At American Vision Partners (AVP), we partner with the most respected ophthalmology practices in the country and integrate best-in-class management systems, operational infrastructure, and advanced technology to provide the highest quality patient care possible. Our practices include Barnet Dulaney Perkins Eye Center, Southwestern Eye Center, Retinal Consultants of Arizona, M&M Eye Institute, Abrams Eye Institute, Southwest Eye Institute, Aiello Eye Institute, Moretsky Cassidy Vision Correction, Wellish Vision Institute, West Texas Eye Associates and Vantage Eye Center. We are focused on building the nation’s largest and most comprehensive eye care practices and currently operate more than 100 eye care centers in Arizona, New Mexico, Nevada, California and Texas – including 25 ambulatory surgical centers.

At AVP we value teamwork, providing exceptional experiences, continuous improvement, financial strength, and hard work. We are committed to providing best-in-class patient care, pioneering research and technology, and most importantly, rewarding and recognizing our employees!

As a Coding Manager, you will train to properly code claims to capture charges and correctly bill for services performed. Training and Revenue Integrity minimizes departmental rework, reprocessing of multiple claims from misaligned coding, and tracks and trends repeated missed opportunities for compliant charging and proactively finds and/or provides input regarding tools to streamline and/or improve coding processes. This position assists with maximizing revenue by identifying trends and remediate charge leakage or overage.

• Analyze daily financial exceptions from the charge capture audit reports to determine areas of leakage and partner with information technology and clinical service lines to rectify charge capture issues by assisting service lines to improve their ability to capture compliant charges.
• Perform root cause analysis, when warranted by continuous trends  to pinpoint areas process gaps and continue to monitor and remediate any trends of charge leakage or overcharges
• Ability to track and report the percentage of generated revenue and overall improvement related to any new initiative.
• Supports Management by providing information, locating data resources and collecting data under tight time constraints, with timely responses and follow up.
• Provide analysis to monitor correct coding by the coding staff, and monitor coding related denials to identify trends and maximize facility reimbursement.
• Perform root cause analysis on coding related denials and provide recommended process improvements to reduce denials.
• Resolve complex patient and physician issues as necessary, in a timely and professional manner.
• Collaborates with internal departments to understand other system interfaces to ensure appropriate coding. Interface with operational and clinical leadership to assist in identification of operational and clinical best practices in maximizing revenue, understanding clinical aspects and monitoring of appropriate clinical documentation and quality coding. Assist with the creation of EMR forms to make sure documentation requirements are met for all services.
• Assist physicians and other clinic staff with coding and billing-related questions. Provide resources to educate and assist providers with AVP processes.
• Develop and present coding presentations and training to large and small groups of clinicians, practice managers and coders – developing training to fit specific needs.
• Research, review and approve all SIM code changes, updates and additions within the established timeframes.
• Research new drugs, technology or procedures including but not limited to reimbursement for billing, EHR and claim requirements.
• Review and test any coding related changes to EHR or Autoflow.
• Review and follow up on coding IT Tickets within the established timeframes.
• Review, update and maintain system edits to ensure timely claims submission.
• Prioritize work to maximize turnaround times.
• Monitor coding process throughout the month to adjust the coding team priorities and schedules for month end requirements and time frames. 
• Communicate effectively with the coding team through regular weekly meetings, individual one on one meetings and daily via Teams or various methods of communication. Effectively relay in a positive manner the goals and initiatives of the RCM department, conveying the crucial role the coding team contributes to the success of the department. 
• Maintaining productivity trackers for each coder and working in conjunction with Quality to ensure the coding team meets all productivity and quality metrics consistently. 
• Performs all other assigned duties.

• High School diploma or equivalent
• Certified Professional Coder (CPC) required
• 5 years of medical billing experience preferred
• Ophthalmology background desired
• Requires 3 or more years in a leadership role
• Previous experience providing coding education training, with preferred training to providers.
• Knowledge of electronic health record systems for applying codes and/or checking codes for accurate assignment based on provider documentation, Nextgen experience preferred.
• Analytical skills necessary to dissect complicated issues and formulate creative solutions for problem solving.
• Strong background and experience in revenue cycle reimbursement.
• Active knowledge of CMS guidelines contracted insurance guidelines and coding policies.
• Demonstrated computer literacy including Microsoft Office applications.
• Well-organized with attention to detail.
• Ability to read and understand oral and written instructions.
• Ability to establish and maintain effective working relationship with team members, clinic staff, payers and patients.
• Have a desire and dedication to work with self-discipline.
• Maintains the strictest confidentiality: adheres to all HIPAA guidelines and regulations.

Your health, happiness and your future matters! At AVP, we offer everything from medical and dental insurance, significant eye care discounts, child care assistance, pet insurance, continuing education funds, 401(k), paid holidays, PTO, Sick Time, opportunity for growth, and much more!