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Ophthalmic Billing & E/M Coding Specialist

Nevada Retina Associates

Responsible for accurately posting clinic and hospital charges, with a primary focus on ophthalmology-related Evaluation & Management (E&M) coding. This role includes reviewing documentation from ophthalmologists, ensuring correct use of CPT and ICD-10 codes specific to ophthalmic services, drafting appeals for denied claims, assisting patients with understanding their accounts, and posting payments.

Key duties include A/R follow-up, denial management, claims submission, payment posting, and maintaining compliance with HIPAA and payer guidelines. The position also supports communication with providers and clinical staff, staff meetings, and ongoing ophthalmology-specific coding education.

Requirements & Qualifications
  • High school diploma or equivalent
  • 2–5 years of medical billing experience, preferably in ophthalmology or surgical specialties
  • Proficiency in CPT, ICD-10, modifiers, global surgery policies, and Medicare/Medicaid/Medi-Cal rules
  • Strong knowledge of medical terminology
  • Experience with EMR/billing systems such as Practice+, MoD MED, TriZetto, and Availity
  • Excellent organizational skills and high attention to detail
  • Strong interpersonal, analytical, and communication skills
  • Ability to read and create reports, checklists, and correspondence
  • Ability to work independently, multitask, and use sound judgment
  • Excel knowledge preferred
  • Bilingual skills are a plus
Benefits & Perks
  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Health insurance
  • Life insurance
  • Paid time off
  • Retirement plan
  • Vision insurance

Location

Reno, Nevada, US

Employment Type

Full-time

Experience Level

Associate

Remote work allowed

No

Posted

1 week ago

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