Certified Ophthalmic Coder, Billing Coordinator – Retina

Staffing For Doctors

. 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.

Posted 11/10/2026full-timeRemote • PhilippinesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in CPT and ICD-10 coding specific to ophthalmology, particularly in retina procedures and injectable drug coding. Proficient in payment posting, auditing claim denials, and ensuring compliance with coding guidelines.

Highest-signal resume keywords

Ophthalmology Coding ExperienceActive Medical Coding CertificationCPT & ICD-10 ExpertisePayment Posting & Billing OperationsLive-Coding & J-Code Mastery

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

CPT CodingICD-10 CodingJ-Code CodingPayment PostingClaim AuditingCoding ComplianceCoding WorkflowsClaim CorrectionsDenial ResolutionChart Documentation Auditing

Soft Skills

CommunicationProblem-SolvingCollaborationAttention to DetailAccountability

Tools & Technologies

ModMed (Modernizing Medicine / EMA)DrChrono EHRHigh-Performance ComputerNoise-Canceling HeadsetHIPAA Compliance Tools

Certifications & Qualifications

CPC (Certified Professional Coder)COCCCSCOA/OCP (Ophthalmic Coding Specialist)

Industry Keywords

OphthalmologyRetina CodingIntravitreal InjectionsSurgical ProceduresFee Schedule DiscrepanciesCoding DenialsBilling IntegrityEOBs/ERAsClinical DocumentationOphthalmic Drugs

About the role

Key responsibilities & impact

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

What you’ll need

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.