Certified Ophthalmic Coder, Billing Coordinator – Retina

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🔥 11 minutes ago

🇵🇭 Philippines – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

📊 Billing Specialist

👻 Ghost score 22%

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• 33 open roles for a team of 13.
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Staffing For Doctors

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11 - 50 employees

Founded 2025

🏥 Healthcare

🤝 B2B

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Healthcare • B2B • Recruitment

Staffing For Doctors is a U. S. -based staffing service that places HIPAA-trained, specialty-matched virtual medical assistants and related clinical support staff for medical practices. Their remote team members handle scheduling, EHR documentation and charting, prior authorizations, patient communication, and other administrative/clinical tasks across dozens of specialties; hires are presented quickly (matched in 24 hours and live/onboarded within ~48 hours) at a flat $14/hr rate with no long-term contracts. The company emphasizes compliance and data security (HIPAA-trained staff, SOC 2 certified, BAA included, 256-bit SSL), white-glove onboarding via a dedicated customer success manager, and serves practices through a portal and demo/onboarding process.

📋 Description

• Review clinical documentation in real time to code complex retina visits, surgical procedures, and intravitreal injectable drug J-codes using precise ICD-10 and CPT coding guidelines. • Post payments accurately from ERAs/EOBs, reconcile accounts, and audit payment postings to uncover fee schedule discrepancies or coding-related claim rejections. • Work directly with the practice manager and outsourced billing agency to track unbilled encounters, resolve coding denials, push claim corrections, and report on pending revenue items. • Execute real-time CPT and ICD-10 coding for clinical encounters, retinal procedures, intravitreal injections, and specialized diagnostic testing. • Ensure precise coding and compliance for high-cost ophthalmic drugs and biologic injectables (J-codes), verifying unit quantities and modifier application. • Audit provider chart documentation against submitted codes to capture unbilled services, catch clinical discrepancies, and ensure billing integrity prior to claim submission. • Post electronic and manual payments, identify line-item discrepancies, and address coding-related denials or payor bundling rejections. • Serve as the practice’s primary contact for the third-party billing company—tracking claim transmission cadences, resolving coding edits, and holding external billers accountable. • Own all coding workflows, deliver transparent weekly status reports on pending charts, and directly relieve administrative bottlenecks for clinic leadership.

🎯 Requirements

• 5+ Years Ophthalmology Coding Experience: Extensive, proven background coding for an ophthalmology practice, with direct specialization in retina coding. • Active Medical Coding Certification: Hold an active credential such as CPC (Certified Professional Coder), COC, CCS, or COA/OCP (Ophthalmic Coding Specialist). • Live-Coding & J-Code Mastery: Demonstrated expertise in real-time live coding of provider notes and deep familiarity with J-codes / injectable drug coding. • CPT & ICD-10 Expertise: Advanced knowledge of ophthalmic CPT codes, modifiers, ICD-10 diagnostic codes, and payor LCD/NCD coverage policies. • Payment Posting & Billing Operations: Hands-on experience posting payments, analyzing EOBs/ERAs, and auditing claim denial patterns. • Schedule Availability: Full availability to work 40 hours per week during Monday through Friday, 8:00 AM – 5:00 PM PST. • Remote Workspace Setup: Dedicated, private home office with a lockable door, high-speed primary internet connection, backup power/internet solutions, a high-performance computer (PC/Mac), and a noise-canceling headset in full compliance with HIPAA rules. • Preferred: Direct coding experience for intravitreal injections, retinal detachments, laser surgeries, and complex retinal imaging. • Preferred: Hands-on proficiency with ModMed (Modernizing Medicine / EMA) or DrChrono EHR systems. • Preferred: Prior experience coordinating workflows alongside an outsourced third-party billing agency. • Preferred: Experience directly supporting an ophthalmology practice manager or clinic director.

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