EyeCare Partners is the nation’s leading provider of clinically integrated eye care. Our national network of over 300 ophthalmologists and 700 optometrists provides a lifetime of care to our patients with a mission to enhance vision, advance eye care and improve lives. Based in St. Louis, Missouri, over 650 ECP-affiliated practice locations provide care in 18 states and 80 markets, providing services that span the eye care continuum.
RCM Quality Assurance Supervisor
Location
United States
Posted
4 days ago
Salary
0
Seniority
Mid Level
No structured requirement data.
Job Description
RCM Quality Assurance Supervisor
Eye Care Partners Career Opportunities
Role Description The Retina Quality & Clinical Liaison is responsible for overseeing quality assurance, clinical compliance, and operational alignment across retina services within affiliated practices. This role ensures high standards of care by: - Developing and maintaining quality assurance programs. - Conducting audits of clinical documentation and coding. - Identifying opportunities for improvement through data analysis and performance metrics. - Serving as a key liaison between Retina Division leadership and multi-specialty practice teams. - Facilitating communication and supporting implementation of clinical standards. - Monitoring performance indicators and preparing regular reports for leadership. - Driving continuous quality improvement initiatives. Qualifications - Minimum Required: 3+ years of experience in Retina Revenue Cycle Management. - Preferred: 1-2 years in a supervisory and/or QA-focused role. Requirements - Strong knowledge of CPT, ICD-10, and HCPCS coding and claims submission workflows. - Proficiency with billing platforms, clearinghouses, and EHR/PMS systems (e.g., NextGen, Waystar). - Detail oriented, professional attitude, reliable. - Strong time management and organizational skills. - Analytical and adaptable to evolving RCM structures and systems. - Skilled in error analysis, root cause investigation, and performance coaching. - Ability to follow or provide verbal & written instructions with sufficient grammar and spelling skills. - Interpersonal skills to support customer service and teammate support needs. - Able to communicate effectively in English, both verbally and in writing. - Ability to effectively engage and present to diverse audiences at all levels in the organization. - Capable of building strong cross-functional relationships and leading with influence. - Basic to intermediate problem solving, including mathematics. - Intermediate to advanced computer operation. - Advanced skills with Microsoft Excel, Word, PowerPoint, and Outlook. - Specialty knowledge of systems relating to job function (HER/PMS Platforms, Other Quality Assurance Tools). - Knowledge of state and federal regulations for this position; general understanding of HIPAA guidelines. - Knowledge of payer guidelines, compliance requirements, and HIPAA regulations. Benefits - HIPAA compliant home office environment for remote team members. - Ability to work in a remote environment while remaining patient focused. - Able to work varying shifts including early mornings/evenings. Supervisory Responsibilities - Indirect supervision of charge posting and claims production staff. - Oversight of QA auditing for on and offshore production teams. - Responsible for audit accuracy, performance coaching, escalation handling, and team development. - Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems. Location/Work Environment - Works in a normal office environment during normal business hours. - May be exposed to blood or bodily fluids and various cleaning supplies. Equipment - Computer, fax, copier, printer, scanner, and telephone. - Good working knowledge of Microsoft applications. - Personal Protective Equipment (PPE) follows standard precautions.
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