Over the years, Ophthalmology LTD's name has become associated with the highest quality of comprehensive medical and surgical eye care. Highly trained ophthalmologists, as well as experienced optometrists, combine their considerable expertise to give each and every patient the best possible care. Ophthalmology LTD delivers treatment for cataracts, glaucoma, and diabetic eye disease, as well as cornea transplants, oculoplastic surgery, retina surgery, vitreoretinal surgery, and pediatric eye care in Sioux Falls.

Ophthalmology LTD is looking to add a Medical Coder to our team. This person will be responsible for medical billing, coding, charge posting, obtaining authorizations, and patient account management which includes answering patient and clinic staff inquiries and resolving billing issues.

Job duties include:

• Entering patient demographics and insurance coverage, verifying eligibility and benefits.
• Perform charge entry of clinic and surgery charges, including monitoring and reviewing chart documentation, and assigning and appropriately linking CPT/ICD codes for claim accuracy, and monitoring posting reports for accuracy.
• Patient Account Management to include in clinic or phone inquiries and counsel patients on out-of-pocket estimates, self-pay balances, and payment plans.
• Daily and monthly reconciliation and balancing; performs internal audits of medical record documentation on a routine basis; communicates and educates doctors and staff as appropriate.
• Obtaining preauthorizations for procedures, MRI/MRA/CT, and medications.

Education and Training requirements:

• High School Diploma.
• Prefer post-secondary education.
• The ideal candidate will possess CPT and ICD coding knowledge in medical practice and has a thorough understanding of medical terminology and anatomy. Certification is encouraged: Certified Professional Coder, CPC or Ophthalmic Coding Specialist, OCS.
• Minimum 2 years of medical billing experience in a physician office setting with knowledge of various medical payer practices and insurance laws/guidelines (Medicare, Medicaid, Work Comp, VA, and other third-party payers). 2 years of computer experience with more than two practice management A/R and Electronic Medical Record Systems.

Please note this job description is not a complete listing of activities, duties, or responsibilities that are required for this job. Duties, responsibilities, and activities may change at any time with or without notice.

This position is a full-time, non-exempt role. Business office hours are Monday - Friday, 8 am - 5 pm. We offer a competitive compensation and comprehensive benefits package including health, dental, 401K, life insurance, AD&D, short and long-term disability, PTO, sick leave, paid holidays, and eye care benefits.