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Ophthalmology Coding Jobs in Houston, TX (NOW HIRING)

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Ophthalmology Coding information

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How much do ophthalmology coding jobs pay per hour?

As of Jul 30, 2026, the average hourly pay for ophthalmology coding in Houston, TX is $20.97, according to ZipRecruiter salary data. Most workers in this role earn between $17.21 and $22.02 per hour, depending on experience, location, and employer.

What is ophthalmology coding?

Ophthalmology coding refers to the specialized process of translating eye care medical services, procedures, and diagnoses into standardized codes for billing and insurance purposes. It involves using CPT (Current Procedural Terminology), ICD-10 (International Classification of Diseases), and HCPCS (Healthcare Common Procedure Coding System) codes specific to eye-related treatments and surgeries. Accurate ophthalmology coding is crucial to ensure proper reimbursement, avoid claim denials, and maintain compliance with healthcare regulations.

What is the difference between Ophthalmology Coding vs Medical Billing Specialist?

AspectOphthalmology CodingMedical Billing Specialist
CertificationsCPMA, CPC, CCS-PCertified Professional Biller (CPB), CPC
Work EnvironmentMedical offices, outpatient clinics, hospitalsMedical offices, billing companies, hospitals
Industry UsageSpecifically in ophthalmology practicesAcross various medical specialties
Primary FocusAssigning accurate procedure and diagnosis codes for ophthalmology servicesManaging billing processes, submitting claims, and follow-up

Ophthalmology Coding focuses on accurately translating ophthalmology procedures into codes for billing and insurance purposes, requiring specialized knowledge of ophthalmic services. Medical Billing Specialists handle the broader billing process across multiple specialties, including claim submission and payment follow-up. While both roles involve medical billing, Ophthalmology Coding is more specialized in coding accuracy within ophthalmology practices.

What are the key skills and qualifications needed to thrive in Ophthalmology Coding, and why are they important?

To excel in Ophthalmology Coding, you need a solid understanding of medical terminology, anatomy, ophthalmology-specific procedures, and knowledge of ICD-10, CPT, and HCPCS coding systems, often backed by a Certified Professional Coder (CPC) or Certified Ophthalmic Coder (COC) credential. Familiarity with practice management systems, electronic health records (EHRs), and coding software is typically required. Attention to detail, analytical thinking, and effective communication help ensure accurate coding and smooth collaboration with clinical staff. Mastering these skills ensures correct billing, compliance with regulations, and maximized reimbursement for ophthalmology practices.

What are some common challenges faced in ophthalmology coding, and how can coders address them?

Ophthalmology coding often involves navigating complex documentation and understanding detailed anatomical terminology, which can be challenging due to frequent updates in coding guidelines and payer requirements. Coders must stay up-to-date with changes in CPT, ICD-10, and HCPCS codes specific to eye care procedures to ensure accurate billing and reimbursement. Collaborating closely with ophthalmologists and clinical staff to clarify documentation and participating in ongoing training are effective ways to overcome these challenges. Attention to detail and a commitment to continuing education are key to succeeding in this specialized field.
What cities near Houston, TX are hiring for Ophthalmology Coding jobs? Cities near Houston, TX with the most Ophthalmology Coding job openings:
Infographic showing various Ophthalmology Coding job openings in Houston, TX as of July 2026, with employment types broken down into 87% Full Time, and 13% Contract. Highlights an 100% In-person job distribution, with an average salary of $43,615 per year, or $21 per hour.

Certified Ophthalmic Assistant

Houston Eye Associates

Houston, TX • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 6 days ago


Houston Eye Associates rating

8.4

Company rating: 8.4 out of 10

Based on 7 frontline employees who took The Breakroom Quiz


Job description

LOCATION: 2855 Gramercy St. Houston, TX 77025.
POSITION SUMMARY
Contributes to the organization by working closely with the ophthalmologist to perform basic, advance, and complex preliminary tests and measurements of the eyes. The OA generally meets with the patient before the Ophthalmologist to obtain medical history and prepare the patient for the examination.
ESSENTIAL DUTIES & RESPONSIBILITIES
Responsible for properly stocking, preparing, and maintaining the cleanliness of exam rooms during clinic.
Reviews patient chart for accuracy of information.
Prepare patients for physicians exam. Perform tests based on the specific reasons for the visit and physicians preference.
Assists with in-office procedures.
Prepare and ensure all consent forms are complete and accurate prior to in-office procedures. Prepares and cleans room after procedure.
Administer topical ophthalmic or oral medications under the direction of the physician.
May act as scribe to assist physicians with entering exam information into electronic record. Order diagnostic tests electronically and submit prescription refills approved by physician.
Assists with preparing letters to patients and referring physicians.
Assists with diagnostic testing.
Follow-up on diagnostic tests when directed by physician.
Schedule, reschedule, and cancel appointments.
Assists in training of other ophthalmic assistants.
Must meet and adhere to HEAs policies and procedures, uphold to the highest ethical principles and patient confidentiality. Complies with all State and Federal regulations.
Other duties as assigned based on business operational needs.
Skills and Abilities
Visual Assessment
Visual Field Testing (CVF, Amsler Grid, HVF)
Pupil Assessment
Tonometry (iCare, Goldmann Applanation, and Tonopen)
Keratometry (manual and automated)
Ocular Motility Testing
Lensometry (Manual and automated)
Refraction (utilizing phoroptor, duochrome, fogging, Prince rule, trial frame)
Retinoscopy and Refinement (at the COT and COMT level)
Basic Contact Lens knowledge
Ophthalmic Coding
Scribing
We Proudly Offer:
  • Continuing Education including JCAHPO & ABOC
  • Holidays & Paid Time Off
  • Bereavement Leave
  • Superior Benefits Package:
    • Medical
    • Dental
    • 401(K)
    • Free Life Insurance & LTD
    • Eye Care Benefits & Optical Discounts

Equal Opportunity Employer M/F/H/V
COMPETENCIES
EDUCATION: High School Diploma or GED equivalent preferred
CERTIFICATIONS & LICENSES: JCAHPO (COA, COT, or COMT) certification, Basic Life Support (BLS).
EXPERIENCE: Minimum 1-2 years' experience working with ophthalmologist

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