# Virtual Certified Ophthalmic Coder & Billing Coordinator (Retina)

> Staffing for Doctors · Philippines (Remote) · — · Posted 2026-11-10

**Workplace:** remote

## Description

We are seeking a highly experienced, certified, and detail-oriented **Virtual Certified Ophthalmic Coder & Billing Coordinator (Retina)** to support a premier ophthalmology practice. In this critical clinical revenue cycle role, your primary focus will be live-coding complex ophthalmic and retinal patient visits, managing J-code injectable drug claims, posting payments, and acting as the main operational liaison between the clinic and our third-party billing company.

Because this role demands high-level clinical coding accuracy, **a minimum of 5+ years of direct ophthalmology coding experience, specialized background in retina coding, active coding certification, and live-coding mastery are absolute, non-negotiable requirements**. General medical billers without direct hands-on ophthalmology coding expertise will not be considered.

**Working Environment & Core Schedule**

-   **Role Title:** Virtual Certified Ophthalmic Coder / Billing Coordinator (Retina)
-   **Specialty:** Ophthalmology & Retina
-   **Status:** Full-Time (40 Hours / Week)
-   **Schedule:** Monday – Friday, 8:00 AM – 5:00 PM PST (Pacific Standard Time)
-   **Core Technology Stack:** Ophthalmology EHR platforms (e.g., ModMed / DrChrono), Clearinghouses, Payer Portals, Practice VoIP System
-   **Primary Objective:** Real-time visit live-coding, J-code processing, payment posting, and third-party billing agency liaison oversight

**Top 3 Daily Tasks**

1.  **Live Clinical Visit & J-Code Coding:** Review clinical documentation in real time to code complex retina visits, surgical procedures, and intravitreal injectable drug J-codes using precise ICD-10 and CPT coding guidelines.
2.  **Payment Posting & Discrepancy Auditing:** Post payments accurately from ERAs/EOBs, reconcile accounts, and audit payment postings to uncover fee schedule discrepancies or coding-related claim rejections.
3.  **Third-Party Billing Company Liaison Support:** Work directly with the practice manager and outsourced billing agency to track unbilled encounters, resolve coding denials, push claim corrections, and report on pending revenue items.

**Core Responsibilities**

-   **Ophthalmic & Retina Live-Coding (Primary Focus):** Execute real-time CPT and ICD-10 coding for clinical encounters, retinal procedures, intravitreal injections, and specialized diagnostic testing.
-   **J-Code & Injectable Drug Management:** Ensure precise coding and compliance for high-cost ophthalmic drugs and biologic injectables (J-codes), verifying unit quantities and modifier application.
-   **Documentation & Discrepancy Auditing:** Audit provider chart documentation against submitted codes to capture unbilled services, catch clinical discrepancies, and ensure billing integrity prior to claim submission.
-   **Payment Posting & AR Audit:** Post electronic and manual payments, identify line-item discrepancies, and address coding-related denials or payor bundling rejections.
-   **Outsourced Billing Agency Coordination:** Serve as the practice’s primary contact for the third-party billing company—tracking claim transmission cadences, resolving coding edits, and holding external billers accountable.
-   **Administrative & Practice Manager Support:** Own all coding workflows, deliver transparent weekly status reports on pending charts, and directly relieve administrative bottlenecks for clinic leadership.

## Requirements

-   **5+ Years Ophthalmology Coding Experience:** Extensive, proven background coding for an ophthalmology practice, with direct specialization in **retina coding**.
-   **Active Medical Coding Certification:** Hold an active credential such as **CPC** (Certified Professional Coder), **COC**, **CCS**, or **COA/OCP** (Ophthalmic Coding Specialist).
-   **Live-Coding & J-Code Mastery:** Demonstrated expertise in real-time live coding of provider notes and deep familiarity with **J-codes / injectable drug coding**.
-   **CPT & ICD-10 Expertise:** Advanced knowledge of ophthalmic CPT codes, modifiers, ICD-10 diagnostic codes, and payor LCD/NCD coverage policies.
-   **Payment Posting & Billing Operations:** Hands-on experience posting payments, analyzing EOBs/ERAs, and auditing claim denial patterns.
-   **Schedule Availability:** Full availability to work 40 hours per week during **Monday through Friday, 8:00 AM – 5:00 PM PST**.
-   **Remote Workspace Setup:** Dedicated, private home office with a lockable door, high-speed primary internet connection, backup power/internet solutions, a high-performance computer (PC/Mac), and a noise-canceling headset in full compliance with HIPAA rules.

### Preferred Qualifications

-   Direct coding experience for intravitreal injections, retinal detachments, laser surgeries, and complex retinal imaging.
-   Hands-on proficiency with **ModMed (Modernizing Medicine / EMA)** or **DrChrono** EHR systems.
-   Prior experience coordinating workflows alongside an outsourced third-party billing agency.
-   Experience directly supporting an ophthalmology practice manager or clinic director.

**Ideal Candidate Profile**

You are a master-level certified ophthalmic coder who thinks like a clinician and audits like a financial officer. You navigate retina CPT codes and J-codes with complete confidence, catch documentation errors in real time, keep payment posting tight, and seamlessly manage outsourced billing teams to ensure maximum practice reimbursement during PST business hours.

## Apply

[Apply at Staffing for Doctors](https://apply.workable.com/staffing-for-doctors/j/385CF9EAEF/apply)

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