Certified Ophthalmic Coder, Billing Coordinator – Retina

About the Role

Staffing For Doctors is hiring a meticulous Certified Ophthalmic Coder and Billing Coordinator for a remote position. This role focuses on optimizing billing workflows and ensuring accurate clinical documentation for medical practices. As the main contact between clinical staff and third-party billing services, you will oversee coding operations, generate transparent reports, and assist clinic leadership in overcoming administrative challenges. This position offers a specialized focus on retina-related coding and billing in a high-speed environment, with a strong emphasis on maintaining strict data security and regulatory compliance.

Requirements

• The ideal candidate must possess at least five years of ophthalmology coding experience, with a specific focus on retina procedures.
• You are required to hold an active medical coding certification, such as CPC, COC, CCS, or COA/OCP.
• Mastery of real-time live coding, J-codes, and injectable drug coding is essential, alongside advanced knowledge of CPT and ICD-10 guidelines and payor LCD/NCD coverage policies.
• You must demonstrate hands-on experience with payment posting, analyzing EOB/ERA reports, and auditing denial patterns.
• Proficiency with EHR systems like ModMed or DrChrono is preferred, as is prior experience supporting clinic management.
• Applicants must be able to commit to a full-time schedule, Monday through Friday, 8:00 AM to 5:00 PM PST.
• Furthermore, you must maintain a private, HIPAA-compliant home office setup with high-speed internet and reliable backup power.

Responsibilities

• Your duties will include reviewing clinical documentation in real-time to code complex retina visits, surgical procedures, and intravitreal injectable drug J-codes.
• You will be responsible for posting payments from ERAs and EOBs, reconciling accounts, and auditing postings to resolve fee schedule discrepancies or claim rejections.
• A core part of the role involves tracking unbilled encounters and working directly with practice managers and third-party billing agencies to resolve coding denials and push necessary claim corrections.
• You will audit provider charts against submitted codes to ensure accuracy and billing integrity prior to submission.
• Additionally, you will serve as the primary point of contact for external billing partners, holding them accountable for transmission cadences while providing regular status reports on pending charts and revenue items.