Description
A career that changes lives.
SightMD is a rapidly growing integrated ophthalmic provider group, extending the reach of exceptional eye care to patients across New York, New Jersey, Pennsylvania, and Connecticut. With over 75 eye care providers and the convenience of 60 locations, our commitment to delivering unparalleled services is at the heart of everything we do. As we embark on our mission, we are actively seeking teammates who are eager to contribute to our legacy of eye excellence, a tradition that spans more than 50 years.
Position Summary:
The certified Professional Coder position is an essential member of the Revenue Cycle Management team and is responsible for conducting coding reviews and proactive company education, training, and remediation of identified coding weaknesses and coding -related denials. The coder is an expert in deciphering physician practice medical records and coding to the highest level of specificity. Their role is to work collaboratively with team members, lead and manage to keep up to date with changes within the Ophthalmology specialty.
Job Duties & Essential Functions:
Review documentation in patient EMR/PM management systems for appropriate CPT and ICD10 diagnosis codes.
Work with Compliance leads to determining changes in coding processes at front and back-end.
Assist Accounts Receivable team with coding related denials, with an emphasis on proactive stratification and process changes and monitoring.
Consistently meet department defined benchmarks while maintaining accuracy.
Charge posting and review.
Required Qualifications:
CPC (Certified Professional Coder)
Demonstrate an understanding of the CPT guidelines for separate procedures, bundling, and add-on-codes, as applicable, diagnosis coding to highest level of specificity and modifier use.
Minimum 2+ years of professional, outpatient experience with Ophthalmology coding; reviewing, abstracting, and coding medical records.
Ability to communicate, both verbal and written
Outstanding organizational skills
This is a hybrid position, with flexible remote work possibilities.
Experience in ASC coding, a plus
Ability to maintain confidentiality of information.
Pay Rate: $30 - $40 / Hourly. This is a Hybrid Position
Benefits:
We aim to take care of our teammates the same way we take care of our patients.
All SightMD employees receive the following benefits:
Medical/Prescription Drug Coverage
Dental Insurance
Vision Insurance
Company Paid Term Life Insurance & Long-Term Disability
Supplemental Insurance Benefits
Employee Assistance Program (EAP)
Retirement Plan - 401(k)
Paid Time Off (PTO)
Paid Holidays
Career Development Programs
Equal Employment Opportunity Statement:
SightMD is an equal opportunity employer and does not discriminate on the basis of race, color, national origin, religion, creed, age, disability, sex, gender identity or expression, sexual orientation, familial status, pregnancy, predisposing genetic characteristics, military status, domestic violence victim status, criminal conviction, and all other protected classes under federal, state and local laws.
If you are an individual with a disability and need a reasonable accommodation for any part of the application process, or in order to perform the essential functions of a position, please contact People Services at [email protected]
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Qualifications
Experience
Required
CPC (Certified Professional Coder)