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Ophthalmology Auditor Jobs (NOW HIRING)

Spyglass Pharma

Director, Quality Compliance

Irvine, CA · On-site

Proven track record hosting health authority audits and leading global supplier audit teams (Sterile ophthalmic and combination products experience preferred). Certified Quality Auditor (ASQ CQA/CQE ...

Spyglass Pharma

Director, Quality Compliance

Irvine, CA · On-site

$200K - $225K/yr

Proven track record hosting health authority audits and leading global supplier audit teams (Sterile ophthalmic and combination products experience preferred). Certified Quality Auditor (ASQ CQA/CQE ...

Spyglass Pharma

Director, Quality Compliance

Irvine, CA · On-site

Proven track record hosting health authority audits and leading global supplier audit teams (Sterile ophthalmic and combination products experience preferred). Certified Quality Auditor ( ASQ CQA/CQE ...

US Eye

Clinical Operations Manager

Fort Myers, FL

... Random auditing of performance in EMR to identify training needs • Ensure associates model and follow all customer service skills, ophthalmic testing, insurance verification and prior ...

Socket.dev

Director, Quality Compliance

Irvine, CA · On-site

Proven track record hosting health authority audits and leading global supplier audit teams (Sterile ophthalmic and combination products experience preferred). Certified Quality Auditor (ASQ CQA/CQE ...

US Eye

Clinical Operations Manager

Fort Myers, FL · On-site

... Random auditing of performance in EMR to identify training needs • Ensure associates model and follow all customer service skills, ophthalmic testing, insurance verification and prior ...

Total Vision MD LLC

Patient Care Coordinator

Campbell, CA · On-site

$20.25 - $26.75/hr

Responsible for auditing and editing insurance claims as needed. * Scanning and entering routing ... Experience in the Ophthalmic/Optometric/medical industry is a plus but is not required. Physical ...

Spyglass Pharma

Manager, Accounting

Irvine, CA · On-site

$140K - $160K/yr

We are advancing innovative long-term ophthalmic drug delivery technologies designed to provide ... Support audit and tax compliance, including coordination with external auditors and tax advisors.

Socket.dev

Manager, Accounting

Irvine, CA · On-site

We are advancing innovative long-term ophthalmic drug delivery technologies designed to provide ... Support audit and tax compliance, including coordination with external auditors and tax advisors.

Spyglass Pharma

Manager, Accounting

Irvine, CA · On-site

We are advancing innovative long-term ophthalmic drug delivery technologies designed to provide ... Support audit and tax compliance, including coordination with external auditors and tax advisors.

Spyglass Pharma

Manager, Accounting

Irvine, CA · On-site

We are advancing innovative long-term ophthalmic drug delivery technologies designed to provide ... Support audit and tax compliance, including coordination with external auditors and tax advisors.

The Emmes Company, LLC

Sr. Accountant

Rockville, MD · On-site

$75K - $94K/yr

... ophthalmology, rare diseases, and neuroscience. Through our two business units- Emmes, a full ... Public accounting / external audit experience, including auditing government contractors, and

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Ophthalmology Auditor information

See salary details

$33K

$76.3K

$121.5K

How much do ophthalmology auditor jobs pay per year?

As of Sep 12, 2026, the average yearly pay for ophthalmology auditor in the United States is $76,256.00, according to ZipRecruiter salary data. Most workers in this role earn between $53,500.00 and $98,500.00 per year, depending on experience, location, and employer.

What is an ophthalmology auditor?

Ophthalmology auditors are professionals who review and assess medical records, billing codes, and documentation related to ophthalmology services to ensure accuracy, compliance with regulations, and proper reimbursement. They often work for healthcare providers, insurance companies, or third-party auditing firms, focusing on identifying errors, preventing fraud, and optimizing coding practices. Their expertise helps healthcare organizations maintain compliance with Medicare, Medicaid, and private insurance requirements specific to eye care procedures. Ophthalmology auditors typically have a strong background in medical coding, billing, and clinical ophthalmology terminology.

What are the key skills and qualifications needed to thrive as an ophthalmology auditor, and why are they important?

To thrive as an Ophthalmology Auditor, you need in-depth knowledge of ophthalmology coding, billing regulations, and compliance standards, often backed by a coding certification such as CPC, COA, or COC. Familiarity with auditing software, electronic health records (EHRs), and regulatory guidelines like CMS and HIPAA is typically required. Attention to detail, analytical thinking, and strong communication skills help auditors interpret complex records and effectively convey findings. These skills are crucial to ensure accurate billing, minimize compliance risks, and support the financial health of ophthalmology practices.

What are some common challenges faced by ophthalmology auditors, and how can they be addressed?

Ophthalmology Auditors often encounter challenges such as staying updated with frequent coding changes specific to ophthalmology procedures and ensuring compliance with both payer guidelines and regulatory requirements. Additionally, they must navigate complex documentation from providers and clarify ambiguities to ensure accurate billing. Addressing these challenges involves ongoing education, clear communication with ophthalmology staff, and leveraging auditing software or tools to streamline the review process. Building strong relationships with clinical teams helps auditors resolve discrepancies efficiently and maintain high standards of compliance.

What is the difference between Ophthalmology Auditor vs Ophthalmic Technician?

AspectOphthalmology AuditorOphthalmic Technician
CredentialsCertification in medical auditing or coding (e.g., CPC, CCS)Certification or training in ophthalmic assisting or technical skills
Work EnvironmentHealthcare facilities, clinics, insurance companiesOphthalmology clinics, eye care centers, hospitals
Primary ResponsibilitiesReviewing medical records, ensuring billing compliance, auditing patient chartsPerforming eye tests, assisting in exams, patient care

Ophthalmology Auditors focus on reviewing medical records and billing compliance, often working in administrative or insurance settings. Ophthalmic Technicians assist in patient care and eye exams within clinical environments. While both roles require knowledge of ophthalmology, their daily tasks and credentials differ significantly.

What are popular job titles related to Ophthalmology Auditor jobs?

For Ophthalmology Auditor jobs, the most frequently searched job titles are:

Infographic showing various Ophthalmology Auditor job openings in the United States as of September 2026, with employment types broken down into 85% Full Time, 10% Part Time, and 5% Contract. Highlights an 100% In-person job distribution, with an average salary of $76,256 per year, or $36.7 per hour.

Charge Entry and Auditing Specialist

Remote

Evenflow Solutions
See more jobs at Evenflow Solutionsexternal

Other

Re-posted 21 days ago

Job description

Ophthalmology or Optometry AR Follow-up specialist
Evenflow Solutions has a client that is looking to add a remote Ophthalmology or Optometry AR Follow-up specialists to their team
This is a Direct Hire position with our client that offers a generous Benefits Package and a great working environment.
• Direct Hire position
• This will be a 100% remote position
• Must have at least 3 years of experience in Optometry or Ophthalmology
• Nextgen Experience
Overview of Position
A/R Specialist is responsible for calling all insurance companies and utilizing online resources to check claim status, resubmit claims as necessary via paper or electronically, file appeals, track denial trending, resolve denials, and ensure maximum revenue capture. In addition, this role will facilitate the timely receipt of payments and ensure balances on accounts are correct and appropriately prorated.
Job Duties and Expected Performances:
• Key charges for office visits, minor procedures, hospital billing, and surgery charges following standard guidelines for coding and billing.
• Post charges, reviewing diagnosis code and cross-checking with the procedure code.
• Review encounters via Practice Management System, reports, and other sources with an average productivity of 50 accounts per day.
• Document follow-up appropriately in the practice management system.
• Maintain an acceptable error rate and productivity level within department policy.
• Perform collection actions, including third-party appeals and resubmitting claims to third party payers.
• Identify and bill secondary or tertiary insurances.
• Reconcile carrier submissions, edits, and rejection reports.
• Resolve incoming patient calls with excellent customer service skills.
• Employ tactfulness in dealing with insurance companies/patients regarding accounts in verbal and written communication, while being professional and courteous at all times.
• Identify, verify, and document adjustments according to established policies and procedures.
• Research and prepare credits for refund approval.
Required:
• High School Graduate or General Education Degree (GED)
• At least 3 years of experience in Optometry and Ophthalmology billing and Follow-up
Experience:
• Experience with Nextgen PM/HER
• At least 5 years of professional medical billing and collecting experience, or certification obtained from a nationally accredited billing program, i.e., CMBS (Certified Medical Billing Specialist).
• Must have experience with Appeals and Denials process
• Experience Following up with Insurance companies on claims
• Experience with Excel and Windows-based programs.
• Experience in performing tasks that require a basic understanding of accounting and math skills.
Evenflow Solutions (ES) is an Equal Opportunity Employer. ES provides equal employment opportunities to all applicants and employees without regard to race, color, religion, sex, age, sexual orientation, gender identity, national origin, disability, marital status, protected veteran status, or any other characteristic protected by law.

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