Manager of Coding and Audit

Midwest Vision Partners (MVP)

General Job Purpose

The Manager of Coding and Audit is responsible for the leadership, development, coordination, implementation, and oversight of charge entry and billing functions. This role conducts and monitors charge behavior analysis to ensure maximized and accurate charge capture and revenue recognition. The Manager is also responsible for routine auditing of patient accounts to verify all potential revenue is recognized and to provide re-education as needed to scribes, providers, and RCM staff.

About Midwest Vision Partners (MVP)

Midwest Vision Partners was founded in 2019 to build a premier eye care platform in partnership with Alpine Investors, a San Francisco-based private equity firm. Alpine is a strong supporter of MVP, rooted in their PeopleFirst™ philosophy, strong performance history, financial resources, and commitment to physician leadership.

Headquartered in Chicago, MVP's mission is to provide world-class support to ophthalmologists and optometrists, enabling them to focus on improving patients' vision and helping people live their best lives. MVP's network includes 16 practices, 125 physicians, and roughly 1,500 employees providing medical and surgical eye care at over 60 locations throughout the Midwest. We strive to be the premier provider of eye care in the region through collaboration and excellence.

What You Will Be Working On

Performance

• Set metrics and execute action plans to achieve industry benchmarks
• Monitor and prioritize work based on organizational needs and assignments
• Stay current on coding and billing guidelines to ensure organizational compliance
• Monitor coding and billing-related denials to identify areas for focused audits, workflow updates, or education
• Provide denial trending and remediation plans to the Sr. Manager for workflow optimization
• Ensure turnaround time (TAT) for each location meets required metrics and create remediation plans to bring outliers back into compliance
  
  

Leadership and Management

• Lead, promote, and execute integration and unification of revenue cycle functions
• Establish and enforce workflow processes that support targeted KPIs
• Develop and coach colleagues and staff to improve performance and ensure continuity of critical accounts receivable activities
• Monitor staff productivity and provide necessary support to meet expectations
• Conduct monthly audits of staff work to identify educational needs or workflow optimization opportunities
  
  

Communication and Working Relationships

• Work cross-functionally to develop and manage an efficient and effective collection process
• Respond to inquiries from leadership, Operations, staff, and physicians in a timely and appropriate manner
• Share performance metrics with RCM leadership to support continuous process improvement
• Communicate productivity standards, quality expectations, policies, procedures, and corporate standards to assigned staff
• Provide education and training to scribes, providers, and RCM staff on coding and billing guidelines
  
  

Expertise

• Strong understanding of payer and regulatory trends with the ability to develop strategies and activate tactics with appropriate leaders
• Maintains current knowledge of governmental, payer, and organizational policy changes across all states in which services are provided
  
  

Experience And Knowledge

• 5 years of progressive supervisory or managerial experience in coding and billing, charge capture, or revenue recognition
• Excellent knowledge of governmental and third-party billing requirements
• Ability to manage multiple tasks simultaneously in a fast-paced environment
• Strong ability to manage priorities while maintaining professionalism
• Demonstrated sound judgment and leadership skills
  
  

Education And Skills

• Coding certification required: CPC, CCS, or COC
• High school diploma required; Bachelor's degree in business, health administration, or accounting preferred
• Proficiency with PCs and Microsoft Office, with advanced Excel capabilities
• Experience with Kronos, AllScripts, Nextech, and Payer Path preferred
  
  

What You Will Receive

• Competitive wages
• Robust benefits package, including medical, dental, life, and disability insurance (short- and long-term)
• Generous paid time off (PTO) program
• Seven (7) company-paid holidays
• 401(k) retirement plan with company match
• A culture centered around People, Passion, Purpose, and Progress
• Supportive and inspirational organizational culture
  
  

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