Certified Coder

American Vision Partners; Monterey (CA); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Eye care discounts

Child care assistance

Pet insurance

Continuing education funds

401(k)

Paid holidays

PTO

Sick time

Growth opportunities

Job summary

American Vision Partners (AVP) is seeking a Certified Coder to assign ICD-10 diagnoses and CPT codes for physician services and ASC charges. The role focuses on accurate coding, charge review and reimbursement optimization within ophthalmology practices.

Applicants should have CPC or CCS certification, 5+ years of medical billing/coding, and experience with NextGen. AVP offers comprehensive benefits and professional growth opportunities.

Qualifications

• High School Diploma or GED is required.
• CPC or CCS certification is required.
• 5+ years of medical billing or coding experience.
• Experience in Ophthalmology is a plus.
• Experience working in NextGen in a coding environment.
• Active knowledge of CMS guidelines, contracted insurance guidelines and coding policies.
• Demonstrated computer literacy, math skills, and excellent verbal and written communication skills.

Responsibilities

• Abstracts medical record documents to determine CPT procedures and ICD-10 diagnoses.
• Reviews physician notes and charts for accuracy.
• Ensures coded services, provider charges and documentation meet guidelines.
• Corrects charges posted by clinic staff and ensures all services are billed.
• Identifies and optimizes revenue opportunities.
• Works with departments to optimize reimbursement and charge capture.

Skills

CMS guidelines

Medical billing

Ophthalmology

Communication

Confidentiality

NextGen

Education

High School Diploma or GED

CPC or CCS certification

Tools

NextGen software

Job description

At American Vision Partners (AVP), we partner with the most respected ophthalmology practices in the country and integrate best-in-class management systems, operational infrastructure, and advanced technology to provide the highest quality patient care possible. Our practices include Barnet Dulaney Perkins Eye Center, Southwestern Eye Center, Retinal Consultants of Arizona, M&M Eye Institute, Abrams Eye Institute, Southwest Eye Institute, Aiello Eye Institute, Moretsky Cassidy Vision Correction, Wellish Vision Institute, West Texas Eye Associates and Vantage Eye Center. We are focused on building the nation’s largest and most comprehensive eye care practices and currently operate more than 100 eye care centers in Arizona, New Mexico, Nevada, California and Texas – including 25 ambulatory surgical centers.

At AVP we value teamwork, providing exceptional experiences, continuous improvement, financial strength, and hard work. We are committed to providing best-in-class patient care, pioneering research and technology, and most importantly, rewarding and recognizing our employees!

Overview

As a Certified Coder, you'll be responsible for the assignment of ICD-10 diagnoses and CPT procedure codes for physician professional services and ASC charges.

Responsibilities

• Abstracts medical record documents to determine appropriate CPT procedure(s) and ICD-10 diagnosis
• Reviews physician notes and charts for accuracy
• Ensures coded services, provider charges and medical record documentation meet appropriate guidelines or standards
• Carefully reviews and corrects any charges posted by clinic staff while ensuring all services are accounted for and billed
• Identifies and optimizes revenue opportunities
• Works closely with departments to optimize reimbursement, ensure charge capture, reduce late charges and provide feedback to providers
• Follows the established industry standard and CMS coding guidelines to ensure proper billing of charges - includes CPT-4 and ICD codes as well as modifiers
• Posts, produces and sends all charges for invoice vendors
• Adheres closely to the department’s charge reconciliation process
• Posts any related payments and/or adjustments for surgery charges posted
• Makes changes to demographic information as necessary in order to produce a clean patient statement
• Performs all other assigned duties

Qualifications

• High School Diploma or GED required
• Certified Processional Coder (CPC) or Certified Coding Specialist (CCS) required
• 5+ years medical billing or coding experience
• Experience in Ophthalmology is a plus
• Experience working in NextGen in a coding environment
• Active knowledge of CMS guidelines, contracted insurance guidelines and coding policies
• Demonstrated computer literacy, math skills, and excellent verbal and written communication skills
• Detail oriented, reliable and able to multi-task in a fast-paced, high-volume work environment
• Ability to maintain a high level of confidentiality and professionalism

Benefits & Perks

Your health, happiness and your future matters! At AVP, we offer everything from medical and dental insurance, significant eye care discounts, child care assistance, pet insurance, continuing education funds, 401(k), paid holidays, PTO, Sick Time, opportunity for growth, and much more!