research, analysis, and all other special projects.
  • Answer phone calls and direct calls to the appropriate areas.
  • Financial counseling of patients prior to medical services being performed and work with the Billing/Insurance Manager and/or CEO on exceptions to standard procedures.

Education and Training requirements:

  • High School Diploma, or equivalent. Prefer post-secondary education courses in Health Information Management, accounting and/or business. Educational coursework in CPT and ICD coding in medical practice and a thorough understanding of medical terminology and anatomy.
  • Minimum of 2 years of medical coding experience in a physician office setting or equivalent with knowledge of various medical payer practices and insurance laws/guidelines (Medicare, Medicaid, Work Comp, VA, and other third-party payers). Ophthalmology coding and billing experience preferred.
  • Certification is encouraged (CPC-Certified Professional Coder, OCS-Ophthalmic Coding Specialist)

Please note this job description is not a complete listing of activities, duties, or responsibilities that are required for this job. Duties, responsibilities, and activities may change at any time.

Ophthalmology LTD office hours are Monday – Friday, 8 am – 5 pm. We offer competitive compensation and a comprehensive benefits package including health, dental, 401K, life insurance, AD&D, short and long-term disability, PTO, sick leave, paid holidays, and eye care benefits.