Medical Coding Specialist

1 month ago


Pensacola, United States Retina Specialty Institute Full time
Job DescriptionJob Description

Title: Medical Coding Specialist

Department: RCM

Reports To: RCM Leads

FLSA: Non-Exempt (Hourly)

General Purpose of Job/Summary:

Retina Specialty Institute is at the national and regional forefront of retinal healthcare. We are constantly trying to innovate and improve ourselves.

We are seeking a detail oriented and experienced Multi Specialty Ophthalmic Coder and Biller to join our healthcare team. The ideal candidate will be responsible for accurately coding and billing optometry and ophthalmology services, ensuring compliance with medical coding regulations, and maximizing reimbursement for all provided services.

Essential Duties and Responsibilities:
  • Review and interpret ophthalmic medical records to determine accurate ICD-10, CPT, and HCPCS codes for procedures and diagnoses.
  • Enter coded data and other patient information into PM software, scrubs for accuracy, and submits claims to insurance companies.
  • Follow up on unpaid claims within the standard billing cycle timeframe, checking each insurance payment for accuracy and compliance with contract discount.
  • Resolve billing and insurance discrepancies and discuss these with insurance companies and patients as necessary.
  • Stay current with coding guidelines and reimbursement reporting requirements. Comply with all legal requirements regarding coding procedures and practices.
  • Conduct audits and coding reviews to ensure all documentation is accurate, compliant, and precise.
  • Collaborate with physicians, administrators, and other medical staff to ensure billing accuracy.
  • Provide patient billing and insurance education as needed.
  • Prepare and submit reports to the billing supervisor or manager.
Qualifications:
  • Preferred 2 years of experience in medical coding and billing, preferably in an ophthalmology and optometry setting.
  • Proficient in medical terminology, ICD-10, and CPT coding.
  • Familiarity with ophthalmology procedures, terminology, and patient care services.
  • Strong organizational and time management skills with attention to detail.
  • Excellent communication skills, both verbal and written.
  • Ability to work independently and collaboratively within a team.
Benefits:
  • Competitive salary.
  • Comprehensive benefit offerings with employer contribution.
  • Paid time off and holidays.
  • 401k participation with company match.
  • Opportunities for professional development and training.
  • Collaborative and supportive work environment.
  • Contribution to the success of a growing medical practice.
Physical Requirements:

The physical requirements described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions to the extent the Company may do so without undue burden.

While performing the duties of this job, the employee will regularly be required to:

  • Sit for prolonged periods at a desk while working on a computer

While performing the duties of this job, the employee will occasionally be required to:

  • Stand
  • Walk
  • Stoop, kneel, crouch, and/or crawl
  • Lift and/or move up to 15 pounds
Work Environment:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • Climate controlled, temperate indoor working environment
  • The noise level in the work environment is usually moderate
Other Duties:

This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.



  • Pensacola, United States HCA Full time

    Introduction Do you want to join an organization that invests in you as a(an) Medical Office Specialist? At HCA Florida West Surgical Specialists, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years. Benefits HCA Florida West Surgical Specialists, offers a total...


  • Pensacola, Florida, United States HCA Healthcare Full time

    Description IntroductionAre you looking for a work environment where diversity and inclusion thrive? Submit your application for our Medical Office Specialist opening with HCA Florida West Cardiology Specialists today and find out what it truly means to be a part of the HCA Healthcare team.BenefitsHCA Florida West Cardiology Specialists, offers a total...


  • Pensacola, Florida, United States State of Florida Full time

    Permitting Reviews, analyzes, and evaluates mid complexity ERP permit applications submitted under Florida Administrative Codes and Statues. Conduct site inspections and assessments of specifically assigned projects and prepares a report/or permit ap Environmental Specialist, Environmental, Specialist, Operations, Permit, Healthcare, Training


  • Pensacola, United States The US Oncology Network Full time

    Urologist - Woodlands Medical Specialists Pensacola Woodlands Medical Specialists ( ) is seeking a dynamic urologist to join our very busy and growing urology division of eight partner urologists and five advanced practice providers. The Woodlands urologists are the premier urology providers in the Florida panhandle and are well respected leaders in the...


  • Pensacola, United States The US Oncology Network Full time

    OverviewWoodlands Medical Specialists ( www.woodlandsmed.com ) is seeking a dynamic urologist to join our very busy and growing urology division of eight partner urologists and five advanced practice providers. The Woodlands urologists are the premier urology providers in the Florida panhandle and are well respected leaders in the medical community. They...

  • Breast Surgeon

    1 month ago


    Pensacola, United States The US Oncology Network Full time

    OverviewWoodlands Medical Specialists (WMS), a multi-specialty group with a strong concentration in cancer care, is looking to hire a Breast Surgeon for their location in Pensacola, Florida. This physician will be joining a Gynecologic Oncologist, five Hematologists/Oncologists and a Radiation Oncologist in a fully comprehensive cancer center. This practice...


  • Pensacola, United States Select Medical Full time

    Overview When patients enter our center in Pensacola, we want them to have an exceptional experience - starting at the front desk. That's where you come in. As a patient service specialist, you'll manage both the patient side and business side of our center. The front desk is your station to be a patient advocate, communicate with individuals via email and...


  • Pensacola, Florida, United States ZOLL Medical Full time

    ZOLL MEDICAL CORPIT Service Management Specialist SALT LAKE CITY , Utah Apply Now At ZOLL, we're passionate about improving patient outcomes and helping save lives.We provide innovative technologies that make a meaningful difference in people's lives. Our medical devices, software and related services are used worldwide to diagnose and treat patients...

  • AR Billing Specialist

    3 weeks ago


    Pensacola, United States Pensacola Lung Group Full time

    Job DescriptionJob DescriptionSalary: Pensacola Lung Group seeks a dynamic and enthusiastic full-time AR Billing Specialist to perform all aspects of the revenue cycle, and other tasks related to medical billing claims for the practice.Job ResponsibilitiesRevenue Cycle ProcessApply Private Payer PoliciesApply Government Payer PoliciesFollow up on Claim...

  • Medical Assistant/LPN

    4 weeks ago


    Pensacola, Florida, United States Baptist Health Care Full time

    The Licensed Practical Nurse performs assessment & care coordination of patients under the Screening & Prevention program. Process incoming orders, complete chart reviews, triage patient concerns and perform patient phone assessment to determine patient eligibility based on current screening guidelines Serve as liason for department by communicating with...


  • Pensacola, Florida, United States L3Harris Full time

    L3Harris Specialist, Electrical Engineering Salt Lake City , Utah Apply Now Job Title: Specialist, Electrical EngineeringJob Code: 10801Job Location: Salt Lake City, UTJob Schedule: 9/80Job Description:L3Harris Technologies is currently seeking an Electrical Engineer to join the Operations Test Engineering Group in Salt Lake City, Utah. The Electrical...

  • Intake Specialist

    4 weeks ago


    Pensacola, Florida, United States Peoples Home Health LLC Full time

    Position Title: Intake Specialist Department: Operations Reports To: Intake Supervisor Category: Non-Exempt Supervisory Responsibilities: None Last Revised: February 2020 Position Summary: Is responsible for distributing admission information according to company policy; prioritizing phone calls; ensuring admission packets are available and appropriate;...

  • Medical Assistant/lpn

    3 weeks ago


    Pensacola, United States Baptist Health Care Full time

    The Licensed Practical Nurse performs assessment & care coordination of patients under the Screening & Prevention program. **Responsibilities** - Process incoming orders, complete chart reviews, triage patient concerns and perform patient phone assessment to determine patient eligibility based on current screening guidelines - Serve as liason for department...


  • Pensacola, Florida, United States West Florida Medical Center Clinic PA Full time

    Job Type Full-time Description JOB SUMMARY Under the direction of the MedPro Claims Research Supervisor, the Claims Research Specialist III is responsible for performing the duties related to insurance follow up/collection and maintaining of accounts receivables. ESSENTIAL DUTIES AND RESPONSIBILITIES Ability to work all carriers accurately and efficiently...


  • Pensacola, Florida, United States L3Harris Full time

    L3Harris Sr. Specialist, Configuration Manager Salt Lake City , Utah Apply Now Job Title: Sr. Specialist, Configuration ManagementJob Location: USA-UT-Salt Lake CityJob Code: 10544Job Schedule: 9/80, every other Friday offManages the setup of new programs including the creation of Configuration Management plans, and baselines. Implements and maintains an...

  • Intake Specialist

    4 weeks ago


    Pensacola, United States Peoples Home Health, LLC Full time

    :Position Summary:Is responsible for distributing admission information according to company policy; prioritizing phone calls; ensuring admission packets are available and appropriate; and interpreting insurance policy benefits to accurately reflect coverage amounts and Client co-pay (prior approval of insurance authorization). The Intake Specialist must be...

  • Intake Specialist

    3 weeks ago


    Pensacola, United States Peoples Home Health Llc Full time

    Position Summary: Is responsible for distributing admission information according to company policy; prioritizing phone calls; ensuring admission packets are available and appropriate; and interpreting insurance policy benefits to accurately reflect coverage amounts and Client co-pay (prior approval of insurance authorization). The Intake Specialist must be...


  • Pensacola, United States West Florida Medical Center Clinic PA Full time

    Job Type Full-timeDescriptionJOB SUMMARY Under the direction of the MedPro Claims Research Supervisor, the Claims Research Specialist III is responsible for performing the duties related to insurance follow up/collection and maintaining of accounts receivables. ESSENTIAL DUTIES AND RESPONSIBILITIESAbility to work all carriers accurately and efficiently...

  • Testing Specialist

    3 days ago


    Pensacola, United States Nationwide IT Services, Inc. Full time

    Nationwide IT Services, Inc. - Testing Specialist - Pensacola, Florida Testing Specialist - Pensacola, FL Location: Pensacola, FL Employment Type: 50% on-site/50% remote Active Secret Clearance required Nationwide IT Services, NIS, is seeking an NMOTC Testing Specialist to join a team supporting our Navy customer at Naval Air Station in Pensacola,...


  • Pensacola, United States Encompass Health Full time

    Rehabilitation Specialist Career Opportunity Join a Team That Puts Your Passion for Care First Are you seeking a fulfilling career that feels like home and lets you make a meaningful impact? We are currently seeking Rehabilitation Specialists to provide exceptional care and support to our patients. As a Rehabilitation Specialist, your specialized skills will...