Ophthalmology Revenue Cycle Specialist

Careerwebsite; Tallahassee, Northern (FL, KY); Hybrid; USD 55,000 - 75,000; Full time

Job summary

Careerwebsite is seeking a Revenue Cycle Specialist to accurately assign ophthalmology CPT/ICD-10/HCPCS codes, audit charts for compliance, and process insurance claims. The role supports AR management, denial prevention, and compliance training to optimize reimbursement and timely collections.

The ideal candidate has strong knowledge of eye care coding, billing procedures, and excellent communication to collaborate with providers, payers, and clinic staff.

Qualifications

• Knowledge of CPT, ICD-10, and HCPCS coding systems.
• Experience with eye care coding and billing procedures.
• Strong attention to detail and data accuracy.

Responsibilities

• Conduct chart audits and assign CPT/ICD-10/HCPCS codes for eye care services.
• Prepare and submit insurance claims and verify demographics and coverage.
• Monitor AR, analyze denials, and assist with appeals and denials.
• Respond to insurance audit requests and gather documentation as needed.
• Provide coding training and stay updated on coding guidelines.

Skills

CPT/ICD-10/HCPCS

Ophthalmology coding

Analytical skills

Communication skills

Education

High school diploma or equivalent

Healthcare administration related degree

Tools

Billing software

Clearinghouse platforms

Job description

Careerwebsite is seeking a Revenue Cycle Specialist to accurately assign ophthalmology CPT/ICD-10/HCPCS codes, audit charts for compliance, and process insurance claims. The role supports AR management, denial prevention, and compliance training to optimize reimbursement and timely collections.

The ideal candidate has strong knowledge of eye care coding, billing procedures, and excellent communication to collaborate with providers, payers, and clinic staff.