Ophthalmology Medical Coder – CPC/CCS Expert

American Vision Partners; Pahrump (NV); On-site; USD 60,000 - 75,000; Full time

Benefits offered by this job

Medical and dental insurance

Eye care discounts

Child care assistance

Pet insurance

Continuing education funds

401(k)

Paid holidays

PTO

Sick time

Career growth opportunities

Job summary

American Vision Partners (AVP) seeks a Certified Coder to assign ICD-10 diagnoses and CPT codes for physician services and ASC charges across our ophthalmology practices.

The role requires 5+ years of medical billing or coding experience, CPC or CCS certification, and experience with NextGen. Knowledge of CMS guidelines and insurance policies is essential. This on-site role supports AVP’s commitment to high-quality patient care and accurate reimbursement across a growing network.

Qualifications

• High School Diploma or GED required.
• Certified CPC or 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.

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

Skills

Detail-oriented

Communication skills

Confidentiality

Multi-tasking

Education

CPC

CCS

Tools

NextGen

Job description

American Vision Partners (AVP) seeks a Certified Coder to assign ICD-10 diagnoses and CPT codes for physician services and ASC charges across our ophthalmology practices.

The role requires 5+ years of medical billing or coding experience, CPC or CCS certification, and experience with NextGen. Knowledge of CMS guidelines and insurance policies is essential. This on-site role supports AVP’s commitment to high-quality patient care and accurate reimbursement across a growing network.