Medical Coder & Billing Specialist Position Available In Berks, Pennsylvania

Medical Coder & Billing Specialist Pennsylvania Eye and Ear Surgery Center, LLC Wyomissing, PA Job Details Full-time $26.50 – $28.50 an hour 1 day ago Benefits Health insurance Dental insurance 401(k) Flexible spending account Tuition reimbursement Paid time off Employee assistance program Vision insurance Employee discount Life insurance Qualifications Insurance verification Medical Coding Certification Medical coding Ophthalmology Mid-level High school diploma or GED Certified Professional Coder ICD-10 Supervising experience CPT coding Otolaryngology 2 years Communication skills Full Job Description This position is ON SITE. Not a remote position. This is an Ambulatory Surgery Center (ASC) Surgical Coding/Billing position with a focus on Ophthalmology and ENT. The ideal candidate has a strong background in medical coding & billing with AAPC certification (CPC, COC, CPC-A, or equivalent) and a specific understanding of ophthalmology-related procedures, modifiers, payer policies, and coding guidelines. In addition to surgical coding and billing, we are also looking for this individual to assist in the pre-surgical patient estimation process. Health insurance verification and benefit experience is a must. Under indirect supervision, the coder is responsible for the accurate coding of Ophthalmology and ENT surgical procedures and diagnoses. Classification systems include ICD-10-CM, CPT, Healthcare Common Procedure Coding System (HCPCS), and other facility reimbursement guidelines. Candidate will also be responsible for accurate benefit verification and patient estimate creation, along with other duties as assigned.

KEY RESPONSIBILITIES

Must be a strong Ophthalmology & ENT surgical coder. Apply appropriate coding (CPT, ICD-10, HCPCS) for ophthalmology & ENT minor and major surgical procedures (e.g., cataract surgery, laser procedures). Must possess a thorough knowledge of ICD-10-CM and CPT, Healthcare Common Procedure Coding System (HCPCS) coding principles, and third-party requirements regarding documentation and billing. Submit accurate and timely claims to Medicare, Medicaid, and commercial payers via electronic and paper submission. When services/diagnoses are not documented appropriately, seek to attain proper documentation in a timely manner according to facility standards. The coder is responsible for coding or pending every chart placed in their charge entry tracker. Maintain compliance with HIPAA regulations, CMS guidelines, and payer-specific billing requirements. Keep current with coding changes, payer updates, and billing best practices. Must maintain current certification credentials. Must possess a thorough knowledge of health insurance verification and benefits.

REQUIREMENTS

AAPC Certification (CPC, CPC-A, COC or equivalent) required. Minimum 2 years of coding & billing experience, with at least 1 year in ophthalmology and/or ENT coding & billing. Proficient in coding, terminology, and services Familiarity with common ophthalmic procedures (e.g., cataract surgery, YAG laser, intravitreal injections). Strong understanding of insurance guidelines Excellent communication skills and attention to detail.

Preferred Qualifications:

1. Basic knowledge of ASC (Ambulatory Surgery Center) billing for ophthalmology & ENT procedures. 2. Understanding of global periods, surgical packages, and bundled services. Required Experience Level Intermediate Level Minimum Education High School Minimum Experience Required 2-4 years This is a full-time, on-site position.

Job Type:

Full-time Pay:

$26.50 – $28.50 per hour Expected hours: 40 per week

Benefits:

401(k) Dental insurance Employee assistance program Employee discount Flexible spending account Health insurance Life insurance Paid time off Tuition reimbursement Vision insurance

Schedule:

8 hour shift Day shift Monday to Friday No weekends Application Question(s): Do you have an AAPC Certification (CPC, CPC-A, COC or equivalent)?

Work Location:

In person