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Company Intro

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!

Responsibilities

• Oversees and sometimes performs the job duties of subordinate positions when needed
• Monitors team’s daily claim reconciliation and report of claims submitted for accuracy
• Manages the Navicure automation process and enrollment process for providers
• Produces productivity and error reports to assess staff and ensure compliance of departmental policies
• Answers specific coding questions and approves coding for specialty surgeries
• Ensures staff are reviewing, correcting, and posting any additional clinic/surgical charges on a daily basis
• Coordinates with the Credentialing Department for any specific payer, provider or location credentialing issues
• Ensures staff posts, produces and sends all charges for invoice vendors
• Follows the established industry standard and CMS coding guidelines to ensure proper billing of charges, including CPT-4 and ICD codes as well as modifiers
• Ensures staff submits any charges to on-line Vision plans for claims processing
• Maintains positive leadership and gives frequent performance feedback to subordinates
• Coaches established employees when needs are identified, holding employees accountable for results through coaching and development of action plans
• Monitors and manages key performance indicators and data for department, and provide reporting and action plans for improvement
• Participates in the review process for each Coding Team member
• Participates in the process of hiring members of the Coding Team
• Performs all other assigned duties

Qualifications

• High School diploma or equivalent
• 7+ years medical billing experience preferred
• Certified Professional Coder required
• 3 years in a leadership role preferred
• Experience in Revenue Cycle Management required
• Ophthalmology background desired
• Ability to motivate and lead a team
• Active knowledge of CMS guidelines contracted insurance guidelines and coding policies
• Detail oriented, reliable and able to multi-task in a fast-paced, high-volume work environment
• Excellent verbal and written communication skills
• Ability to establish and maintain effective working relationship with team members, clinic staff, payers and patients
• Demonstrated computer literacy and excellent math skills
• Maintains the strictest confidentiality: adheres to all HIPAA guidelines and regulations

Benefits & Perks

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!