Ophthalmic Coding Specialist

About Us

AbroadWorks is a fast growing global enterprise with established operations in the United States, India, and the Philippines. We specialize in providing both service-based solutions and advanced tech to help North American organizations in finding, onboarding, and managing global talent easily.

Our Offerings

Global Staffing Services: Currently, the majority of our revenue is generated through our comprehensive global staffing services, which cater to the diverse needs of our clients.

Technology Solutions: Looking ahead, our strategic focus is to expand our footprint in the software sector, leveraging our technology to improve global human capital and talent management processes.

Job Title: Ophthalmic Coding Specialist

Location: Fully Remote, Philippines

Rate: $6 - $10 per hour based on experience

Schedule: Monday to Friday, U.S. business hours

Job Type: Full-Time

Job Description

As an Ophthalmic Coding Specialist, you will be responsible for chart review and coding for a busy retina specialty practice. You will do CPT and ICD-10 code validation, modifier review, documentation quality, clean-claim submission, denial prevention, and compliance with current payer and regulatory guidance.

Requirements

• Strong ophthalmology coding experience, including retina charts or highly comparable subspecialty charts.
• Must be familiar with CPT, ICD-10, modifiers, NCCI edits, medical necessity, payer policies, and documentation requirements.
• Must be able to assess whether physician documentation supports billed services,
• Strong attention to detail and professional communication skills.
• Comfort giving direct, practical feedback to physicians and administrative leadership is required.
  
  

Preferences

• CPC or ophthalmology-specific coding credential is preferred.
• Experience with retina practices, ophthalmology groups, or specialty surgical settings.
• Familiarity with DrChrono or similar ophthalmology EMR systems.
• Prior experience with denials, downcodes, appeals, and payer audit requests.
• Medicare ophthalmology billing experience.
• Knowledge of retina injection workflows, diagnostic testing documentation, and drug billing.
  
  

Responsibilities

• Review completed ophthalmology and retina charts for coding accuracy
• Assign or validate CPT and ICD-10 codes; confirm correct modifier use including laterality and bilateral modifiers
• Review procedure documentation to confirm it supports billing
• Identify missing, incomplete, or inconsistent documentation before claim submission
• Review coding for intravitreal injections, OCT/OCTA, fundus photography, fluorescein angiography, office visits, laser procedures, surgical retina procedures, and drug billing/J-codes
• Confirm diagnosis-to-procedure linkage and medical necessity support
• Review coding-related denials and downcodes to identify root causes
• Recommend corrected coding, documentation improvements, or appeal strategy as needed
• Provide concise feedback to physicians and leadership on documentation gaps, recurring coding risks, and payer-specific issues
• Support compliant coding per current CPT, ICD-10, CMS, NCCI, LCD/NCD, and payer guidance
  
  

Successful candidates for this role are expected to possess the following attributes:

• Must have excellent English communication skills.
• Has the ability to complete projects in a timely manner and quickly adjust to changing circumstances and embrace new technologies, processes, or methods.
• Great logical and verbal reasoning skills.
• Exceptionally detail-oriented.
• Exceptional problem-solving and information-processing skills.
• Ability to think outside the box.
• A great work ethic and interest in learning new concepts and growing with the job.
• Ability to work both independently and as part of a team.
• Must have their own work device (preferably a desktop or laptop) and a stable internet connection.
• Must be comfortable with using a time-tracking software for payroll purposes.
• Must be willing to undergo a background verification check during the final stages of the hiring process.
  
  

Successful candidates for this role will be rewarded with the following benefits:

• A total of five paid vacation days per year (additional days can be taken unpaid).
• A 5% raise per year guaranteed (additional raises or bonuses may be given for outstanding performance).
• A paid 15-minute break for every 4 hours of work.
• Healthcare benefits after 2 months of full-time work.
• Vacation days increase by 1 vacation day per year. I.e. after one year of employment, the total paid vacation days on year 2 would be six, on year 3 seven, etc.
  
  

Our main focus is to build an energized and motivated workforce where our employees are happy and satisfied with their jobs and growth opportunities.

We are looking forward to making you a part of our team!

Thank you for your time and interest.

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